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WELCOME TO THE GEMS MEMBER ONLINE FACILITY

Thank you for visiting us online. Sign in here to access your membership information.

On this secure website you can:

  • View your available benefits.
  • View your personal details and update your contact details.
  • Search for recent claims.
  • View your past claims statements, hospital pre-authorisations or chronic authorisations.
  • Choose in which language you would like to receive your communication.
  • Request a new membership card and generate a printable membership certificate.
  • And so much more!

Any queries? Please provide your feedback so that we can make your GEMS online experience a pleasant one.

Sapphire Beryl Ruby Emerald Onyx

Emerald


Emerald is a traditional option designed to provide comprehensive cover that offers access to care at the provider of your choice, subject to benefits and Scheme Rules.

Three important things to remember about the Emerald option

  • There is a specific Ruby, Emerald and Onyx (REO) Network that is made up of general practitioners (GPs), specialists, and pharmacies who have agreed to charge the Scheme Rate and follow the managed care rules applicable to the GEMS Network relevant for these options.
  • If you make use of the REO Network GP or specialist you will not have to pay any out-of-pocket expenses for your consultations.
  • You need to get pre-authorisation for all hospital visits, out-patient visits to a hospital, MRI scans, CT scans or radio-isotope studies, in-hospital physiotherapy, ambulance transportation and specialised dentistry.

Your 2014 Emerald benefits

Click here to view your 2014 Emerald Benefit Guide.

Disease Management Programmes

What medicine does GEMS pay for (Formulary)?

What does GEMS not pay for?

Click here to see what GEMS does not pay for.

Forms

Cost of membership for 2014

Contributions (how much you pay each month to be a member of GEMS)

As always, GEMS aims to bring you the best possible healthcare benefits to suit your needs. Offering you more choices is what our commitment to you is about.

The contributions in the table below do not include employer subsidies. In some cases, you might qualify for a subsidy from your employer. A subsidy is an amount your employer pays towards the cost of being covered by GEMS. If you qualify for a subsidy, the employer will pay a portion of the contribution each month and you will pay the rest. You must find out about the subsidy from your employer.

If you have any questions about your subsidy, you should discuss them with your Human Resources (HR) Department. A useful contribution calculator will help you to work out your monthly contributions, if you are employed in the public service.

Salary BandMember
AdultChild
R0 – R9 840
R1 662R1 175R609
R9 841 – R16 995R1 841R1 319R683
R16 996 + R2 063R1 467R762

Note:

Salary column:

This reflects the monthly salary amount before tax or other benefits are deducted.

Member column:

This column shows how much the principal member, who is the public service employee registered with GEMS, has to pay.

Adult column:

This oclumn shows how much you have to pay for your adult dependants.

Child column

This column shows how much you have to pay for a child dependant. GEMS covers children up to the age of 21, unless the child is mentally or physically disabled or is below 28 years of age and is a student registered at a recognised educational instutution.

Contribution statements

We send a contribution statement to members who owe money to GEMS on a monthly basis. We also send a contribution statement to all members on a quarterly basis. The contribution statement sets out your monthly contribution payment and any money that you owe to GEMS. This statement helps you to check that your contributions are always up-to-date.

Managing arrear contributions

You might be behind in your payment to GEMS if any of the following happen:

  • Your employer has not deducted your monthly contribution costs from your salary. This might happen if you move between departments.
  • Your salary increase was backdated and this increase moved you into a higher contribution category.
  • You added a dependant and we did not take account of this change in time for the next payment.
  • Your contract ended and your new contract was not active in time for the next payment.

GEMS will send you a letter confirming the amount that you owe us. You will also receive a monthly contribution statement if your payments are behind.

If you need help with paying the contributions you owe, please contact the Scheme or ask your HR Department to help you with the repayment terms.

Benefit Options > Sapphire Beryl Ruby Emerald Onyx

Benefit Options Enquiries >

0860 00 4367 (Call Centre) enquiries@gems.gov.za More Contacts >