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  • Service provider
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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

ICD-10 Code/Formulary Check Service


A convenient ICD-10 and formulary check service is now available to healthcare providers with patients who are GEMS members.

You can check ICD-10 codes or the GEMS Formulary for the selected codes via SMS or with the click of a button right here!

With this new service, GEMS continues to make it easier for you to submit correct and complete claims, which will ensure that you receive quick and efficient payment.

ICD-10 Check

GEMS Formulary Check

2013 Acute Medication Formulary - Sapphire and Beryl

2013 Chronic Medication Formulary - Sapphire and Beryl

2013 REO Restrictive Formulary

2013 REO Acute formulary exclusions

2013 REO Comprehensive Formulary

2013 Medicine Price List (MPL)

2013 Medicine Exclusion List (MEL)

2013 Medicine Price List - Oncology

2013 Optometry tariffs and rules

2013 Dental policies (clinical protocols):

2013 REO Dental Medicine Formulary

2013 Dental Medicine Formulary - Sapphire & Beryl

CDL medicine policies

Hospital policies

2013 REO Contraceptive List

VERY IMPORTANT: Formulary changes effective 01 November 2012

 

Forms >

Download various forms relating to your membership in easy-to-use PDF format. Click Here >

New Member Enquiries >

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

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