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GEMS wants to ensure that your doctor manages your care and provides you with the best service. For this reason, we aim to build strong relationships with the doctors who provide care to our more than 1.8 million beneficiaries.

Visiting a GEMS Network healthcare provider is one of the ways that we can ensure you receive proper care. In addition, there are many advantages to visiting a GEMS Network provider:

• You will not have to pay any out-of-pocket consultation expenses.
• Your GEMS Network provider has committed to providing excellent quality care to you at Scheme rates, and not to charge you any co-payments or additional costs.
• All GEMS Network providers are willing to have their practice evaluated (peer reviewed) and, where necessary, to accept guidance by their colleagues (peer mentoring) to improve their practices.
• Providers who are evaluated and achieve the highest status are rewarded with a higher consultation fee - at no additional cost to you.

It is easy to identify a GEMS Network provider, as they will display a GEMS Network logo in their premises. You can also use the "Find a Network provider" tool to search for a GEMS Network provider in your town or call the GEMS Call Centre on 0860 00 4367 for assistance.

Please note
If you are a member of the Sapphire or Beryl options, ensure that your provider is a member of the GEMS Network before using the provider's services.

Remember
Your GEMS Network provider has agreed to provide you with excellent service and care. It is your right as a GEMS member to inform us if your service provider does not comply with the GEMS Network requirements (for example, if your Network provider makes you pay co-payments out of your own pocket).

These providers can be reported by calling the GEMS Fraud line on 0800 21 22 02, sending an email to gems@thehotline.co.za or sending a fax to 086 726 1681. Information can also be posted to: The Fraud Services Manager, PO Box 21076, Valhalla, 0137.