Who can be a dependent on Gems medical aid?

Who can be a Dependant on my medical aid?

Dependants of a member is his/her spouse or partner; children under the age of 21, or children older than age 21 who is financially dependent on the member, or they are mental or physical disability, whom we refer to as true dependants.

Can anyone belong to Gems medical aid?

Member enrolment

As GEMS is a restricted scheme for Government employees, only those employed within public service can become members.

Can I add my girlfriend to my Gems medical aid?

Yes. If your boyfriend or girlfriend is living with you, you will be able to add them as an adult dependant to your medical aid – just as you would if they were your spouse.

Who qualifies for gems subsidy?

Public service employees on salary level 1, 2, 3, 4 or 5 belonging to or joining GEMS on the Tanzanite One option (formerly Sapphire Option) are eligible for 100% of total monthly medical contribution, up to the maximum employer subsidy, provided the subsidy amount does not exceed the employee’s total monthly …

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Can I put my grandchild on my medical aid?

Generally grandchildren can only be added if they have been legally adopted by the grandparents, or a court has granted guardianship to the grandparents. If a single parent dies, the eldest child will become the principal member of the medical scheme, if they wish to continue their membership.

Can you use your medical aid for someone else?

Please note that the use of someone else’s medical aid card with or without such a person’s consent or knowledge constitutes fraud. This practice will report such instances to the medical aid concerned to protect the practice from being regarded as a cooperative in the fraud.

Which is the cheapest GEMS option?

Tanzanite One is the most affordable of the scheme’s options for low-income earners. Members on the Tanzanite One option are provided full access to private and public facilities, awarding them much-needed dignity.

What can I buy with medical aid GEMS?

GEMS Medical Sid schemes options

  • Comprehensive cover for both in-hospital and out-of-hospital benefits.
  • All salary level 1-5 members can have a subsidy of up to 100% from an employer.
  • Access to a network of private hospitals.
  • Unlimited GP and specialist consultations.
  • Access to over the counter (OTC) medication.

What is the waiting period for GEMS medical aid?

There are two types of waiting periods that GEMS may apply. These are: A General Waiting Period (GWP) of up to 3 months; and/or • A Condition-Specific Waiting Period (CSWP) of up to 12 months.

Can I put my GF on my insurance?

Yes, you can add your girlfriend or boyfriend to your car insurance. Generally, if you and your significant other live at the same address, your car insurance company will consider them a member of your household and request that you add your boyfriend or girlfriend to your car insurance policy.

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Who can you add as a dependent?

The child can be your son, daughter, stepchild, eligible foster child, brother, sister, half brother, half sister, stepbrother, stepsister, adopted child or an offspring of any of them. Do they meet the age requirement? Your child must be under age 19 or, if a full-time student, under age 24.

Can I make my girlfriend my beneficiary?

A beneficiary is simply a person or entity who receives money, in this case a death benefit, from a life insurance contract, upon the death of the insured. While you may think you can have anyone as a beneficiary, you can’t.

Does GEMS pay for Covid 19 test?

GEMS members will be serviced and should not be requested to pay for COVID-19 testing upfront. The testing of members where guidelines are not met is not considered as PMB level of care as it is regarded as not clinically appropriate.

How do I claim back from GEMS?

Please call GEMS on 0860 00 4367 if you’d like to know why your claim was rejected or partially paid.

You can submit your claims by:

  1. Post: GEMS, Private Bag X782, Cape Town, 8000.
  2. Fax: 0861 00 4367.
  3. Email: enquiries@gems.gov.za; or a.
  4. GEMS walk-in centre.