GEMS

GEMS GEMS was registered specifically to meet the healthcare needs of Government Employees. We offer excel Do you suspect fraud?

Call the anonymous 24 hour toll free GEMS Fraud Line Service: 0800 21 2202. Email: gems@thehotline.co.za

Post information to:

The Fraud Services Manager
P O Box 10512
Centurion
0046

17/11/2025

The GEMS Option Selection Period is now open.

In accordance with the Scheme Rules, each year GEMS members are encouraged to review their healthcare needs and exercise their right to either remain on their current benefit option or change to a different benefit option. This period is referred to as the Option Selection Period.

You can opt to change your benefit option before 16 December 2025. To change your option simply visit: https: https://bit.ly/48ga94W.

13/11/2025

Did you know that over the last few years, GEMS deliberately used its reserves to keep your contribution increases lower? This strategic move has consistently kept your medical aid contributions low, even as healthcare expenses rose across the country.

As we prepare for the Option Selection period which opens soon, please remember to choose a benefit option that suits both you and your families financial and healthcare needs.

12/11/2025

As healthcare inflation continues to rise, GEMS remains 23% more affordable than similar benefit options on offer. Our rich benefits are continuously aligned to the principles of Universal Healthcare Coverage, which are underpinned by delivering access to quality health services to our members at an affordable rate. A promise we intend to keep.

This is why Ask Afrika Orange Index has ranked GEMS the 2nd best medical aid in South Africa for 2025.

11/11/2025

Operational efficiency is a core commitment at GEMS, best demonstrated by our speedy claims turnaround system, which processes close to 400,000 claims per day. This robust, high-volume processing ensures claims are paid on time and our members get the best service. This is part of the reason why we have been ranked 2nd in the country in the prestigious Ask Afrika Orange Index Awards 2025/26.

Today, GEMS hosted its members in celebration of 20 years of service during the GEMS Day 20-year celebration roadshow at...
07/11/2025

Today, GEMS hosted its members in celebration of 20 years of service during the GEMS Day 20-year celebration roadshow at the Peter Mokaba Stadium in Polokwane. The event was a vibrant wellness and sports day featuring various sporting activities, including a fun run, soccer, volleyball, and netball matches.

Members also had the opportunity to take advantage of GEMS’ preventative and screening benefits, with qualified nurses providing comprehensive health and wellness screenings. In addition, the GEMS Member Servicing Team was on hand to assist members with their queries and provide guidance on their benefits.

The day was filled with energy, engagement, and a shared commitment to health and wellness, a true reflection of GEMS’ dedication to supporting the wellbeing of its members.

07/11/2025

Comprehensive screening and preventive care benefits are available to beneficiaries across all GEMS options. These services do not affect day-to-day benefits as they are paid from Risk, meaning beneficiaries can access screening and preventive care without reducing their everyday healthcare benefits.

This is one of the many ways GEMS remains committed to building a healthier public service.

As part of National Disability Rights Awareness Month, the GEMS CSI team proudly donated sick bay containers to the Kabo...
06/11/2025

As part of National Disability Rights Awareness Month, the GEMS CSI team proudly donated sick bay containers to the Kabosadi Disability Centre in Ga Maja Village and the Botlokwa Special School in Botlokwa Village, Limpopo.

These sick bays will serve as safe and supportive spaces within schools for children with disabilities — enabling regular health screenings, early detection of medical issues, and continuous monitoring of learners’ wellbeing. This initiative ensures that learners with special medical needs receive timely care and attention within their school environment.

GEMS Principal Officer, Dr Stan Moloabi, attended the handover and highlighted that: “An integral part of GEMS’ CSI objective is to empower and uplift communities through initiatives aligned with the Scheme’s transitional objectives, promoting the wellbeing of the communities where GEMS operates.”

Dr Moloabi also took the opportunity to engage with the learners and staff, reinforcing GEMS’ ongoing commitment to supporting inclusive education and community wellness.

05/11/2025

GEMS has a wide network of healthcare providers (doctors, specialists, and hospitals), giving you easy access to quality healthcare. Whether you are in a city centre or a deep rural area, our goal is to bring care closer to you.

GEMS negotiates the best rates with its network providers to ensure that members get the best care at the best price.

31/10/2025

This commendable achievement reaffirms our commitment to sound financial governance and prudence.

This sustained stability is the bedrock of our operations, guaranteeing the Scheme's long-term sustainability.

The careful and transparent approach to financial management, including necessary strategic decisions like the annual contribution increases, is what ensures we can continue to provide quality healthcare. Our focus remains on securing the future value for our members.

31/10/2025

At GEMS, we understand that every family is unique, that's why we offer a wide range of benefit options tailored to meet your family's unique healthcare needs.

We also pride ourselves on having the broadest definition of a beneficiary. This means GEMS members can register a variety of dependants, including grandparents, parents, in-laws, siblings, grandchildren, and even adopted children.

This is part of the reason why we have been voted one of Soth Africa’s best medical aid schemes by the Ask Afrika Orange Index.

We are proud to announce that GEMS (Government Employees Medical Scheme), South Africa’s largest restricted medical sche...
08/10/2025

We are proud to announce that GEMS (Government Employees Medical Scheme), South Africa’s largest restricted medical scheme, has been ranked 2nd in the country in the prestigious Ask Afrika Orange Index Awards 2025/26.

This recognition is a testament to our continued commitment to service excellence, member satisfaction, and delivering accessible, quality healthcare to our members across South Africa.

We thank our members for their trust and support, and remain committed to putting you, our members, at the heart of everything we do.

08/10/2025

New Podcast Episode Out Now!

Fraud, Waste & Abuse (FWA) in the Medical Aid Sector: What You Need to Know?

The medical aid industry is under pressure and FWA is costing billions each year. In this episode, we dive deep into:

What constitutes fraud, waste, or abuse,
How it affects your contributions and access to healthcare,
Real-life case studies and red flags,
and steps toward prevention and accountability.

Whether you're a healthcare professional or a GEMS member, this is an episode you won't want to miss.

Available now on [Spotify/Apple Podcasts/ and the GEMS Youtube Channel] or simply click here to watch the full episode: http://bit.ly/4pZkh95

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