About the GEMS Network. GEMS has a network of healthcare providers consisting of General Practitioners (GPs), specialists, pharmacies, dentists and optometrists who have promised to deliver quality healthcare at Scheme rates to our members. This means you will not have to pay any amounts above the set amount we have agreed with the healthcare This guide will assist you with the GEMS dentistry benefits and the Scheme’s dental managed care rules. These include time and age rules, general principles and GEMS DENTAL TARIFFS AND BENEFITS In calculating the GEMS Tariff, the following rounding method is used: Values R10 and below rounded to the nearest cent, R10+ rounded to the nearest 10cent. Modifier values are rounded to the nearest cent. When new item prices are calculated, e.g. when applying a modifier, the same rounding Tariff file View and download all the documents you need as a provider. Welcome to GEMS News, an interactive digital platform that provides news, updates and Scheme communication to all members and stakeholders
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GEMS Dental Network Since high-quality clinical and administrative services is a team effort between the Scheme and healthcare providers, GEMS invites you to become an integral part of this team by joining the GEMS Dental Network and Friends of GEMS. For details and assistance on joining the growing network, please contact or For non-emergency. For emergency. What makes us different? Dedicated treatment coordinator. Wheelchair friendly. Free Wi-Fi. Emergency Missing: Gems network ICD Code for Dental Extraction: Importance of Accurate Coding Best Dental ICD Code for Extraction The best ICD code for a dental extraction of a permanent tooth is “ICD code: K – Extraction of teeth”. This code falls under the category. Read more
Government Employees Medical Scheme - gems.gov.za
Government Employees Medical Scheme. Healthcare Provider Summit. To RSVP, click here. REO Dental Providers. View and download a list of REO Dental providers. T1B GEMS Pharmacy Network 12 7. Preventative Screening At Network Pharmacies 15 8. Co-payments 15 9. GEMS Chronic Medicine Formulary 16 • Generic medicine and medicine price list Chronic Medicine Compliance 18 • Prescription renewal Advance Supply Chronic Medicine 20 • GEMS offers six excellent healthcare benefit options, namely Tanzanite One, Beryl, Ruby, Emerald Value, Emerald and Onyx. Our goal is to help public service employees and their families to get the best possible healthcare at the most affordable rate. Tanzanite One and Emerald Value are entry-level options where cover is provided by designated Bifocal/Multifocal lenses for members under the age of 40 must be motivated. Contact lenses for children under the age of 16 must be motivated. Lens enhancements/coatings. When you read the benefit schedule you’ll see that there’s a limit for your family and a sub-limit for each beneficiary (member or dependant registered on your medical plan) The application form can be downloaded from the GEMS website or requested from the GEMS call centre ( 00 ). If the application is for additional aPMB benefits (i.e., additional services like extra consultations, pathology, or radiology tests), sections A, B, D and E need to be completed by yourself and your treating doctor