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Government Employees Medical Scheme publication

Government Employees Medical SchemeRef: https://www.gems.gov.za/-/media/Project/Documents/Generic-Images-for-hidden-page-links/2026/T1-Infographic-DigitalV2WEB.pdf

Official source

Source domain: gems.gov.za

Collected on 17 June 2026

Always confirm details on the official source before acting.

What this means

The document describes Tanzanite One health cover provided through GEMS, detailing in-hospital and out-of-hospital benefits, including unlimited GP and nurse consultations and PMB coverage for emergencies and chronic conditions. It notes that qualifying public service employees on salary levels 1–5 may receive up to a 100% employer subsidy and highlights various benefits such as chronic disease management, prescribed medications, and preventive services. It also emphasizes the need to refer to Scheme Rules and brochures for PMB requirements and authorisation processes.

What this document offers

Read out of this document by Govermate's AI, in its own words. Each one quotes the line it came from — confirm on the official source before acting.

healthcare cover benefitsOngoing

Tanzanite One access to private healthcare (in-hospital and out-of-hospital cover)

If you are a member on Tanzanite One, you can access private healthcare through the GEMS network, including private hospital care for emergencies and PMB conditions, and out-of-hospital everyday benefits such as unlimited GP/FP and nurse consultations (with pre-authorisation after the 8th consultation) and ongoing chronic care.

Who it is for
members on Tanzanite One
How to act on it
Use the GEMS network of providers for in-hospital and out-of-hospital care; for everyday care after the 8th GP/nurse consultation, ensure pre-authorisation is obtained; for PMB requirements, contact GEMS or consult the Scheme Rules and brochures or ask your network doctor/provider.
Show the line this came from
MEMBERS ON TANZANITE ONE CONTINUE TO HAVE ACCESS TO PRIVATE HEALTHCARE, WITH UNLIMITED FAMILY PRACTITIONER (FP)/GENERAL PRACTITIONER (GP) AND NURSE CONSULTATIONS.
emergency medical assistance guidanceOngoing

Emergency ambulance access guidance (call 0800 44 4367)

For medical emergencies, the document instructs you to go to the nearest hospital or call 0800 44 4367 for an ambulance, and it states that GEMS will assess information from the doctor and hospital to decide what to pay and what further treatment to authorise.

Who it is for
members needing emergency medical care
How to act on it
In an emergency, go to the nearest hospital or call 0800 44 4367 for an ambulance; ensure the doctor and hospital provide information (e.g., diagnosis) to GEMS.
Show the line this came from
In an emergency go to the nearest hospital or call 0800 44 4367 for an ambulance.
employer subsidyOngoing

Employer subsidy for qualifying public service employees (salary levels 1–5)

Qualifying public service employees on salary levels 1–5 may receive up to a 100% employer subsidy for Tanzanite One.

Who it is for
qualifying public service employees on salary levels 1–5
How to act on it
Be a qualifying public service employee on salary levels 1–5 to receive the employer subsidy (the document does not describe an application/claim process).
Show the line this came from
Qualifying public service employees on salary levels 1–5 may receive up to a 100% employer subsidy.

Facts

Places

Gauteng

Reference

https://www.gems.gov.za/-/media/Project/Documents/Generic-Images-for-hidden-page-links/2026/T1-Infographic-DigitalV2WEB.pdf

Key Takeaways

  • program: Tanzanite One health cover
  • provider: GEMS
  • benefits: unlimited GP and nurse consultations
  • in_hospital_cover: private hospital care, PMB conditions
  • out_of_hospital_cover: comprehensive benefits including chronic condition care
  • PMBs: emergency conditions and serious chronic conditions
  • public_service_employees_subsidy: up to 100% for salary levels 1–5
  • monetary_amounts: subsidy up to 100%
  • requirements: pre-authorisation after 8th GP consultation
  • references: Scheme Rules and brochures
  • notes: authorisation and funding subject to Scheme Rules and legislation