Home Application Forms GEMS Application Form 2024 – Pdf Download

GEMS Application Form 2024 – Pdf Download

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We are pleased to present to you the Government Employees Medical Scheme (GEMS) Application Form for the 2024 public service jobs as well as the download link. The GEMS Application Form is available for all prospective applicants looking to gain employment in any government sector.

GEMS

The Government Employees Medical Scheme (GEMS) [Registration Number 1598] is a restricted medical scheme registered in terms of the Medical Schemes Act 131 of 1998 (the Act) to provide qualifying public service employees and their families with equitable access to affordable and comprehensive healthcare benefits. GEMS offers six excellent healthcare benefit options: Tanzanite One, Beryl, Ruby, Emerald Value, Emerald and Onyx.

WHO SHOULD COMPLETE THE GOVERNMENT EMPLOYEES MEDICAL SCHEME (GEMS) APPLICATION FORM?

For member:

  • clear copy of Green ID book, Smart ID with both sides, / SA Passport
  • Latest salary advice or letter of appointment (not older than 3 months)
  • Bank statement with stamp (not older than 3 months)
  • Previous medical aid certificate with resignation date (if applicable)
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For each dependent:

  • clear copy of Green ID book, Smart ID with both sidesBirth certificate, or SA Passport
  • Previous medical aid certificate with resignation date (if applicable)

Spouse

  • If legally married, a copy of marriage certificate is required
  • If in a customary marriage, a declaration* from the member confirming obligation towards his or her spouse is required

Ex-spouse

  • Evidence of legal obligation to provide medical support per divorce settlement or court order, e.g. the Divorce Order.
  • Life Partner
  • A declaration* confirming that the dependent is the member’s life partner.

child under the age of 21

  • A declaration* confirming obligation towards the child and reason for difference in surname if the child’s surname differs from the main member.
  • Legal documentation if child is adopted.
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Child aged 21 and older

  • For students:
    • Proof of registration at a recognised tertiary institution; and
    • A declaration* confirming factual dependency on the main member.
  • For mental or physical disability:
    • Proof of disability from a medical practitioner (a medical assessment report completed by a medical practitioner); and
    • A declaration* confirming factual dependency on the main member and that the child is not in a state institution.
  • If the child is neither a student nor disabled:
    • A declaration* confirming factual dependency on the main member.

Extended family (Parents, step parents, parents-in-law, step-parents-in-law, grandparents or grandparents-in-law)

  • A declaration* confirming factual dependency of any such dependents.

For Pensioner:

  • clear copy of Green ID book, Smart ID with both sides, or SA Passport
  • Z583 (stamped by Commissioner of Oaths)
  • Previous medical aid certificate with resignation date (if applicable)

HOW TO DOWNLOAD THE GEMS APPLICATION FORM

Kindly view the GEMS Application Form on our website or download the GOVERNMENT EMPLOYEES MEDICAL SCHEME (GEMS) Application Form by clicking on the ‘click here to view’ link below the form.

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Click here to View Government Employees Medical Scheme (GEMS) Application Form in PDF format.

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