Addiction is difficult for the individuals directly affected, but also for their families and communities. GEMS knows this and pays for 21 days of inpatient addiction rehabilitation per year. Call us for more info on 081-444-7000

GEMS knows that providing access to necessary treatments benefits its members in the short term and saves money over the long term. Government Employees Medical Scheme (GEMS) is the second largest medical aid in South Africa with 787,480 members. Discovery is the largest with 1,360,045 members.

Another difference is that Discovery is an open medical aid whereas GEMS is restricted to government employees. GEMS is committed to the health and well-being of South Africa’s public service employees and covers addiction rehabilitation.

Understanding Addiction Rehabilitation

Addiction rehabilitation encompasses a range of services and treatments designed to help individuals overcome dependency on substances or behaviours. It includes medical detoxification, counselling, therapy, and support groups, among other treatments. Effective rehabilitation is pivotal in breaking the cycle of addiction and facilitating a return to a healthy, productive life.

Overview of GEMS

Established with the specific aim of providing affordable healthcare to government employees, GEMS has grown to become the second-largest medical scheme in South Africa. It offers various healthcare benefits tailored to the needs of its members, emphasizing comprehensive care and support.

GEMS Coverage for Addiction Rehabilitation

GEMS recognizes the importance of mental health and the impact of addiction on both physical and psychological well-being. As such, the scheme provides coverage for 21 days of inpatient addiction rehabilitation services under its benefits structure. This coverage is designed to support members in accessing professional help and treatment programs necessary for recovery. However, the extent of group practice payments may vary depending on the member’s chosen benefit option. These specific coverage terms will determine the intensity level concerning inpatient individual psychotherapy, group therapy and counselling received.

Accessing Addiction Rehabilitation Services Through GEMS

For GEMS members seeking addiction rehabilitation services, the first step involves calling us at 081-444-7000 to obtain pre-authorisation. There’s no need to consult with a primary healthcare provider to obtain a referral to a suitable treatment program. Changes Rehab will navigate the pre-authorisation processes for GEMS members. We will check to see that the chosen rehabilitation services are covered under their specific benefit option.

On the 7th February 2007, I found a place that cared as much for me and my recovery as I possibly do today. I met with Sheryl and completely removed all the masks I had worn for years.

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I was sceptical about rehab, but Changes proved me wrong. Their holistic treatment approach addressed not just my addiction, but also the underlying issues. I’m now living a healthy, fulfilling life.

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Changes changed my life. Thank you all! The support and care I received during my time there were incredible. I couldn't have done it without the amazing team at Changes. I am forever grateful.

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When we found out that our daughter had an addiction problem, we were devastated and just wanted to get her the best possible help. After some research, we came across Changes. We couldn't have asked for better.

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I cannot thank Changes enough for all the support, help and encouragement they have given my son. From primary to secondary to the halfway house, he has been treated with respect and care throughout.

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I had a close friend who was having a hard time and we sent him to Changes. Admission staff was polite, friendly and professional. The counsellors were very well trained and professional.

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I was fortunate to be a patient at Changes for 90 days. I did treatment at both the primary and secondary facility. It really changed my life. I owe so much gratitude to my counsellors and the staff.

★★★★★

If you are reading this wondering whether Changes is the right treatment center for you, I am telling you that it is. Changes has made a significant difference in my life and I couldn't be more grateful.

★★★★★

My son was on the brink of destruction, but Changes stepped in. Their comprehensive approach and dedicated staff transformed him into a person I never thought I'd see again. Thank you for giving me my son back.

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Thank you to everyone at Changes who helped my daughter through this difficult time. They not only helped her but kept in constant contact with me, updating me on her progress and checking up on how I was doing.

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My life was spiralling out of control. The moment I contacted Changes, they offered immediate support. After just one month, I found hope and direction I hadn't felt in years. Forever grateful to the team.

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A friend of mine was at his lowest point and after going through Changes, his life has turned around completely. Thank you, Changes, for all the help you provided him during his recovery.

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Challenges and Limitations

While GEMS provides a pathway to addiction rehabilitation, members may face challenges such as limited coverage for certain treatments or a cap on the number of therapy sessions. Understanding the specifics of one’s coverage and actively engaging with GEMS can help mitigate these challenges.

Does GEMS Cover Addiction Rehabilitation? Conclusion

With the right support and resources, recovery is within reach. For government employees in South Africa, GEMS offers essential coverage for addiction rehabilitation services. By leveraging this support, individuals can embark on recovery, guided by the care and assistance provided by GEMS.

FAQs

1. What types of addiction rehabilitation services are covered by GEMS? Inpatient rehab.
2. How can I find out if my GEMS plan covers addiction rehabilitation? Call us on 081-444-7000
3. Are there any limits to the addiction rehabilitation coverage provided by GEMS? GEMS doesn’t pay for long-term rehab. No South African medical aids do. The family pays for longer-term treatment
4. What is the process for accessing addiction rehabilitation services through GEMS? Call us on 081-444-7000
5. Can family members of GEMS members access addiction rehabilitation services? Changes Addiction Rehab has a family programme that is designed to help families.
6. What alternatives are available if my GEMS coverage for addiction rehabilitation is insufficient? State resources and 12-step programmes.

BioPostsServices

Carmen Du ToitRead Bio

Head of Treatment at River Manor

Leading with compassion at River Manor.

• Planning Ahead for Triggers in Recovery
• 20 Things About Drug and Alcohol Rehabs in Johannesburg
• Skimping on Rehab and Professional Addiction Treatment
• Halfway House Johannesburg

• Rehab Services including Assessments, Detox and Costs Of Treatment
• Private Rehab Facilities including Residential Inpatient, Long-Term Rehabs and Sober Living
• Counselling including Family Support, Outpatient and Dual Diagnoses
• Treatment Phases including Relapse Prevention, Aftercare and Stepwork

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