GEMS Plans & Subsidy Calculator

Compare all six Government Employees Medical Scheme plans for 2026. Set your salary level and family size to see your real out-of-pocket cost after the employer subsidy.

What does GEMS cost in 2026? The state subsidises your contribution. The state pays 75% of it, and all of it on Tanzanite One for salary levels 1 to 5, up to a monthly cap that depends on how many dependants you have. A single member on salary levels 1 to 5 pays R0 a month on Tanzanite One, whose total contribution is R1,698.

Comparing GEMS with open schemes on price alone? See the cheapest medical aid options for 2026.

2026 changes to know: Tanzanite One hospital cover is now PMBs only · Ruby has a new R1,000 co-payment for GI scopes · Beryl advanced radiology capped at R15,183/family · Subsidy increase delayed to February 2026

GEMS is available only to South African public service employees and their dependants.

Salary level

Gross monthly salary

Family size

Adults includes you, the main member. Add adult and child dependants.

Adults
1
Children
0
Family size: 1·Dependants: 0·DPSA cap: R2 014/mo·Subsidy rate: 100% on Tanzanite One, 75% on all others
Tanzanite One100% rate

Entry level

You pay

R0/moFree
EmployerR1 698
TotalR1 698

You 0% · employer 100%

GEMS Tanzanite One 2026: price and benefits
Beryl75% rate

Entry level

You pay

R479/mo
EmployerR1 436
TotalR1 915

You 25% · employer 75%

GEMS Beryl 2026: price and benefits
Ruby75% rate

Mid level

You pay

R1 946/mo
Employer⚠ cappedR2 014
TotalR3 960

You 49% · employer 51%

GEMS Ruby 2026: price and benefits
Emerald Value75% rate

High level

You pay

R1 691/mo
Employer⚠ cappedR2 014
TotalR3 705

You 46% · employer 54%

GEMS Emerald Value 2026: price and benefits
Emerald75% rate

High level

You pay

R2 411/mo
Employer⚠ cappedR2 014
TotalR4 425

You 54% · employer 46%

GEMS Emerald 2026: price and benefits
Onyx75% rate

High level

You pay

R5 659/mo
Employer⚠ cappedR2 014
TotalR7 673

You 74% · employer 26%

GEMS Onyx 2026: price and benefits

Subsidy estimates: Amounts shown are based on the 2026 DPSA Appendix 1 limits and assume in-service employment. Your actual deduction depends on your salary level, department, and employment terms. Confirm with your department HR office.

Benefits: Summarised from GEMS 2026 member guides. Confirm full terms, limits, and exclusions with GEMS (0860 00 4367) before making any decision.

Educational comparison only — not financial advice.

Frequently Asked Questions