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ComprehensiveAny GEMS-registered hospitalSalary-banded

GEMS Emerald 2026: price and benefits

GEMS Emerald costs R4,425 a month for a member on the lowest salary band in 2026 (R3,371 per adult dependant and R1,643 per child), before the employer subsidy. It is a comprehensive plan from the Government Employees Medical Scheme, open only to public service employees and their dependants.

Source: Government Employees Medical Scheme 2026 published contributions (GEMS website)Last reviewed

Contributions

Total monthly contribution by salary band, before the employer subsidy. 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. What you pay yourself is therefore usually well below these figures.

Emerald monthly contributions by salary band, before the employer subsidy
Monthly salaryMemberAdultChild
Under R17,261R4,425R3,371R1,643
R17,261 to under R29,810R4,897R3,786R1,840
R29,810 and aboveR5,491R4,210R2,053

Child dependants: up to 3 are charged, and a child must be under 21. Adult dependants are charged the adult rate.

In-hospital

  • Strong cover: Comprehensive in-hospital — any GEMS-registered hospital
  • Strong cover: Not restricted to GEMS network (more hospital choice)
  • Strong cover: In Lieu of Hospitalisation benefits available
  • Strong cover: No annual hospital limit

Day-to-day

  • Strong cover: Block Benefit for standard out-of-hospital services
  • Strong cover: Primary Care Extender: extends cover to non-network providers
  • Strong cover: More flexible than Emerald Value — wider provider access
  • Strong cover: REO network GP nomination recommended but not penalised

Chronic conditions

  • Strong cover: All 27 PMB conditions
  • Strong cover: 30+ additional chronic conditions
  • Strong cover: Full CDBP access: diabetes, cancer, hypertension, HIV/AIDS

Dental

  • Strong cover: Comprehensive dental — all major procedures
  • Strong cover: Orthodontics: under-21, once-in-lifetime benefit
  • Strong cover: Broader provider access than Emerald Value

Optical

  • Strong cover: Good optical benefit: frames, lenses, contact lenses

Maternity

  • Strong cover: Comprehensive GEMS Maternity Programme
  • Strong cover: Enhanced antenatal, postnatal + newborn screening

Wellness & extras

  • Strong cover: Full G-Health wellness + chronic risk profiling
  • Strong cover: Disease management programmes + nurse helpline
  • Strong cover: 24/7 emergency support + GEMS member app

FAIS Disclaimer

This tool is for educational and informational purposes only. It does not constitute financial advice. Consult a registered financial adviser (FSP) before making any medical aid decision. Contributions shown are current-year (2026) figures from official scheme sources.

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