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Medical Aid Shortfall

Medical Aid Is Not Enough: Why You Were Left With A R20,000+ Medical Aid Shortfall

It’s a scenario playing out across South Africa every day: You’re diligent with your medical aid payments. You go in for a necessary procedure. Everything gets approved. Then comes the gut punch: a bill for R20,000 that your medical aid won’t cover.  That begs the question: How is this possible with comprehensive medical aid? Well, the truth is that comprehensive plans leave significant gaps between what they pay and what

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13 November 2025
Learn more about TRA's premium gap cover product option, Absolute Plus

What Is TRA’s Absolute Cover Plus Offering?

Absolute Cover Plus is TRA’s premium gap cover offering that works hand in hand with your registered medical aid scheme. It covers the difference between what your medical aid pays and what healthcare providers charge for in-hospital procedures, specialist consultations, and cancer treatment. This gap cover product includes Casualty cover, Co-Payment cover, Sub-Limit cover, and specialised oncology treatment benefits, including the Oncology Gap Benefit, Oncology Co-Payment Benefit, and Oncology Extender

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11 November 2025
BrandMapp provides insights to the Gap Cover market in South Afric

TRA’s Consumer Research: Understanding The Gap Cover Market in South Africa

Copyright: Consumer research conducted by BrandMapp on behalf of Total Risk Administrators (TRA), 2025. “With only 19% of medically insured South Africans currently having gap cover, there are literally millions of families who could benefit from this protection but haven’t yet recognised the need.” When you’re lying in a hospital bed recovering from surgery, the last thing you want to worry about is a massive medical bill that your medical

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29 October 2025

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How Does Gap Cover Work?

Gap cover insurance is essential for covering shortfalls after medical treatments like surgeries or hospital stays where the specialist’s fees are higher than what your medical aid covers. Once your medical aid has processed and paid their portion of the bill, you can claim the remaining amount from your gap cover provider, according to the terms of your policy. 

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OUR LATEST NEWS
13 November 2025Gap Cover, Health Insurance, TRA News

Medical Aid Is Not Enough: Why You Were Left With A R20,000+ Medical Aid Shortfall

It's a scenario playing out across South Africa every day: You're diligent with your medical aid payments. You go in

11 November 2025News, TRA News

What Is TRA’s Absolute Cover Plus Offering?

Absolute Cover Plus is TRA's premium gap cover offering that works hand in hand with your registered medical aid scheme.

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29 October 2025Gap Cover, Health Insurance, TRA News, Uncategorized

TRA’s Consumer Research: Understanding The Gap Cover Market in South Africa

Copyright: Consumer research conducted by BrandMapp on behalf of Total Risk Administrators (TRA), 2025. “With only 19% of medically insured

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