Paying R5000 for Medical Aid? You Still Need Gap Cover
Paying R5000 or more a month for medical aid should mean you’re covered for almost anything. But the reality is, even top-tier medical aid plans
15 October 2025
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Paying R5000 or more a month for medical aid should mean you’re covered for almost anything. But the reality is, even top-tier medical aid plans
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.
It's a scenario playing out across South Africa every day: You're diligent with your medical aid payments. You go in
Medical aids and medical schemes in South Africa don't cover the full cost of healthcare. The gap between what medical
Absolute Cover Plus is TRA's premium gap cover offering that works hand in hand with your registered medical aid scheme.
