total risk administrators (TRA) logo

How To Claim From Gap Cover: A Comprehensive Guide.

Woman looking at her phone

As an insurance product designed to provide additional financial protection, gap cover helps individuals who are on a medical aid scheme further ensure they are covered when they need it most. Helping bridge the gap between the high cost of medical charges from healthcare providers and the limited coverage provided by standard medical aid plans, […]

Does gap cover pay for everything that my medical aid, won’t?

Doctor smiling at toddler

Rather have it and not need it is pretty much how you need to look at having a gap cover plan. Yes, you may be thinking, well I have a medical aid and surely that’s enough? Not exactly. Not all medical aids pay out in full for certain specialists or procedures and you can’t always […]

The Benefits of Gap Cover

Nurse comforting older woman

As cliche as it sounds, and yes, you’ve probably heard it numerous times before, but accidents unfortunately happen! And you don’t want to be caught out having to pay excessive hospital and/ or doctor’s bills. This is why it is so important to have medical aid in place. Medical aid is a form of insurance […]

What is the cheapest Medical aid?

Doctor

Answering the question of what is the best and what is the cheapest medical aid is often a very tricky one to answer. Most plans are brilliant and affordable for some while not so much for others. The cost and cover options are also dependent on if you are a fairly sickly person who needs […]

Navigating the Medical Maze: How to Compare Gap Cover Plans in South Africa

Navigating the Medical Maze: How to Compare Gap Cover Plans in South Africa

In the constantly evolving landscape of medical wellness and healthcare in South Africa, it is becoming increasingly vital for individuals to protect themselves against unexpected medical costs. This is where gap cover plans step in to bridge the financial gap between what a given medical aid scheme will cover and what patients are actually required […]

Why do I need medical aid?

Doctor using stethoscope on toddler

One of the most stressful times in life is finding yourself or a loved one in hospital, only to realise that you can’t afford to cover the hefty medical costs. Having medical aid is probably one of the most important financial costs that you have to have every month to ensure that you and your […]

When can you claim for your gap cover insurance?

Woman reading a document

For TRA Gap Cover: There is no general three (3) month waiting period. If you as a member can provide a certificate to show proof of a previous membership on another legitimate Gap Cover: provider (provided you have had no break in cover for at least 24 months to the benefit start date of your […]

What is Medical Aid and how can it help you?

Doctor using stethoscope on toddler

It’s no secret that having a medical aid in place in South Africa will end up saving you a lot of money during any kind of medical crisis. Medical aid is a form of insurance that you pay monthly for, for any medical related expenses- from doctors visits, to hospital visits, surgeries or medicinal purchases. […]

What Is Gap Cover?

Woman deep in thought

When it comes to Gap Cover, many are unsure as to exactly what Gap Cover is, and how it can assist them with in-hospital expenses. In most circumstances with a medical aid, there may be a difference in what your medical scheme will pay and what private doctors charge. This means that not all of […]

What is the waiting period for Gap Cover?

What is the waiting period for Gap Cover?

For the TRA Gap Cover options, there is no general three (3) month waiting period. If a membership certificate is provided to show proof of a previous membership on another legitimate Gap Cover provider (and this membership is for a period of at least 24 months with no break in cover to the benefit start […]