TRA: 2020 Gap Cover Policies to make sure you covered
Like most people, you have a medical aid to give you peace of mind that if you need medical care for any reason at all,
11 February 2020
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Like most people, you have a medical aid to give you peace of mind that if you need medical care for any reason at all,
Find out more in our latest article: TRA has partnered with ER24 Assist to provide a mobile app (TRA Assist) which has very exciting benefits
When are you not covered?: Co-payment Gap Cover (excluding Oncology Benefit): • Where you have been charged a co-payment or deductible by your medical aid
This is when a shortfall arises after your medical aid has processed your account and is due to service providers charging above scheme tariff for
When can you claim? • The waiting periods all start on the same ‘Join Date’ as specified in the certificates. • There is no general
Gap Cover is one of those additional policies that work in conjunction with your medical aid, which assists with shortfalls in terms of what the
Having a medical aid gives an individual peace of mind that in the case of a dreaded disease or a serious accident, you are covered.
Having Gap Cover can make an individual feel more protected and covered when it comes to those unexpected medical emergencies. However, like any kind of
Total Risk Administrators has four different product options with differing levels of cover. Absolute Cover Plus is the top level of Gap Cover provided by
The perfect Gap Cover is designed to protect individuals who have a medical aid from additional unbudgeted costs during hospitalisation, by covering the differences between
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.
Medical aids and medical schemes in South Africa don't cover the full cost of healthcare. The gap between what medical
Copyright: Consumer research conducted by BrandMapp on behalf of Total Risk Administrators (TRA), 2025. “With only 19% of medically insured
Understanding medical aid tariffs and what "above-tariff" means is crucial for every medical aid member in South Africa. Medical aid
