
Medical Gap Cover Exclusions: What Isn’t Included?
Understanding exclusions that may apply to your gap cover is essential when choosing supplementary medical aid coverage. It’s important to know exactly what isn’t covered
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Understanding exclusions that may apply to your gap cover is essential when choosing supplementary medical aid coverage. It’s important to know exactly what isn’t covered

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In South Africa, the costs of medical treatment keep rising, leaving many people questioning how to stay financially “in the green” when their medical aid
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.
Absolute Cover Plus is TRA's premium gap cover offering that works hand in hand with your registered medical aid scheme.
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
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