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FREQUENTLY ASKED QUESTIONS

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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19 February 2026TRA News

Understanding Medical Aid Tariff Shortfalls in KwaZulu-Natal

Millions of South Africans rely on medical aid - but having medical aid doesn't mean your hospital bills are fully

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Understanding Medical Aid Tariff Shortfalls in the Western Cape

Millions of South Africans rely on medical aid, but in the Western Cape, shortfalls in often leave patients with significant

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18 February 2026News, TRA News

Medical Gap Cover: The Pros And Cons To Keep In Mind.

It's no secret that private healthcare is becoming increasingly expensive for the average South African. With many medical scheme plans

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