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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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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

26 January 2026Gap Cover, News, TRA News

A necessity for every South African medical aid holder – Medical Gap Cover

Many South Africans are unaware of what medical gap cover is or why it's essential. A common misconception is that

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26 January 2026Gap Cover, News, TRA News

A List of TRA’s Gap Cover Benefits

Medical aid schemes often leave a gap (known as medical shortfalls) between what the medical aid pays and the actual

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