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 medical aid covers 100% of
26 January 2026
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Many South Africans are unaware of what medical gap cover is or why it’s essential. A common misconception is that medical aid covers 100% of
Medical aid schemes often leave a gap (known as medical shortfalls) between what the medical aid pays and the actual cost of the treatments. This
If you ask several people if they know what gap cover is, many might have a general idea, but often, there is a misconception surrounding
In general, we all aim to ensure that our health, and that of our loved ones, is looked after. However, the past few years have
Dental treatment can be costly. Even with comprehensive medical aid plans, often you’ll find that not all expenses associated with dental treatments are covered. This
It’s a scenario playing out across South Africa every day: You’re diligent with your medical aid payments. You go in for a necessary procedure. Everything
Medical aids and medical schemes in South Africa don’t cover the full cost of healthcare. The gap between what medical aid pays and what healthcare
Copyright: Consumer research conducted by BrandMapp on behalf of Total Risk Administrators (TRA), 2025. “With only 19% of medically insured South Africans currently having gap
Understanding medical aid tariffs and what “above-tariff” means is crucial for every medical aid member in South Africa. Medical aid tariff refers to the predetermined
Paying R5000 or more a month for medical aid should mean you’re covered for almost anything. But the reality is, even top-tier medical aid plans
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.
Many South Africans are unaware of what medical gap cover is or why it's essential. A common misconception is that
Medical aid schemes often leave a gap (known as medical shortfalls) between what the medical aid pays and the actual
If you ask several people if they know what gap cover is, many might have a general idea, but often,
