Understanding How Dental Gap Cover Works
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
1 January 2026
Home / TRA News
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
As your family grows, so does your need for comprehensive insurance protection that has you covered on all fronts. Families without proper cover often find
Planning your next international adventure? Make sure you have all your ducks in a row. Exploring new places abroad is thrilling, but it can also
Some things just work better when they’re together; medical aid and gap cover are no exception. With medical treatment and specialist costs as high as
Are you aware of the annual aggregate limit for your medical aid or gap cover provider and how it can affect you and your family?
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.
Dis-chem Gap Cover and TRA Gap Cover are two of South Africa's main gap insurance providers, but their plans differ
Gap cover for Discovery medical aid pays the in-hospital shortfalls your medical aid does not. When a specialist charges 300%
Pre-existing conditions are the single most common reason people put off applying for gap cover. They are worried that a
