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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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29 October 2025Gap Cover, Health Insurance, TRA News, Uncategorized

TRA’s Consumer Research: Understanding The Gap Cover Market in South Africa

Copyright: Consumer research conducted by BrandMapp on behalf of Total Risk Administrators (TRA), 2025. “With only 19% of medically insured

29 October 2025Gap Cover, TRA News, Uncategorized

What does above-tariff mean? Medical Aid Tariffs Explained

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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15 October 2025Gap Cover, Health Insurance, TRA News

Paying R5000 for Medical Aid? You Still Need Gap Cover

Paying R5000 or more a month for medical aid should mean you’re covered for almost anything. But the reality is,

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