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Medical Aid Is Not Enough: Why You Were Left With A R20,000+ Medical Aid Shortfall

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 gets approved. Then comes the gut punch: a bill for R20,000 that your medical aid won’t cover.  That begs the question: How is this possible with comprehensive medical aid? Well, the truth is that comprehensive plans leave significant gaps between what they pay and what

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Corporate gap cover explained

Corporate Gap Cover: Protection for SA Employer Groups

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 providers charge creates significant financial risk for employees. Corporate gap cover bridges this gap, protecting your workforce from unexpected medical costs and debt. What Is Corporate Gap Cover? Corporate gap cover is a group insurance policy that covers the difference between medical scheme tariff rates

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Learn more about TRA's premium gap cover product option, Absolute Plus

What Is TRA’s Absolute Cover Plus Offering?

Absolute Cover Plus is TRA’s premium gap cover offering that works hand in hand with your registered medical aid scheme. It covers the difference between what your medical aid pays and what healthcare providers charge for in-hospital procedures, specialist consultations, and cancer treatment. This gap cover product includes Casualty cover, Co-Payment cover, Sub-Limit cover, and specialised oncology treatment benefits, including the Oncology Gap Benefit, Oncology Co-Payment Benefit, and Oncology Extender

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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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13 November 2025Gap Cover, Health Insurance, TRA News

Medical Aid Is Not Enough: Why You Were Left With A R20,000+ Medical Aid Shortfall

It's a scenario playing out across South Africa every day: You're diligent with your medical aid payments. You go in

12 November 2025Gap Cover, Health Insurance, TRA News

Corporate Gap Cover: Protection for SA Employer Groups

Medical aids and medical schemes in South Africa don't cover the full cost of healthcare. The gap between what medical

Read More
11 November 2025News, TRA News

What Is TRA’s Absolute Cover Plus Offering?

Absolute Cover Plus is TRA's premium gap cover offering that works hand in hand with your registered medical aid scheme.

Read More
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