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doctor discussing gap cover for womeen's health

Why Gap Cover Matters More for Women’s Health Costs

Gap cover matters for women because the treatments women are most likely to face, breast cancer surgery and gynaecological procedures among them, are often billed by specialists at rates far above what any scheme pays. TRA can cover that shortfall (up to 700% of the scheme tariff on its three upper plans, and up to 300% on the lowest plan), with cover starting from R99 per month. The condition attached

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Woman smiling because she can get gap cover as a foreigner

Can foreigners get medical aid?

Yes. As a foreigner planning to live in South Africa for a longer period, you can join a medical aid scheme, provided you hold a valid passport, a current work, study, or residence visa, and have a South African bank account to pay your premiums. The benefits you receive are the same as those available to South African citizens. As a non-South African citizen, you are probably wondering whether you

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What Is a Sub-Limit and How Does Gap Cover Protect You From It

What Is a Sub-Limit and How Does Gap Cover Protect You From It?

A sub-limit is a cap your medical aid places on a specific procedure or item, separate from your overall annual limit, and it is one of the most common reasons people end up paying thousands out of pocket despite being fully covered on paper.  Gap cover protects you by paying the shortfall a sub-limit creates, though it does so within its own rules, usually capped per hospital admission. Knowing where

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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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