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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
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
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
A hospital plan is one of the medical aid options in South Africa, regulated under the Medical Schemes Act, with the catch that it only pays for in-hospital costs. That
Yes, you can get gap cover with no waiting period in South Africa, but only if you transfer from another gap cover provider with similar benefits. TRA waives all standard
You qualify for gap cover in South Africa when you are a registered member of a medical aid scheme. Gap cover sits alongside your medical aid and pays the in-hospital
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.
A gynaecologist consultation in South Africa runs around R700 at published private practice rates, a self-pay Pap smear around R280,
TRA's Female Cancer Cover runs across three plan levels. Grand pays R50 000 on confirmed diagnosis, Supreme pays R100 000,
Health and Financial Well-Being with TRA's Female Cancer Cover The cost of cancer treatment in South Africa reaches into the
