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Trusted Gap Cover for GEMS Medical Aid Members

Gap Cover for GEMS Medical Aid

Medical aid and gap cover go together like flint and steel. The magic happens when they work together. Similar could be true for GEMS Medical Aid members applying for TRA gap cover to help navigate their medical scheme tariffs (MST) and manage their out-of-pocket expenses. While GEMS offers a broad selection of medical aid benefit options, members may still experience shortfalls when a provider charges more than the scheme pays.

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What is Gap Cover and What Does it Cover?

What Is Gap Cover?

Gap cover is a short-term insurance product designed to cover the financial shortfall between what your medical aid pays and the actual costs charged by private healthcare providers. In South Africa, medical aid schemes often reimburse healthcare services at a predetermined rate, known as the medical scheme tariff (MST). However, specialists and hospitals may charge significantly more than these medical scheme rates, leaving patients responsible for the difference. Total Risk

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gap cover and medshield medical aid - the perfect match.

Gap Cover for Medshield Medical Aid

Some things just work better together, like a needle and thread or a lock and key. The same could be true for Medshield Medical Aid and TRA Gap Cover. When combined, medical aid and gap cover can work to ensure your healthcare cover is complete, with no expensive gaps left behind. If you’re on Medshield Medical Aid and want added protection from unexpected hospital bills, gap cover could be the

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What is Gap Cover and What Does it Cover?

What Is Gap Cover?

Gap cover is a short-term insurance product designed to cover the financial shortfall between what your medical aid pays and the actual costs charged by private healthcare providers. In South

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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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