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what is the annual aggregate limit

What Is The Annual Aggregate Limit & Why Has It Increased?

Are you aware of the annual aggregate limit for your medical aid or gap cover provider and how it can affect you and your family? Terms used in insurance can often be complicated and overwhelming. However, medical aid members need to understand what these terms mean and how they affect their medical scheme and short-term insurance products. What is the annual aggregate limit? The annual aggregate limit refers to the

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medical gap cover exclusions - what isn't included

Medical Gap Cover Exclusions: What Isn’t Included?

Understanding exclusions that may apply to your gap cover is essential when choosing supplementary medical aid coverage. It’s important to know exactly what isn’t covered to avoid unexpected medical expenses. What Is Medical Gap Cover? Gap cover is a supplementary short-term insurance product that works alongside medical aid schemes to provide cover for the difference when healthcare providers charge above the medical scheme tariff rates. Gap cover is not a

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gap cover for pregnancy with TRA

Gap Cover For Pregnancy: All You Need to Know

Medical aid and gap cover are a must when planning to start or expand your family. With maternity costs in South Africa rising significantly, having the right financial protection ensures your focus stays on welcoming your new baby into the world. Gap cover acts as a safety net, bridging the difference between what medical aid schemes pay (medical aid rate or scheme tariff) and the actual costs charged by specialists.

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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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22 July 2025Gap Cover, Health Insurance, News, TRA News

What Is The Annual Aggregate Limit & Why Has It Increased?

Are you aware of the annual aggregate limit for your medical aid or gap cover provider and how it can

22 July 2025News, TRA News

Medical Gap Cover Exclusions: What Isn’t Included?

Understanding exclusions that may apply to your gap cover is essential when choosing supplementary medical aid coverage. It's important to

Read More
22 July 2025Gap Cover, News, TRA News

Gap Cover For Pregnancy: All You Need to Know

Medical aid and gap cover are a must when planning to start or expand your family. With maternity costs in

Read More
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