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The Best Gap Cover in South Africa – TRA Lists 10 of The Best Gap Cover Plans for South Africans

Taking out medical gap cover can prove life-saving, especially when you are admitted to a hospital and risk incurring shortfall costs. Medical aid scheme rules and regulations can be exasperating and frustrating to follow. Why do our medical aid benefits run out when we need them the most? And why do medical aids cover some medical procedures while others only partially or not at all? The Council for Medical Schemes

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The Affordable Medical Aid Option: Hospital Plan and Gap Cover

The Affordable Medical Aid Option: Hospital Plan and Gap Cover

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 means you still qualify for gap cover with a hospital plan, exactly as you would with comprehensive medical aid. Pairing the two often costs less per month than full comprehensive cover, while still protecting you against the in-hospital tariff shortfalls

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Medical Gap insurance waiting periods

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 waiting periods under this 90-day transfer rule, provided you apply within 90 days of cancelling your previous policy and submit a membership certificate as proof. New gap cover members starting fresh are subject to the standard waiting periods set out

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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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