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the perfect gap cover for discovery medical aid

Gap Cover for Discovery Medical Aid

Gap cover for Discovery medical aid pays the in-hospital shortfalls your medical aid does not. When a specialist charges 300% of the Discovery Health Rate but your plan only pays 200%, you cover the difference out of pocket. TRA gap cover could settle that gap for authorised in-hospital procedures, up to 700% of scheme tariff. Discovery’s 23 plan options give strong hospital cover, but many plans still leave shortfalls behind

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Pre-Existing Conditions explained to a patient by a doctor

Gap Cover and Pre-Existing Conditions: Will You Be Covered?

Pre-existing conditions are the single most common reason people put off applying for gap cover. They are worried that a previous surgery, a chronic illness, a back problem or a cancer diagnosis from years ago will either disqualify them, or that they will end up paying premiums for a policy that quietly excludes the very thing they want covered. The rules in South Africa are clearer than most people expect,

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Learn more about TRA's premium gap cover product option, Absolute Plus

What Is TRA’s Absolute Cover Plus Offering?

Absolute Cover Plus is TRA’s premium gap cover offering that works hand in hand with your registered medical aid scheme. It covers the difference between what your medical aid pays and what healthcare providers charge for in-hospital procedures, specialist consultations, and authorised cancer treatment. This gap cover product includes the most comprehensive set of benefits TRA offers, with most categories effectively uncapped within the aggregate annual limit of R219 845

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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. 

OUR LATEST NEWS
5 June 2026Gap Cover, Health Insurance, TRA News

Gap Cover for Discovery Medical Aid

Gap cover for Discovery medical aid pays the in-hospital shortfalls your medical aid does not. When a specialist charges 300%

27 May 2026TRA News

Gap Cover and Pre-Existing Conditions: Will You Be Covered?

Pre-existing conditions are the single most common reason people put off applying for gap cover. They are worried that a

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22 May 2026News, TRA News

What Is TRA’s Absolute Cover Plus Offering?

Absolute Cover Plus is TRA's premium gap cover offering that works hand in hand with your registered medical aid scheme.

Read More
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