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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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the perfect gap cover for discovery medical aid

Gap Cover for Discovery Medical Aid

Medical aid and gap cover? They go together like socks and shoes or a bow and arrow. On their own, each serves a purpose. But together, they are the perfect match that can give you financial protection. The same could be true for Discovery Medical Aid members applying for TRA gap cover. While Discovery offers a wide range of comprehensive medical aid options, many members are still surprised to learn

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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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