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Gap cover for medical aid

The Perfect Gap Cover For (Any) Medical Aid

Some things just work better when they’re together; medical aid and gap cover are no exception. With medical treatment and specialist costs as high as they are, regardless of your medical aid scheme, there is often a shortfall in covering the full costs charged by healthcare providers.  Without the perfect gap cover policy to pair with your medical aid, members are left with significant payment shortfalls that can cause additional

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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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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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23 July 2025Gap Cover, News, TRA News

The Perfect Gap Cover For (Any) Medical Aid

Some things just work better when they're together; medical aid and gap cover are no exception. With medical treatment and

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

Read More
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
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