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HEALTH INSURANCE AMENDMENT ACT (No. 2) 1978 No. 133 of 1978 - SECT 4
4. After section 3 of the Principal Act the following section is inserted:
Hospital insured persons and medically insured persons
''3A. (1) Where an eligible person is, or has been, a contributor to a
hospital benefits fund conducted by a registered hospital benefits
organization, being a contributor for benefits in accordance with a basic
table or an optional table, and, by reason of being or having been such a
contributor, would, if there were rendered to him or, if he has a dependant or
dependants, to that dependant or to any of those dependants, any service,
treatment or care to which that table relates, be entitled to benefits in
accordance with that table, then-
(a) the eligible person shall, for the purposes of this Act, be deemed to
be a hospital insured person; and
(b) that dependant or each of those dependants shall, for the purposes of
this Act, be deemed to be a hospital insured person.
''(2) Where an eligible person is, or has been, a contributor to a medical
benefits fund conducted by a registered medical benefits organization, being a
contributor for benefits in accordance with a basic table, an optional table
or any other table providing benefits in respect of professional services,
and, by reason of being or having been such a contributor, would, if there
were rendered to him or, if he has a dependant or dependants, to that
dependant or to any of those dependants, any service, treatment or care to
which that table relates, be entitled to benefits in accordance with that
table, then-
(a) the eligible person shall, for the purposes of this Act, be deemed to
be a medically insured person; and
(b) that dependant or each of those dependants shall, for the purposes of
this Act, be deemed to be a medically insured person.
''(3) For the purposes of sub-sections (1) and (2), where a contributor with
respect to an organization would, but for the rules of the organization (other
than rules providing for a waiting period or making any other prescribed
provision), be entitled to benefits in respect of any service, treatment or
care rendered to him or to his dependants, that contributor shall be deemed to
be entitled to those benefits.''.
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