Where a member of a medical benefits society approved under the Commonwealth medical benefits scheme is obliged to enter hospital, is he entitled to receive payment at the full rate of benefit in accordance with the scale of benefits for which he is insured or only to reimbursement of the actual amount of hospital charges where this is a lesser sum?

The question of whether a contributor to a hospital benefits organization is entitled to the full amount of benefit for which he is insured or only to reimbursement of the actual amount of the hospital charge is governed by the terms of his contract with the registered organization with which he is insured. Some organizations do, in fact, have rules which limit the total benefits to the amount of the hospital charge. Others pay the full amount of benefit regardless of the amount of the hospital charge.