One man has been rushed to hospital and a woman has made a lucky escape after the couple's car rolled over on Macs Reef Road near Bywong, about 30 kilometres out of Canberra.
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Police said the single vehicle crash occurred at 1pm on Thursday.
The man, who has a pre-existing medical condition, was pulled out of the Volkswagen Multivan by a passer-by, according to police.
Leading Senior Constable Kevin Grimble said there was a cyclist following behind the vehicle, heading west towards Canberra.
Senior Constable Grimble said the man and woman are middle aged and from the South Coast, and the woman was lucky to escape unscathed.
He added that the man's medical condition may have contributed to the single car crash.
"He had a pre-existing medical, so we are still looking at contributing factors and a blood sample has been taken for alcohol as is standard practise," he said.
