Jump to content

Ob fees...is this normal or a rort


  • Please log in to reply
57 replies to this topic

#1 MalibuZoo

Posted 26 September 2012 - 10:35 PM

This is my third pg and unfortunately due to retirement have to see a new ob. ( one of only two private practice obs, who practice from the same rooms)

First visit $210
Subsequent visits range $140 - $160
Management fee $1600 payable after 24 weeks
There will be no oop expenses for delivery as it will be direct billed to ph fund, unless a CS is required and oop expenses will be incurred

I have never recalled paying so much per visit and a management fee. Is this not double dipping.
Am I not paying for the ob to manage this pg by paying so much for each antenatal appt?
Is it not one in the same thing just called another name to get more $$





#2 BentoBaby

Posted 26 September 2012 - 10:39 PM

I'm in Sydney & my "cheap" ob was about $250 initial visit, $75 subsequent, $2000 management.

Many of my friends payed management fees of $8000-$12,000!

#3 chic mummy

Posted 26 September 2012 - 10:39 PM

i decided to go public in the end but when i was considering go private with my health care fund i found this to be the norm with many OB i contacted.

#4 Violet Devine

Posted 26 September 2012 - 10:40 PM

Sounds similiar but cheaper than my Ob's charges in Perth this year.

#5 Pop-to-the-shops

Posted 26 September 2012 - 10:41 PM

In Melb the cheapest I could find was three grand.

My old dr has gone up to about five grand

#6 tibs

Posted 26 September 2012 - 10:41 PM

I don't know, my visits were all bulk billed but the management fee was $3500 so it probably ended up costing the same as yours just structured differently  shrug.gif

#7 :::

Posted 26 September 2012 - 10:45 PM

In Syd, $150 first visit, $250 all subsequent visits and $2K management fee.

Had a premmie at 33 wks at a public hospital so she never ended up getting her $2K but did charge me $100 for the 6 week check up.

#8 LittleBeach

Posted 26 September 2012 - 10:57 PM

OP, these fees sound quite reasonable for a private OB.  I ended up being out of pocket by approx. $4K.  Cuts to the safety net for Obstetrics were cut back at start of 2010.  See article below:

http://www.theaustralian.com.au/national-a...f-1225711877447

#9 MalibuZoo

Posted 26 September 2012 - 11:05 PM

Thanks everyone that has replied.
Looks like it is standard practice. Just don't understand how they can justify such exxy antenatal appts then charge a management fee. Isn't that what they are doing at each visit....managing the pregnancy  shrug.gif

#10 eckstar

Posted 26 September 2012 - 11:06 PM

My Ob was $190 first visit, $80 for subsequent visits.
No management fee and no oop expenses for delivery as it was billed straight to health fund. There was a visit around 36 weeks which was $300 and the 6 week check up is $100. But thats it. Theres no way I could go private if I was having to pay $3k upwards management fees.



#11 jayskette

Posted 26 September 2012 - 11:10 PM

wow OP that is actually among the CHEAPEST rates I've ever heard of. Where are you?  biggrin.gif

#12 Soontobegran

Posted 26 September 2012 - 11:24 PM

Very, very reasonable rates OP.
The management fee is one of the cheapest I have heard of and the other appointment costs pay for rental of rooms, staff, insurance etc etc, it doesn't all go into their pockets.
Having said that I know it is a shock if you had babies before all the medicare changes to obstetrics which have resulted in these changes to fee structuring.
Good luck with your pregnancy original.gif

#13 mummabear5

Posted 27 September 2012 - 07:59 AM

I'm currently preg and decided to go public through group midwifery... My GP gave me three obs to call when I found out I was preg and thought I'd check my options out.

The range (out of pocket costs after medicare and private health) was $6000-$8000. They all made it clear to me that if I required epidural etc in hosp that would be additional, as well as paed check at the hosp and any scans etc. So, it could have easily gotten up my another $1K or more.....

With such brilliant midwifery programs and shared care options, I decided that money could go to use on better things for our family. But, I have friends who have paid b/w $5-$10K out of pocket (who all had health insurance), but they wanted the Ob and private hospital stay so were willing to pay the $$....

It sounds like you are getting a reasonable deal tbh based on the costs around my local area.



#14 mummame

Posted 27 September 2012 - 08:03 AM

That sound normal for me, The management fee in QLD for me is $2000 and each visit $100. It gets very expensive, but due to the medicare safety net, which is not as good as it used to be, eventually my appt end up being about $30. They used to go down to $11 at the end of the pregnancy. All three of my pregnancies have had a $1500-$2000 managment fee!

#15 qak

Posted 27 September 2012 - 08:35 AM

My understanding is that the management fee is actually a  (part!) pre-payment of the birth costs.  There was a Medicare reason to pay this beforehand under the old (pre-2010) rules, but I am not sure if that still applies.

#16 Starletta

Posted 27 September 2012 - 09:05 AM

I thought the management fee was for the Ob to be available to you 24/7 during your pregnancy. Thats how it was explained to me. My ob used to return my emails or calls all hours of the day on his blackberry.

Anyway I think that is incredibly reasonable in terms of fees.

#17 MrsLexiK

Posted 27 September 2012 - 09:06 AM


Hi OP that would be cheap IMO.  I did a ring around and all charged around $130- $170 for the first appt, then $ 80 - $90 for follow up appts, but the management fees where $3K plus.  Luckily the one that I am going with the mangement fee is only $685 (but that is because he has a deal with my health fund)

#18 ECsMum

Posted 27 September 2012 - 09:07 AM

I think paying more for each visit and a smaller Management Fee you would be better off - no matter what the managment fee you can only get the max of $400 odd back from Medicare - but you can get some back from medicare for each ob appointment - so if my math and logic serve me right you would actually be ahead of people who pay much higher managment fees and smaller checkup rates.

Edited by ECsMum, 27 September 2012 - 09:08 AM.


#19 Bluenomi

Posted 27 September 2012 - 09:15 AM

QUOTE (Starletta @ 27/09/2012, 09:05 AM) <{POST_SNAPBACK}>
I thought the management fee was for the Ob to be available to you 24/7 during your pregnancy. Thats how it was explained to me. My ob used to return my emails or calls all hours of the day on his blackberry.

Anyway I think that is incredibly reasonable in terms of fees.


That's pretty much it, the management fee is to pay for the fact they are on call to come whenever you go into labour. You pay it to make sure you get who you want at the hospital, not some random OB.

And I'm another one who thinks you've found a cheap on OP!

#20 caitiri

Posted 27 September 2012 - 09:25 AM

My OB (melbourne) was just under $2000 as a management fee but all the appointments were bulk billed.

ETA that was 2010

Edited by caitiri, 27 September 2012 - 09:28 AM.


#21 whale-woman

Posted 27 September 2012 - 09:33 AM

Lol, seems very cheap for a private ob.

If you think it's too much go with the public system.

#22 Jess1308

Posted 27 September 2012 - 09:34 AM

From memory our expenses all up was around $4500, plus attending pediatrician and anesthetist...

#23 Carabosse

Posted 27 September 2012 - 09:34 AM

QUOTE
My understanding is that the management fee is  actually a  (part!) pre-payment of the birth costs.  There was a  Medicare reason to pay this beforehand under the old (pre-2010) rules,  but I am not sure if that still applies.


Yes I am pretty sure the fee structure had something to do with being able to claim the management fee 'code' back once you went over the medicare threshold but I think medicare closed this loophole? I could be wrong. My babies were pre 2010 and I got a huge chunk of the management fee back from medicare.

The figure do sound similar to what I paid pre 2010. But I got a lot of it back via medicare.

#24 SlinkyMalinki

Posted 27 September 2012 - 09:44 AM

I think I paid slightly more than that last year (I'm in Brisbane).

#25 BJBubbles

Posted 27 September 2012 - 09:47 AM

I think It's an absolute bargain!

Even if you have 20 appointments in your pregnancy (which I doubt you will!)  it would still only cost you around $4600 before medicare rebates! And like PP's said, paying for your visits give you a bigger rebate.

FWIW, my OB in Melbourne is $550 for first appointment, $6500 management fee. Nothing else OOP from her. Visits are bulk billed and delivery is no gap. I personally don't care how much she costs, I'm getting the care  want/need from her, and that is invaluable to me.





0 user(s) are reading this topic

0 members, 0 guests, 0 anonymous users

 

11 things that will happen when you're breastfeeding

After having three children and various degrees of success feeding them all, there's one thing I can tell you: virtually nothing will go as planned.

Surgery for baby born with a tail

A baby born with a tail has had it removed after doctors feared the birth defect might cause long term damage to his lower body.

When 'skin to skin' becomes a family affair

An adorable photo of a little boy and his dad enjoying skin to skin contact with newborn twins is melting hearts everywhere.

35 hilariously weird 'top tips'

Who would have thunk it? We never knew there were so many uses for feminine hygiene products. 

Pregnancy skin woes: acne, dry skin, itchy skin

Here are some of the most common skin complaints in pregnancy and how to tackle them, face on.

Watch this fun dance class for babywearing dads

Is there anything sexier than a babywearing dad?

Parents, this is how to cut grapes to avoid choking

One mum has learnt a harrowing lesson about the best way to cut grapes to make it safe for toddlers and little kids to eat.

When your kids have totally different temperaments

Sometimes it has felt like whiplash parenting. She perches watchfully while I vacuum; he tries to climb on and go for a ride.

How do our stress levels influence our baby?

Since having my second baby a number of people have commented on how placid, content and settled he is and, similarly, many have commented on how this is a reflection of how I am with him.

Separation anxiety isn't just for kids

Despite its prevalence, most doctors tend to be reluctant to diagnose adult patients with separation anxiety.

A charm bracelet, a boy, and my beliefs questioned

I was staring at the face of my son, realising that my once steadfast decision to be open minded was quickly unravelling at the seams.

Why I'm so grateful for Hayden Panettiere's PND honesty

There are baby steps and giant leaps forward. But there are steps backwards, too. And, oh, how they can hurt your heart.

The heartbreaking story of little Moko

The mother of 3-year-old Moko Rangitoheriri said she should have picked up on the signs. {Warning: distressing content}

Kate Beckinsale and teen daughter recreate birth photo

Kate Beckinsale has recreated her daughter Lily's birth photo, 17 years after she was born.

The adult-size stroller you'll want to test drive

It's one of the biggest baby related purchases they will make, so it makes sense that parents-to-be get a chance to road test a stroller.

Pregnancy announcement shows the reality of IVF

It's a long way from baby booties or bump shots people have become accustomed to in social media pregnancy announcements.  

Soleil Moon Frye welcomes fourth baby

"Punky Brewster" is a mom again, for the fourth time. Soleil Moon Frye announced the birth of her baby boy, Story, on Instagram Wednesday.

Mum breastfeeds baby found abandoned on the street

A woman has been praised as a "beautiful mother" after breastfeeding a baby which had been abandoned at the side of a street. 

A birth with a difference: the 'natural caesarean'

We've shared stories of gentle caesareans before, but a new video shows a new option called a 'natural caesarean'.

Baby name inspiration by music genre

If you're all about the music, then you'll need a musical name for that baby. We've got all the lists for you by music genre.

Giving effective instructions to toddlers

One of the most common errors made by parents is in how they give instructions to their children.

 
Advertisement
 

Top 5 Articles

Advertisement
 
 
 

What's hot on EB

The babies who are one in 70 million

Bethani Webb was excited to find out she was pregnant, but the first time mum did not realise she was carrying four babies not one.

Cafe offers breastfeeding mums a free cup of tea

A Sydney cafe is offering breastfeeding mums free cups of tea in a bid to show support for the right of women to nurse their babies wherever they choose.

To snip or not to snip? When the decision is not clear cut

Jamie Oliver, who considered a vasectomy, is to be a father again. A fellow dad reflects on his own decision 11 years ago

Doctors stunned by rare twins born almost six weeks apart

To everyone's surprise, Kristen Miller "kept doing better each day", keeping her second baby safe.

Baby book ideas for modern parents

Before my son was born I was given a lovely baby book full of blank pages waiting to be filled with weights and heights and first words.

The adorable smile of a baby seeing his mum clearly for the first time

There is no doubt seeing their child smile for the first time is an unforgettable moment for parents everywhere.

Mum tells how toddler 'nearly hung himself' in cot mishap

When Alison Johnson put her 18-month-old Caleb down for a nap, she had no reason to believe her son was in any danger.

Babies are still switched at birth? Yes, it can happen

All my panic and tears aside, my biggest question looking back is about the kind of security measures used in the maternity ward.

Doctors slammed for taking selfie with newborn

Everyone who visits a mum in hospital in the days following childbirth wants to get a photo with the new baby.

ergoPouch Twosie Sleepsuit for winter breastfeeding

Finally, there's a way to keep warm while breastfeeding through winter.

Health check: How long does sex 'normally' last?

What to do with this information? My advice would be to try not to think about it during the throes of passion.

When breastfeeding sucks: fixing common problems

From niplash to tight boobs, biting to milk supply issues, Pinky McKay looks at common breastfeeding issues and how to solve them.

10 things I've learnt in my first six months with twins

Six months on we're all still alive, and the more we get to know each other the easier the days become.

Mum's loving kiss leaves baby fighting for life

Kirsty Carrington thought nothing of giving her newborn son a kiss, little did she know it would leave the baby fighting for life.

When doing chores is your new 'me time'

After children, 'me time' looks a little different.

Get going: 14 travel strollers for families on the move

A stroller can make or break travelling with a baby or toddler. Here are 15 great single travel stroller options.

10 ways toddlers are terrific

It always pays to remind yourself of how terrific toddlers can be - they're little like this for such a short time

 

Vintage Toys

The toys of your childhood

Take a trip down memory lane with these vinage and retro toys that you may have had in your childhood or your parent's childhood.

 
Advertisement
 
 
Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.