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Ob fees...is this normal or a rort

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#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 Wonderlust

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:


#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

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.

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