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 Princess Holly

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.





1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users

 

Tot meets his heroes, falls apart with excitement

Two-year-old Quincy finished his potty training last week, and as part of his reward he was able to meet his idols.

Beautiful in our eyes: Georgia's story

I will never deny the fact that grief has a place when you give birth to a child who brings a set of circumstances very different to what you imagined. Because for nine months, I thought I knew my Georgie.

'It's been phenomenal': widower dad of quads thankful for support

There was nothing Erica and Carlos wanted more than a baby.

Vin Diesel names daughter after actor Paul Walker

The actor said there was "no other person" he was thinking about when he chose the name.

How midwives can help women who experience domestic violence

More than half of women who live with abusive partners experience violence during pregnancy.

Mum describes giving birth during Cyclone Pam

A new mother was told she must flee Port Vila hospital with her baby as Cyclone Pam bore down.

6 signs you're done having babies

There were a few signs I'm never going back to the land of maternity jeans, breast pumps and bassinets.

Marta Dusseldorp reveals breastfeeding cost her an acting job

Australian actress Marta Dusseldorp has revealed she was forced to withdraw from a Sydney Theatre Company production because a director did not approve of her breast feeding.

Female celebs (or their babies) with traditionally male names

Looking for a name that's a little bit different for a girl? Turn to names that have been traditionally used for males, as these celebs (or their parents) did.

'If you're anti-immunisation ... take a look at this picture of my son'

Greg Hughes is "an absolute shell of a man" as he and his wife Catherine struggle to come to terms with the loss of their newborn son Riley to whooping cough.

How an extrovert can raise an introvert

Introverts are often misunderstood as shy, and sometimes even rude. A timid child can be difficult to build rapport with, but it's important we nurture their sensitive natures.

Sheryl Sandberg's advice

'Choreplay': Help out at home to get more sex, Sandberg tells men

Forget foreplay. The new and improved route to intercourse is "choreplay" - it's good for your spouse, good for your house, and comes with the imprimatur of feminist du jour Sheryl Sandberg.

How to play with your baby

The first time your child learns a new skill at playtime is very exciting - for both you and your baby! Play is important to your child's development for a variety of reasons - here are some simple ideas for you to try at home.

I'm a single mother by choice

For me, being the best mother I can be means being a mum alone, at least for now. Thinking of my friends with inadequate partners, I wonder why more people don’t choose single motherhood.

Awkward wedding photos

Weird poses, surprise photobombs, bizarre editing: these are the wedding photos that should have never seen the light of day.

Four-week-old baby Riley Hughes dies of whooping cough

The mother of a four-week-old Perth baby who died after contracting whooping cough says her family has been left devastated by the loss of her "gorgeous, sweet" son.

Win a Ben & Holly's Little Kingdom prize pack

To celebrate the April 1 release of Holly's Magic Wand on DVD and Digital, we are giving away five DVD packs featuring the newest installment of Ben & Holly's Little Kingdom Holly's Magic Wand and many more hours of family entertainment! Enter Now!

Oh boy! Video shows family's reaction to baby surprise

Little Peyton Williams thought she was getting a baby sister named Charlee. But the two-year-old has had to settle for a doll dressed in pink after her baby "sister" turned out to be a boy.

How to help build up your baby's immune system

We all know that having a strong immune system is the best way to stay healthy – but what can we do to help it along?

'Nick, you need to call an ambulance': home birth mum's tragic death

A Melbourne mum who died after the home birth of her baby pleaded with her husband to call an ambulance because she felt she was going to die, the Victorian Coroners Court has heard.

When dads believe their baby doesn't 'like' them

Q: My two-month-old baby doesn't like me. He's perfectly content with my wife, but when I try to hold him, he gets upset and cries. I've backed off a little, thinking that he just needs a little time to get used to me, but that doesn't seem to be working. I'm starting to think I'm just not a very good dad. Is it too late for me to build a relationship with my baby?

When was the last time a stranger praised your parenting?

Wouldn’t it be great to get some nice feedback every now and then? After all, everyone likes to hear positive praise, particularly when it comes to parenting.

Special Ticket Offer, Save $8!

The Essential Baby & Toddler Show is back this April! Save $8 off the door price for a limited time only!

15 names on the verge of extinction

If you're looking to revive an older name, or don’t want anything near the top 1000 list, check out these rare monikers for your unique baby.

5 characteristics of great dads

It’s great to see a generation of dads who are more actively involved with caring, nurturing and loving their kids.

Why doesn't Australia have more breast milk banks?

When there’s no question that milk banks are important, why don’t we have more of them in Australia?

Carrie Bickmore announces birth of daughter

Television personality Carrie Bickmore has given birth to her second child.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

Sign up to our 30 days of #PlayIQ challenge

Sign up to receive 30 amazing tips and ideas for play with baby during the month of April and submit a picture or tip on our social wall for a chance to win an amazing Fisher-Price prize pack.

Man faces jail after giving woman abortion pill smoothie

A Norwegian man is facing jail after putting abortion pills in his ex-girlfriend's smoothie, causing her to have a miscarriage.

'He's a blessing': family of baby born without eyes

Jordy Jackson was born without eyes. He has anophthalmia, which affects one in every 100,000 babies born.

Win one of 5 Cadbury Easter Hampers

With Easter fast approaching, Cadbury are giving away 5 Cadbury Easter Hampers. Enter Now!

Super fit model Sarah Stage defends her pregnancy body

Model Sarah Stage has defended her pregnancy body after critics claimed her slim figure at eight-and-a-half months pregnant wasn't "normal".

Win a Ben & Holly's Little Kingdom and Peppa Pig prize pack

To celebrate the April 1 release of Holly's Magic Wand on DVD and Digital, Essential Baby and Entertainment One are giving away five bumper DVD packs featuring the newest installment of Ben & Holly's Little Kingdom Holly's Magic Wand and many more hours of family entertainment! Enter Now!

Why I post breastfeeding photos online

I love to take pictures of my children. In some of the pictures, my younger son is nursing.

The day I broke my baby

There are things I wish I didn't know. I wish I didn't know that companies make tiny braces, small enough to hold necks no bigger than a wrist.

The place just for dads of multiples

When a couple discovers they're expecting multiples, the dad can sometimes be almost forgotten in all the excitement and preparation. But one group offers a space just for dads of twins and higher-order multiples.

Brave mum calls for domestic violence law reform

A brave mum of two has shared details of the harrowing attacks she suffered at the hands of her partner in a bid to help other victims of domestic violence.

Why I had the new test for Down syndrome

Early last year I turned 35, and having just found out I was pregnant, I opted to have the new test for Down syndrome.

Geeky baby gear

If your family is more into Star Wars, gaming and the periodic table than most, you might want to check out these geek-chic baby items.

2015: the year of the sheep

According to the Chinese zodiac, babies born in the year of the sheep are creative and enjoy spending quiet time with their own thoughts.

Breakthrough genetic testing now available in Australia

Pregnant women will for the first time have access to locally analysed, accurate, non-invasive pre-natal genetic testing when the first Australian clinic to offer the services opens its doors next week.

Grandbabies: the babies born looking old

Not a day under 65 and a lifetime of struggle! That's the look of these newborns, who look adorably older than their real age. Social networking site Reddit recently featured user submissions of adorable grandbabies, here are our favourites.

Family kicked off flight after toddler seatbelt drama

An entire family was kicked off a Cathay Pacific flight when a misbehaving toddler refused to put his seatbelt on.

Stolen baby found after 17 years

A baby stolen from her mother's arms shortly after birth has been found through an astonishing coincidence.

53 creative pregnancy announcements

Announcing that you're expecting can be a time to express your creativity, sense of humour and imagination. Check out how other parents and parents-to-be have broken the news to friends and family.

IKEA hacks for the nursery and kids' rooms

Are you one of those that know the whole IKEA catalogue by heart? Love their stuff but want to personalise it? Here's some inspiration to help you realise the potential of IKEA furniture and fittings.

36 baby names inspired by food and drinks

A French court may have ruled out Nutella as a baby name, but that doesn't have to stop you from taking inspiration from the supermarket (or bottle shop). See what parents in the US have chosen for their delicious little ones.

Clever breastfeeding products

Check out this range of products designed to help make your breastfeeding journey more enjoyable, manageable and convenient.

 

Sign up now!

30 days of #PlayIQ challenge

Receive a daily email from Essential Baby during April with great play tips and ideas, then submit your baby at play photos to our Playwall, Instagram or Twitter for your chance to win.

 
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.