Jump to content

Where do I start...


  • Please log in to reply
11 replies to this topic

#1 stinadaze

Posted 12 February 2013 - 01:44 PM

I have started on the journey of learning how the “system” works when it comes to pregnancy and birth! I have never been so confused! I am hoping to be able to piece information together with information from anyone with experience! I apologise for the long rant beforehand!

To put you in the picture I am in the Camden area and we are yet to TTC. What holds me back is the fear of so many unknowns. Don’t even have a GP I can say knows me well and I can chat to comfortably about this. No friends or relatives who have been through this either.

I like the sound of the antenatal shared care midwives. Does anyone have contact details for the “centre” or “department”? I wonder whether they would work with a private OB if you decide to go to hospital as a private patient in a public hospital. (VERY KEEN ON THIS AND WHY I WANT CONTACT DETAILS SO I CAN ASK)

I cannot even understand how OBs charge. By visit? Or is it one fee for all services (visits and births).
I am trying to understand what a “straight forward” pregnancy might cost if you go to public hospital as private patient. Anesthetist charges separately and only if you need him. Idea re potential costs…
Once the baby is born I imagine a pediatrician will provide a check up. Assuming this is a must and is another fee. Again, any rough idea of cost?

If in a public hospital, does the specialist (Anesthetist and pediatrician) decide how much to charge or the hospital? I guess Medicare will refund their portion and imagine HI (we are on a basic hospital) would do their bit and what you’re left with is the gap.

If anyone can point me in the direction of a department/person/association where I can start to gather some info I’d also be appreciative as I know I've asked a lot and clearly know close to nothing about this topic!


#2 jules77

Posted 12 February 2013 - 01:57 PM

Why don't you just ring your local public hospital that has maternity services? I'm sure there would be someone you could talk to and answer your questions. I'm not familiar with public hospitals in the Camden area.

Generally speaking though, if you want to be under the care of a private OB, you use the private system. I'm not sure that there would be many, if any public hospitals who would facilitate your own private ob within their midwife group practices.

I would also start searching for a GP. I think having a good GP is invaluable when pregnant, and even more so when you have children.

#3 Pssst...

Posted 12 February 2013 - 02:23 PM

I was a private patient in a public hospital, and TBH, the first time around it was tricky! Sometimes dealing with both entities (especially as a first timer who knew nothing!) was really frustrating when one person would tell you one thing and somebody else would tell you something different.

It is MUCH easier to go all private or all public, if you can.

If you still want to go private in a public hospital then you need to call the hospital's maternity dept and find out which OBs will treat you there - if any, my experience was that very few actually do this.

Once you find one/some then you can call them to ask about their fees/gaps etc.

To give you an idea, my OB charges $5,000 and that's for all visits, birth, post-natal check etc. Can't think exactly what the out of pocket expense is - but you don't really get much back from Medicare, so in my head I just budget for the full $5K and anything I get back is a bonus! biggrin.gif

Both my labours failed to progress and ended up with C-sections. I didn't pay any additional fees - I just had to pay the private health insurance excess.

So, aside from the OB fees, there was just scans/blood tests etc to pay for.

It's also worth noting that at the hospital I went to, I wasn't guaranteed a private room simply because I was a private patient - sick mums/bubs get priority and then private patients and then public patients. The second time I had a private room from the get-go, the first time I was in a shared room for the first night.

Good luck TTC and try not to stress about all the hospital/OB stuff - it wall all fall into place!

EFS

Edited by Pssst..., 12 February 2013 - 02:24 PM.


#4 stinadaze

Posted 14 February 2013 - 02:20 PM

Yes it would be great to find a GP.....MUCH easier said than done! I have my fingers crossed that I may just have stumbled across a good one, but the wait is always sooo long and no appts.

I must get onto the hospital and try my luck asking some questions...

I am starting to doubt any benefits in being private patient in a public hospital.... Psst. you would have had to pay for the Anesthetist  as well right? cause HI does not cover that.

I would be happy going public.... my only concern is if there are complications with the pregnancy or birth. in that case it is always nice to have a familiar face.

thanks for your replies, appreciate it.



#5 Melissam12

Posted 01 March 2013 - 04:35 PM

There is the option of antenatal shared care with a private midwife, and this is available throughout Sydney.  There is also the option of hospital birth with a private midwife.  The Pregnancy, Birth and Baby website http://www.pregnancybirthbaby.org.au/  has general information about your options.  If you’re wanting information about private midwifery or private obstetrics, information is available through the care provider individually, by consultation or through their websites.  

Private midwives and obstetricians usually charge by appointment; some bulk bill some appointments and charge a gap.


#6 Soontobegran

Posted 01 March 2013 - 05:30 PM

QUOTE (stinadaze @ 14/02/2013, 03:20 PM) <{POST_SNAPBACK}>
I am starting to doubt any benefits in being private patient in a public hospital.... Psst. you would have had to pay for the Anesthetist  as well right? cause HI does not cover that.

I would be happy going public.... my only concern is if there are complications with the pregnancy or birth. in that case it is always nice to have a familiar face.



Many people have problem free experiences of being private in a public hospital. There should not be anymore confusion as to whom is your primary caregiver than if you were going to a private hospital as you still see him/her for your antenatal care.

The only difference once you are admitted in labour is that it will be your private Obstetrician who is contacted regarding orders and for delivery, the only time you'd see a registrar or resident would be if there was an issue and your doctor could not be contacted or get into the hospital on time.

In labour whether you are private or public you will see very little of any doctor so the attenting midwife whether hospital or independent will be a familiar face to you in the event of any complications.

As private patient in a public hospital all your bed/theatre/SCN/pathology costs are covered but you will still have your Obstetrician's fees, the anaesthetist fees if you require one and the paediatrician's fee if required. Babies do not routinely get checked by a paediatrician but if admission to SCN is required your baby can be admitted as a public patient and therefore have no out of pocket expenses.

The benefits of delivery as a private patient in a public hospital I think are that you have everything you could possibly need at hand. Contrary to what some people believe public maternity hospitals are very much better equipped than the majority of private hospitals where the focus is on serving the doctors and not the patients.
Lots of good luck for your future TTC.

#7 Pssst...

Posted 01 March 2013 - 05:40 PM

Just came in to reply re: anaesthetist. I didn't receive a bill for either time I needed one. Have no idea why!

#8 Melissam12

Posted 01 March 2013 - 05:47 PM

There isn't always a bill original.gif

#9 whoisme

Posted 01 March 2013 - 05:57 PM

Why let the unknown stop you from having a baby?

Back in the day my grandparents didn't even have services, but that did not stop anyone from starting/having a baby/family.

Just go for it! Have faith, have confidence, believe in yourself and your partner and limited services, you will be fine.

#10 epl0822

Posted 01 March 2013 - 05:59 PM

I sympathise - I've been doing research myself and the financial side of things is incredibly confusing and quite often mysterious.

A few pointers:

-Don't be fooled by the insurance company saying "the bill for the obstetrician/anaesthetist/assisting surgeon (if you need a c-section) is covered." They might be covered, but you could still face huge out of pocket costs. The PHI will cover a set fee (like a RRP for a medical service) but in the likely scenario that the medial provider charges more than this, you will foot the bill. My friend had a $10k bill even with full PHI when she had an emergency c-section.

-All obstetricians charge a "pregnancy management fee" - ostensibly for the "inconvenience" of being on call 24/7 - and this can be around $3-5k. None of this is covered by PHI and you get only a couple of hundred dollars back.

-You will need to pay out of pocket (ie not covered by PHI, only partially covered by Medicare) for all blood tests and ultrasounds that would be otherwise free if you went totally public. I don't know if this is the case for private patient at public hospital.

#11 Soontobegran

Posted 01 March 2013 - 06:04 PM

QUOTE (Pssst... @ 01/03/2013, 06:40 PM) <{POST_SNAPBACK}>
Just came in to reply re: anaesthetist. I didn't receive a bill for either time I needed one. Have no idea why!


Lucky you  original.gif

#12 Melissam12

Posted 01 March 2013 - 06:18 PM

QUOTE (epl0822 @ 01/03/2013, 06:59 PM) <{POST_SNAPBACK}>
-All obstetricians charge a "pregnancy management fee" - ostensibly for the "inconvenience" of being on call 24/7 - and this can be around $3-5k. None of this is covered by PHI and you get only a couple of hundred dollars back.

-You will need to pay out of pocket (ie not covered by PHI, only partially covered by Medicare) for all blood tests and ultrasounds that would be otherwise free if you went totally public. I don't know if this is the case for private patient at public hospital.

PHI only covers in hospital costs.  Medicare covers all costs incurred out of the hospital - eg planning and mgmt fee or the midwife's care plan fee.

Not all tests and scans incur an out-of-pocket cost when going private - some practitioners bulk-bill them.




1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users

 

Win $1000 with Sea-Bands!

Three lucky fans can win a Sea-Band prize pack valued at over $1000 each, which includes two Sea-Bands plus a $1000 Eftpos gift card!

Misery loves Facebook

Facebook users are often criticised for only showing the positive, fun parts of their lives. But what about when it swings the other way, when someone uses it for the purposes of ranting about their children all the time, never posting anything positive?

Toddler's adorable impersonation of pregnant mum

Little Ellis has noticed his mum is walking differently lately, and his impersonation of her is hilarious.

'Forgotten baby syndrome' can happen to any one of us

When my third child was two months old, I strapped her into her car seat, then promptly forgot all about her. But she survived, unharmed, because it was winter, and I was lucky.

Join the Real Mums Test Drive Team

Five mums or mums-to-be will join the EB Test Drive Team and discover great items at an exclusive Big W event. (Sydney only.)

Ten things I've learned about motherhood

Never take a good night's sleep for granted. There is no logic like toddler logic. Standing on Lego hurts every time. These are the truths of parenthood.

Parenting past the toddler years: what's next?

Your baby has grown into a toddler, and now your toddler is fast approaching the preschooler stage. What can you expect as a parent?

Tips on what to pack in your hospital bag

Before giving birth I read countless lists, ended up overpacking just a little, and now know what I'll actually want to pack next time.

New app keeps tabs on your kids at childcare

Popular new technology lets parents know what their children are up to at childcare - but not everyone is a fan.

21 things I love about newborns

There?s an irresistible magic about newborns. Of course they're not all smiles and rainbows, but they are undeniably cute and remarkable in so, so many ways.

Kid-friendly hairdressers: who says haircuts can?t be fun?

I?ve found some salons who boast setups ideal for children ? you name it, they?ve thought of it. All are designed to make haircuts fun rather than stressful.

Labour pain relief may reduce risk of postnatal depression: study

Postnatal depression is a complex condition, but researchers say pain relief during labour may help some women.

Why we need better support for men after miscarriage

In a recent study, 85 per cent of men admitted feeling sadness after their partner miscarried, but almost half said they didn't share their feelings at all. What can be done to help them?

Mum in business: Kristy Chong

Kristy Chong is the managing director of Australian-made Modibodi underwear and a mum to Lucas, 6, Jason, 4, and Isaac, 6 months. She shares her advice for other mums thinking about starting their own businesses.

From toddler to preschooler: a developmental roadmap

So your toddler is growing up and will soon be entering the preschooler years. Here are a few ways to frame their development that will help you understand what?s going in those beautiful, funny, clever little heads of theirs.

Mum sacrifices an eye for her unborn baby

Motherhood is full of sacrifices, but this woman has made a life-altering one - and her baby hasn't even been born.

A grandparent by any other name

A growing number of grandparents are shunning tradition and going against conventional names - but a grandparent by any other name still gives the same awesome cuddles and kisses.

Photographer captures the beauty of adoption

The love of a family is usually tough to capture on camera. This is an exception.

When labour just doesn't happen

After three healthy kids, I can?t help feeling I?ve been a little ripped off. I missed out on something I had always wanted to experience, and now I?ll never get the chance.

Be careful what you say, your baby is listening

The importance of speaking to your baby even if they are not old enough to answer back has been highlighted by new research.

Share the little things that make you smile

We're giving away a Mountain Buggy nano, the ultimate travel stroller - and here are some of the great entries so far.

Win a Mountain Buggy nano

We?re giving away the new Mountain Buggy Nano - the lightweight travel buggy! So show us the little things that make you smile for your chance to win.

Download now: Essential Kids Activity Finder app

Got bored kids? Quickly find the best activities for kids wherever you are in Australia with the Essential Kids app.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

Win a Mountain Buggy nano

We?re giving away the new Mountain Buggy Nano - the lightweight travel buggy! So show us the little things that make you smile for your chance to win.

Be careful what you say, your baby is listening

The importance of speaking to your baby even if they are not old enough to answer back has been highlighted by new research.

Win $1000 with Sea-Bands!

Three lucky fans can win a Sea-Band prize pack valued at over $1000 each, which includes two Sea-Bands plus a $1000 Eftpos gift card!

The beautiful moment a baby was born at the side of a road

It's not where she expected to give birth, but mum Corrine Cinatl is delighted that her daughter's roadside arrival was captured in a series of beautiful photos.

Doctor sings first Happy Birthday to newborns

His job is to deliver babies, but this US obstetrician also has a unique way of celebrating the miracle of life.

Join the Real Mums Test Drive Team

Five mums or mums-to-be will join the EB Test Drive Team and discover great items at an exclusive Big W event. (Sydney only.)

The Nappy Collective starts new drive

It's that time of year when the dedicated volunteers at The Nappy Collective do their bit to help out mums and children in need - and they need your help.

Baby shower cake wrecks

From misshapen cake babies to questionable text, from odd colour choices to internal organ recreation, these are the baby shower cakes that taste forgot.

Photographer captures the beauty of adoption

The love of a family is usually tough to capture on camera. This is an exception.

Pregnancy progression photo ideas

Want to record your pregnancy as your belly grows? Here are some creative, fun ideas for photo shoots along the way.

The myths and facts about "normal" breastfeeding

When it comes to successful breastfeeding, there is a wide variety to what is "normal", according to new research.

Tin can craft and DIY ideas

Got a few old formula, Milo or coffee cans around the house? Use these fantastic upcycling ideas to create items for around the house and yard.

Dads meet their newborn for the first time

Emotional photos of two fathers meeting their newborn son have resonated with viewers worldwide, attracting thousands of Facebook likes and shares.

Skin safety isn't just a summer worry

Lax about the slip slop slap with your kids as weather turns cooler? Here's a reminder as to why we have to remain vigilant for our children?s future health.

Personalised baby gifts

We've scoured the internet to find gorgeous personalised keepsakes and nursery decor to record baby name and dates. They make great gifts for christenings, name days and birthdays! (All prices in AU.)

Creative sleeping baby photoshoots

See how some parents and photographers have captured sleeping babies in unusual positions and using different props.

DIY kitchen and food hacks

DIY your way to a better kitchen and make cooking easier with our clever hacks. (Some content reproduced with permission from mashable.com.)

Winter warmers for babies and toddlers

Your baby or toddler will be nice and snug in these beautiful and fun winter pieces. Most are hand-made or knitted, and they're all designed to keep your little one toastie - and adorable!

 

Mind, body, beauty, life

Making time for me

We look at your wellbeing, covering health, relationships, beauty and fashion, mind and body.

 
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.