Jump to content

Where do I start...


  • Please log in to reply
10 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 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.

#10 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

#11 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

 

Get your FREE Baby & Toddler Show ticket!

Get your free ticket to the Sydney Essential Baby & Toddler Show for September 25-27 - register online now.

A solo birth, a wasp swarm and a forest fire: mum and baby's amazing story of survival

Desperate, out of petrol and low on food, a new mother lit a fire in the hope of attracting attention.

Boy found on swing died of hypothermia and dehydration, autopsy finds

The story was chilling and heartbreaking: a three-year-old boy was found dead in a Southern Maryland park, his mother pushing him on the swing.

Child's play and laughter help battle fatigue

Feeling fatigued? Uh-huh, thought as much. Join the queue.

Dad shares entertaining 'how to hold a baby' clip

For many new dads, their own child is the first baby they have ever held. So one dad has posted an instructive YouTube video titled "How to Hold a Baby".

The Australian baby with 100,000 Facebook fans

She may be only eight months old, but Egypt has already amassed more than 100,000 fans and received a letter from royalty - Hollywood royalty that is.

Public welcome outside church for Princess Charlotte's christening

Duke and Duchess of Cambridge have invited well-wishers to see Princess Charlotte outside church in Sandringham on day of her baptism.

Tongue tie: what you need to know

Tongue and lip tie can lead to many problems for babies - and their parents. Here are the signs of tongue tie and how it's treated.

My daughter is small but that doesn't matter

My daughter may be small, but it's my job as her parent to refocus back where it belongs - on who she is as a person

Wet wipes linked to rise in allergic reactions

The government has issued a health warning after a rise in allergic skin reactions has been linked to a preservative found in some wet wipes.

Gay couple in their 80s first to wed in Dallas after Supreme Court ruling

Love may have won, but it came with quite the wait.

William Tyrrell's family marks birthday with cake and renewed appeal

The family of missing boy William Tyrrell will mark his fourth birthday on Friday making a cake to share with friends and family as NSW police renewed their public appeal for information on his disappearance.

What all parents should know about safe babywearing

A picture of Ryan Reynolds always gets the girls talking, and a recently shared photo has done exactly that - but this time, it's for all the wrong reasons.

Baby's head shape reveals potentially fatal condition

Thinking her baby just had an unusually shaped head, a mother was shocked to discover it was instead linked to a dangerous condition.

'Help - my toddler hits me!'

My toddler has started hitting when he gets frustrated, is feeling ignored, or just thinks it might be fun.

Why IVF success rates may not be what you think

Transparency, accountability and responsibilityare essential measures to protect IVF vulnerable patients.

On the 10th anniversary of my son's death

This day marks a significant day. Today marks 10 years since I lost my son Kai.

Mother-in-law 'from hell' inspires survival guide

The happily ever after Nicola Milan had imagined wasn't to be – and she blames her mother-in-law.

Name your baby Quinoa, win a $10K gift card

Choosing a name for your little bundle of joy is always a major decision. It can be something traditional, trendy, creative … or inspired by the menu of your favourite chain restaurant.

Owning a pair of nail scissors does not make me a hairdresser

It's been a whole year since sleeping in until 10am. A whole year since having a peaceful shower.

The 83 children who were tragically let down in the last decade

Over a 10-year period, 83 children died from domestic violence abuse in NSW, with three quarters of the victims aged five years or under, the NSW Ombudsman has revealed.

Expert Q&A: Gross motor skill development in toddlers and preschoolers

Dr Katie Heathershaw answers questions about jumping, toe walking, riding a bike and being pigeon toed.

Is it reasonable to expect your partner to give up drinking in pregnancy?

From the moment that I fell pregnant with my son, I realised just how much my life had already started to change.

Stroke victim joins class action against makers of popular contraceptive pill

"I was terrified I would always be this way. The pill needs to come with a much higher warning."

Sexy time

Why you should get excited about scheduling sex

Unfortunately, the belief that sex should always be spontaneous is a myth. It just isn't.

When newborn photoshoots get messy

When it comes to newborn photoshoots, it is all about the timing.

Orphaned baby daughter Ayla wakes from coma

Former All Black Jerry Collins' critically injured orphaned daughter has awoken from her coma and is able to bottle-feed.

Dad takes miraculous catch while feeding baby

One American father has taken multitasking to a new level at a Cubs-Dodgers baseball game at Wrigley Field.

'Samuel is our firstborn, and he will never be forgotten'

Having lost their firstborn at one day old, the Carrolls were overjoyed to welcome their daughter Isobel into the world a year later.

Channel 10's Sarah Harris expecting first child

The Studio host Sarah Harris doesn't mind if her first baby is a boy or girl, but she does hope it is born with one thing in particular.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

27 funny ultrasound pictures

Ultrasounds give you a look at your growing baby ... and sometimes what appears to their womb-buddy, or your bub in an amusing position.

The top 6 misleading parenting terms

From 'morning sickness' to 'the terrible twos', there are many parenting terms that are misleading.

When 'good' nannies go bad

While most nannies take pride in their work, there can be some who have a hidden side.

Woman hospitalised for skinny jeans injury

Beware: skinny jeans might be bad for your health.

Gauze seeding: the bacteria-breeding birth trend

A number of women having caesarean deliveries are now taking steps to give their baby a better 'microbiome' start in life.

Jimmy Fallon writes new children's book for dads

Jimmy Fallon, host of NBC's The Tonight Show, recently wrote a children's book about every father's secret wish for their baby's first word to be "dada" - not "mama".

28 names for babies born in winter

Looking for some baby name inspiration for a bub born during the colder months? Here are 28 options from around the world to consider.

The horrible act that sparked a brawl at child's birthday party

The uncle of the seven-year-old girl at the centre of the brawl at child's birthday party in Sydney's west has described the events leading up to the alarming show of violence.

Babies 'benefit from iPads at a young age': study

More often than not, you'll read that screen time for children should be kept to a minimum - but some scientists are now challenging this way of thinking.

Do mums really just obsessively talk about their children?

Natalie Reilly describes three main types of conversations mothers have. And, surprise, they're not all about kids.

Why some dogs might attack babies or young kids

A baby's smell, the noises it makes and even its gaze can contribute to the potential for a dog attack.

Mum demands refund for 'beargina' christening cake

It was meant to be a tasteful cake to help celebrate a three-year-old's christening.

5 things no one warns you about after giving birth

How many times have you been warned about all the sleepless nights you have to 'look forward to' when you become a parent?

Police officer sang nursery rhyme as heartbreaking photo was taken

A police officer arrived at a devastating scene on Thursday: a car crash resulting in all passengers being thrown from the vehicle.

Don't worry, working mums: Just leave Dad in charge at home

Want to open the boardroom doors for women? Encourage - heck, praise - dads who stay home with their children.

Hilaria Baldwin shares post-baby selfie

Just two days after giving birth, actor Alec Balwin's wife posted a post-baby picture on social media.

'Help - my child won't ever do what I ask!'

Compliance is part of the parent-child relationship, but so is resistance. It's all natural.

Postnatal depression support gets $23 million boost in NSW

The Baird government will include $22.8 million in Tuesday's NSW budget to expand a program designed to help parents at risk of postnatal depression (PND).

'I'm just as tired, scared and stressed as you': stay-at-home dad's plea

I'm really lucky to have two great kids, but I found it really tough with so much being aimed at the mothers and not the fathers.

 

FREE TICKET

Get your FREE ticket to the Baby & Toddler Show

Get your free ticket to the Sydney Essential Baby & Toddler Show for September 25-27 - register online now.

 
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.