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!


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


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!

Finding baby name inspiration in unusual places

Sometimes the greatest baby name ideas come from the most unexpected places, as these EB members show.

The case for inducing at 37 weeks

While we often think of pregnancy as a 40 week affair, experts agree that 37 weeks is actually “full term". So is there an argument for inducing all births at 37 weeks?

Does controlled crying really work?

Controlled-crying techniques may help some babies sleep through the night, but for many exhausted new parents, it's just a recipe for more tears all round.

How I taught my infant to use a toilet

As people become more aware of these benefits, I hope more parents will practice this method, so we can cut down on nappies and improve baby bonding.

'I thought it was impossible': Emily Symons pregnant at 45

Aussie actress Emily Symons has announced she is pregnant with her first baby.

Shallow water blackout kills fit, healthy dad

A little girl will grow up without her father after the fit and healthy 34-year-old passed away while doing something he had practised his whole life.

Afternoon naps may be bad for toddlers' sleep

You could be doing yourself a disservice by encouraging your toddler to have an afternoon nap, according to new research.

Best gifts for newborns, new mums and christenings

We've compiled a guide to some of the most popular presents for newborns and new mums, and for christenings and naming days.

Jaime King to be a mum again

Actress Jaime King is pregnant with her second child, giving 16-month-old James a sibling.

Nannies should receive government funding

The Abbott government should extend funding to nannies, and direct childcare payments to low and middle income families, a landmark study on childcare has found. 

Common skin irritations in newborns (and how to treat them)

As many as one in two newborn babies suffer from skin irritations in their first few weeks. So what are the most common rashes and irritations to look out for?

10 wall decals for the nursery or playroom

Wall decals are the answer to creating a beautiful nursery or children's space without lifting a paint brush, a spirit level or even a hammer.

Preschooler walks 2.4km home alone

Three-year-old Cain Trainor headed off home after his first day at a new preschool without telling anyone.

Video: Why mums get nothing done

In spite of being in an almost constant state of motion while looking after the kids and trying to keep things together at home, it can seem as though parents have managed to get nothing on the to-do list done by the end of the day.

The middle name game

The middle name is no longer an afterthought, and parents' inspiration comes from many places.

Have a baby or your money back - but there's a catch

A new IVF scheme offers couples the chance to fall pregnant and give birth - or get their money back. But there's more to it than you might think.

A rare glimpse inside the womb

A baby born still inside the amniotic sac gave US doctors a rare glimpse at life inside the womb.

Battered mum forced to write to her attacker ex in jail

Three years ago Jason Hughes viciously attacked his ex-partner. Now she has to write to him three times a year.

Woman pleads not guilty to ultrasound scam

A West Australian woman will fight allegations that she scammed expectant mums by selling them fake ultrasound pictures of babies.

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.


What's hot on EB

Brain damaged mum receives compensation

A Sydney mother who suffered brain damage when she was hit by a car while pushing her newborn baby in a pram has reached a confidential out-of-court settlement with the driver's insurance company.

Indigenous midwives break down the barriers

A culturally sensitive midwifery service has gained the trust and respect of Aboriginal women.

The Katering Show's next big delivery

Most mums-to-be plan to take things easy and perhaps have a little break from work as the birth of their baby draws near. Not Kate McCartney.

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.

Why I have mixed feelings about Cindy Crawford's leaked photo

Last week an un-retouched photo of model Cindy Crawford surfaced, showing the 48-year-old mother-of -two posing in underwear.

How to create a Peppa Pig pancake

Thought your toddler could not love pancakes any more than they already do? How about if the breakfast treat came in the shape of every two-year-old's favourite cartoon character?

'It's a little life, not a little loss': pregnancy after miscarriage

I thought I was never going to be able to have a successful pregnancy. I decided that I wasn't going to form an emotional attachment with this baby.

Bonds Baby Search 2015: what you need to know

February 18 marks the start of one of the most prolific annual baby competitions in Australia: the Bonds Baby Search. And this year is going to be more special than ever.

Who will manage your Facebook account when you're gone?

This is not something that people like to talk about, but Facebook has announced that it will grant users more control over what happens to their pages after they die.

Struggling mum of four wins $188 million

Mother of four Marie Holmes was financially struggling after quitting her jobs at Walmart and McDonald's in order to care for her children.

Pregnant obese women a 'relatively new problem', coroner hears

A first-time mother whose daughter died hours after her frightening birth insists she was never told of the risks of being obese and pregnant.

'I'm angry as hell': the story behind mum's passionate vaccination plea

She has labelled parents who do not vaccinate their children "misinformed imbeciles" - and for that, she makes no apologies.

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.

8 different kinds of tantrums

I never thought I’d say this, but for a brief moment last week, Kim Kardashian and I had something in common: both our kids had public tantrums.

Polycystic ovary syndrome: symptoms, treatment and your fertility

Polycystic ovary syndrome (PCOS) is the most common female hormonal condition, affecting roughly one in 12 Australian women.

What's the best position for giving birth?

If doing it on your back is out, what's the best position for labour and birth?

Wife forgives snake catcher husband for car surprise

With Valentine's Day coming up, Nat Gilbert could be forgiven for thinking her husband might be planning a surprise for her.

Kids who meet milestones at their own pace

We usually only hear the success stories: tales of the two-year-old who’s talking, running and completely toilet trained. But other stories need to be told too.

Ruby shines as Bonds Baby

Sarah Kiss has a word of advice for proud mums and dads who are keen to enter their babies in this year's Bonds Baby Search Competition - just have fun.

Why dads should go to sleep school

If your family needs to go to sleep school, go with them. You are part of that family and you are part of the solution.

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.


Win a KitchenAid Mixer

Let's celebrate 300,000 fans on Facebook

To celebrate, and to thank our amazing fans, we?re giving away a KitchenAid Artisan Tilt-Head Stand Mixer.

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.