Jump to content

Obstetrician confinement fee, What is it for?
Obstetrician Fees


  • Please log in to reply
22 replies to this topic

#1 dragonhsv

Posted 09 January 2012 - 08:32 AM

Hi,

I was wondering if someone could offer some assistance please.  My Wife and I are using a Private obstetrician and we have an upcoming obstetrician confinement fee of $2000 to pay.  

I have other 3 children from a previous marriage now they are 20, 18 & 16 but I always went through the public system, fast forward 16 years later I now 2 grand children and I have a better job now and my wife and I have decided to go private this time.

My query is that I cant seem to find too much information on what the $2000 obstetrician confinement fee is for?

We pay the obstetrician on every appointment and there is a birthing charge for him to be there so whats the confinement fee for.

Sorry if this is a dumb question but cant seem to find an appropriate answer this this question.

Thanks again,





#2 EoinCuinn

Posted 09 January 2012 - 09:01 AM

The confinement fee is a medical term for due date. I can only presume it's a "booking" fee for the day. But as you said, you've already paid a booking fee, so I don't get it.

I know that when we had our second, we used independent midwives, and the two fees were described as

On call, non-refundable booking fee (Primary midwife)  $900.00
On call, non-refundable booking fee (Secondary midwife)       $900.00
Birth fee (each attending midwife)                                             $800.00

Normal appointments were charged per appointment.

Therefore in terms of your OB, there would be the booking fee (which you have paid) and a separate Birth Fee (confinement fee)


Hope that helps in some way.

Dan

#3 Gumbette

Posted 09 January 2012 - 09:11 AM

My OB calls it a management fee, usually payable around the 30 ish week mark (mine is $2200).  Appointments are charged for separately.  The birth is covered under Medicare & our PHI.



#4 Onyx

Posted 09 January 2012 - 09:16 AM

I paid $2300 as a mangement fee which was payable any time from 24 to 30 weeks.

I also pay every visit.
Have you paid a management fee and this is on top?
My OB charges a birthing fee but this is covered by medicare and PHI.

#5 Madnesscraves

Posted 09 January 2012 - 09:18 AM

Yea, sounds more like its a 'management' fee. Mine was $4500. But she sent bill at 20 wks for $2k, then 30wks for $2500

#6 Bluenomi

Posted 09 January 2012 - 09:21 AM

The confinement/managment fee is what you pay your OB to actually turn up to the birth. They won't charge you for it until after 20 weeks since before that time any arrival is considered a miscarriage but after 20 weeks it's a birth.

$2000 is a bargin.

#7 chipsy

Posted 09 January 2012 - 09:27 AM



I think its for his golf club membership.




#8 ElevenYears

Posted 09 January 2012 - 09:27 AM

Chances are that if it's not the delivery fee, it is the pregnancy management fee.  Medicare has two separate item numbers that allows OBs to split their total charge (above appointment fees) into those two fees.

One way of thinking about it is as an 'on call' fee.  If at any point your wife is hospitalised during the pregnancy for anything from brief monitoring to months of bedrest, your OB will be called in.  Any service you get from him in hospital before the birth, or out of hospital but between appointments (like him reviewing test results and calling you about them), is covered by this fee.  Not to mention things we expect an OB to do - like be sober, within quick reach of the hospital, and ready to walk out on a personal event no matter how important whenever we may need them.

In a straightforward pregnancy, it would be easy to see this fee as a great big fat waste of money.  Or if you're putting a positive spin on things - "insurance".  

However if the pregnancy suddenly becomes complex, then it is lovely to know that no matter how many times he is called by the hospital on your behalf in the middle of the night or on Sunday afternoons there is no extra charge.

Edited by Sevenyears, 09 January 2012 - 09:30 AM.


#9 ubermum

Posted 09 January 2012 - 09:33 AM

If you end up having an uncomplicated birth like I did and the baby delivered by the hospital midwife, it's for the gorgeous BMW I passed in the ob's parking space every time I went to an appointment.

Basically, it's insuring that they will look after you if you need them.

#10 oNeLoVe

Posted 09 January 2012 - 09:40 AM

QUOTE (Bluenomi @ 09/01/2012, 09:21 AM) <{POST_SNAPBACK}>
The confinement/managment fee is what you pay your OB to actually turn up to the birth. They won't charge you for it until after 20 weeks since before that time any arrival is considered a miscarriage but after 20 weeks it's a birth.


I was going to suggest management fee too.  But I never knew that about why you don't pay it until 20 weeks!!  mellow.gif

#11 stella777

Posted 09 January 2012 - 09:41 AM

Sounds like it is the 'pregnancy management fee', the cost of which usually varies between about $2000 and $5000 depending on your ob. You can claim back from medicare, but the rebate is now capped at $463.40 - so that is the maximum amount you will get back

#12 mummaorange

Posted 09 January 2012 - 09:44 AM

yikes!!!!!!!!!!!!1

#13 dragonhsv

Posted 09 January 2012 - 09:48 AM

Thanks all for clearing that up for me, I figured thats what the charge was for, like the Golf Clubs post original.gif

As "Sevenyears" Said "In a straightforward pregnancy, it would be easy to see this fee as a great big fat waste of money" how true, but I guess its there for peice of mind.

thanks again all for the quick replies,

cheers

#14 Soontobegran

Posted 09 January 2012 - 08:58 PM

QUOTE (chipsy @ 09/01/2012, 10:27 AM) <{POST_SNAPBACK}>
I think its for his golf club membership.



This type of comment sickens me.
An Obstetrician is on call 24 hours a day almost 365 days a year. Most I know barely get time with their families let alone time for golf.



QUOTE (ubermum @ 09/01/2012, 10:33 AM) <{POST_SNAPBACK}>
If you end up having an uncomplicated birth like I did and the baby delivered by the hospital midwife, it's for the gorgeous BMW I passed in the ob's parking space every time I went to an appointment.

Basically, it's insuring that they will look after you if you need them.



Why, when you are so cynical did you choose to go to an Obstetrician ubermum?
FWIW most obstetricians earn less than an experienced plumber.

#15 Jenflea

Posted 09 January 2012 - 09:04 PM

And probably have higher over heads such s staff salaries, insurance, etc etc.

#16 Guest_Starletta_*

Posted 09 January 2012 - 09:10 PM

Obs should just earn minimum wage, didn't you know STBG?

After all all they do is play golf... And drive their fancy cars around whilst eating caviar.

FYI my ob drives a Mazda. He must be terrible.

#17 Soontobegran

Posted 09 January 2012 - 09:13 PM

QUOTE (Jenflea @ 09/01/2012, 10:04 PM) <{POST_SNAPBACK}>
And probably have higher over heads such s staff salaries, insurance, etc etc.


Overwhelmingly higher insurance costs--when human life is involved liability insurances are enormous.
The obstetricians who have the higher management fee are often those who have rooms in different locations (which benefits the clients) and have multiple staff. They are often (not always) the more popular and very busy obstetricians and they are busy because they provide good service and many women are happy to know they have someone who is known for their care manage their pregnancy.

#18 squirt081

Posted 09 January 2012 - 09:15 PM

QUOTE
In a straightforward pregnancy, it would be easy to see this fee as a great big fat waste of money. Or if you're putting a positive spin on things - "insurance".

However if the pregnancy suddenly becomes complex, then it is lovely to know that no matter how many times he is called by the hospital on your behalf in the middle of the night or on Sunday afternoons there is no extra charge.


Very true. With my DS  my Ob was called a few times on a Saturday arvo and came to see me and then on next day (Sunday) at 6am he was woken with a call that my waters had broken 5w early. He advised the nurses what to do and a few hours later he was called again and rushed in to do an emergency c-section.

With my DD my OB did an elective/emergency c-section the day he was going on a family holiday.

Oh and my DD's OB drives a porsche, But he is very good and also an FS

Edited by squirt081, 09 January 2012 - 09:23 PM.


#19 Soontobegran

Posted 09 January 2012 - 09:15 PM

QUOTE (Starletta @ 09/01/2012, 10:10 PM) <{POST_SNAPBACK}>
Obs should just earn minimum wage, didn't you know STBG?

After all all they do is play golf... And drive their fancy cars around whilst eating caviar.

FYI my ob drives a Mazda. He must be terrible.


Mine drove a Holden Premiere but that was 23 years ago--I hope he has been able to update by now original.gif


#20 eckstar

Posted 09 January 2012 - 09:22 PM

I guess I was kind of lucky that we never had to pay a lump sum fee of any sort. We just paid for each appointment during the pregnancy and then the delivery etc was ll no gap so covered by medicare and PHI.
Quite possibly though my appointment fees were higher and therefore covered the amount overall anyway, or maybe it was different because she worked in a practice with at least 4 other OBGYN's and a paediatrician. Who knows.....

#21 tibs

Posted 09 January 2012 - 09:38 PM

QUOTE (eckstar @ 09/01/2012, 10:22 PM) <{POST_SNAPBACK}>
I guess I was kind of lucky that we never had to pay a lump sum fee of any sort. We just paid for each appointment during the pregnancy and then the delivery etc was ll no gap so covered by medicare and PHI.
Quite possibly though my appointment fees were higher and therefore covered the amount overall anyway, or maybe it was different because she worked in a practice with at least 4 other OBGYN's and a paediatrician. Who knows.....


Yes it is funny how different they are, mine had the management fee but bulk billed all the appointments, the actual delivery (c-sec) was at no cost to me either.

I unfortunately recently suffered a miscarriage at 10 weeks, so while I didn't incur the management fee I did still have to pay the ob $1500 for consults/D&C and surprisingly got very little of that back from medicare/PHI, all up it actually cost me nearly as much as my last delivery and I didn't even get a baby at the end of it  sad.gif

#22 Gumbette

Posted 09 January 2012 - 09:45 PM

QUOTE (soontobegran @ 09/01/2012, 10:13 PM) <{POST_SNAPBACK}>
Overwhelmingly higher insurance costs--when human life is involved liability insurances are enormous.

Around $10k a month back in 2008, actually.  

The snarky comments annoy me too.  We have a good public system, if people resent paying an OB they can vote with their wallets.

I wouldn't care if my OB drove a Rolls.

FWIW my OB came in on Easter Sunday just to check on me with pregnancy #1 simply because I thought DD's movements were slow, even though the hospital had called him and told everything was ok.  That was at 10pm at night.  With my 2nd pregnancy he stayed back until 8 pm to counsel DH & I when we found out we needed a termination, and then stayed after we had left so he could organize everything to be ready for us the next morning, all for the handsome sum of ......$90.

Edited by Gumbette, 09 January 2012 - 09:58 PM.


#23 75etd

Posted 09 January 2012 - 09:52 PM

My obs was an absolute bargain at $2k for the pregnancy management fee with everything else bulk billed. He saved my life and my daughters....... You could never pay me enough to be an Obs. The personal sacrifices are too great. My relatively young obs used to joke with me that he was about to retire so he could use the golf club membership which he had been paying for years.




0 user(s) are reading this topic

0 members, 0 guests, 0 anonymous users

 

11 things that will happen when you're breastfeeding

After having three children and various degrees of success feeding them all, there's one thing I can tell you: virtually nothing will go as planned.

Surgery for baby born with a tail

A baby born with a tail has had it removed after doctors feared the birth defect might cause long term damage to his lower body.

When 'skin to skin' becomes a family affair

An adorable photo of a little boy and his dad enjoying skin to skin contact with newborn twins is melting hearts everywhere.

35 hilariously weird 'top tips'

Who would have thunk it? We never knew there were so many uses for feminine hygiene products. 

Pregnancy skin woes: acne, dry skin, itchy skin

Here are some of the most common skin complaints in pregnancy and how to tackle them, face on.

Watch this fun dance class for babywearing dads

Is there anything sexier than a babywearing dad?

Parents, this is how to cut grapes to avoid choking

One mum has learnt a harrowing lesson about the best way to cut grapes to make it safe for toddlers and little kids to eat.

When your kids have totally different temperaments

Sometimes it has felt like whiplash parenting. She perches watchfully while I vacuum; he tries to climb on and go for a ride.

How do our stress levels influence our baby?

Since having my second baby a number of people have commented on how placid, content and settled he is and, similarly, many have commented on how this is a reflection of how I am with him.

Separation anxiety isn't just for kids

Despite its prevalence, most doctors tend to be reluctant to diagnose adult patients with separation anxiety.

A charm bracelet, a boy, and my beliefs questioned

I was staring at the face of my son, realising that my once steadfast decision to be open minded was quickly unravelling at the seams.

Why I'm so grateful for Hayden Panettiere's PND honesty

There are baby steps and giant leaps forward. But there are steps backwards, too. And, oh, how they can hurt your heart.

The heartbreaking story of little Moko

The mother of 3-year-old Moko Rangitoheriri said she should have picked up on the signs. {Warning: distressing content}

Kate Beckinsale and teen daughter recreate birth photo

Kate Beckinsale has recreated her daughter Lily's birth photo, 17 years after she was born.

The adult-size stroller you'll want to test drive

It's one of the biggest baby related purchases they will make, so it makes sense that parents-to-be get a chance to road test a stroller.

Pregnancy announcement shows the reality of IVF

It's a long way from baby booties or bump shots people have become accustomed to in social media pregnancy announcements.  

Soleil Moon Frye welcomes fourth baby

"Punky Brewster" is a mom again, for the fourth time. Soleil Moon Frye announced the birth of her baby boy, Story, on Instagram Wednesday.

Mum breastfeeds baby found abandoned on the street

A woman has been praised as a "beautiful mother" after breastfeeding a baby which had been abandoned at the side of a street. 

A birth with a difference: the 'natural caesarean'

We've shared stories of gentle caesareans before, but a new video shows a new option called a 'natural caesarean'.

Baby name inspiration by music genre

If you're all about the music, then you'll need a musical name for that baby. We've got all the lists for you by music genre.

Giving effective instructions to toddlers

One of the most common errors made by parents is in how they give instructions to their children.

 
Advertisement
 

Top 5 Articles

Advertisement
 
 
 

What's hot on EB

The babies who are one in 70 million

Bethani Webb was excited to find out she was pregnant, but the first time mum did not realise she was carrying four babies not one.

Cafe offers breastfeeding mums a free cup of tea

A Sydney cafe is offering breastfeeding mums free cups of tea in a bid to show support for the right of women to nurse their babies wherever they choose.

To snip or not to snip? When the decision is not clear cut

Jamie Oliver, who considered a vasectomy, is to be a father again. A fellow dad reflects on his own decision 11 years ago

Doctors stunned by rare twins born almost six weeks apart

To everyone's surprise, Kristen Miller "kept doing better each day", keeping her second baby safe.

Baby book ideas for modern parents

Before my son was born I was given a lovely baby book full of blank pages waiting to be filled with weights and heights and first words.

The adorable smile of a baby seeing his mum clearly for the first time

There is no doubt seeing their child smile for the first time is an unforgettable moment for parents everywhere.

Mum tells how toddler 'nearly hung himself' in cot mishap

When Alison Johnson put her 18-month-old Caleb down for a nap, she had no reason to believe her son was in any danger.

Babies are still switched at birth? Yes, it can happen

All my panic and tears aside, my biggest question looking back is about the kind of security measures used in the maternity ward.

Doctors slammed for taking selfie with newborn

Everyone who visits a mum in hospital in the days following childbirth wants to get a photo with the new baby.

ergoPouch Twosie Sleepsuit for winter breastfeeding

Finally, there's a way to keep warm while breastfeeding through winter.

Health check: How long does sex 'normally' last?

What to do with this information? My advice would be to try not to think about it during the throes of passion.

When breastfeeding sucks: fixing common problems

From niplash to tight boobs, biting to milk supply issues, Pinky McKay looks at common breastfeeding issues and how to solve them.

10 things I've learnt in my first six months with twins

Six months on we're all still alive, and the more we get to know each other the easier the days become.

Mum's loving kiss leaves baby fighting for life

Kirsty Carrington thought nothing of giving her newborn son a kiss, little did she know it would leave the baby fighting for life.

When doing chores is your new 'me time'

After children, 'me time' looks a little different.

Get going: 14 travel strollers for families on the move

A stroller can make or break travelling with a baby or toddler. Here are 15 great single travel stroller options.

10 ways toddlers are terrific

It always pays to remind yourself of how terrific toddlers can be - they're little like this for such a short time

 

Vintage Toys

The toys of your childhood

Take a trip down memory lane with these vinage and retro toys that you may have had in your childhood or your parent's childhood.

 
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.