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 TenYears

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 Jenferal

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.




2 user(s) are reading this topic

0 members, 2 guests, 0 anonymous users

 

Heartwarming prank gives single mum the house she was hired to clean

Cara Simmons arrived at work to clean a large and beautiful house in time for a party planned for that evening. It was soon hers.

Why we should stop telling new parents to 'enjoy every moment'

A few weeks ago, some dear friends of mine had their first baby. As the proud dad texted me a picture I had to fight the natural instinct to say “Enjoy every moment!”

Transgender dad breastfeeds his babies

A transgender man who breastfed his first baby - despite having his breasts removed as part of his transformation from female to male - has now had a second child.

Couple face $1 million medical bill and bankruptcy after babymoon birth

A Canadian couple were slammed with a million dollar medical bill after their daughter was prematurely during their babymoon.

Win one of 5 Little Tikes Cozy Coupe Sport

Australia?s No 1 selling car is now available in a Sports model and we have 5 to give away to some lucky Essential Baby families.

Cigarettes, junk food dominate supermarket sales growth

One in every five dollars spent at supermarkets goes on cigarettes or junk food, according to industry data.

Teacher under fire for breastfeeding in class

There is no doubt mums have a right to continue breastfeeding after they have returned to work, but one teacher in the US has taken it to the extreme.

Video: Baby sniffs beardless dad to make sure it's him

She looks him up and down and then touches his chin, but baby Lindsey still isn't sure this clean-shaven man is her dad.

The tragedy of losing a favourite teddy bear

We were green and uninitiated, perhaps a little naïve when it came to the favourite toy responsibility.

It's possible to workout while pregnant

Medical experts say intense fitness routines can be done safely during pregnancy - if the mums-to-be follow some guidelines.

Baby for Asher Keddie and Vincent Fantauzzo

Fans followed every step of her on-screen pregnancy in Offspring, now Asher Keddie is going to be a mum in real life too.

What parents really want for their kids

Are our hopes, dreams and expectations for our children what they really need?

'I had a feeling something was seriously wrong': the fight for Kaden's diagnosis

Before even giving birth, Katie Myers' maternal instincts warned her something was wrong with her baby.

When your pregnancy causes a relationship rift

Some dads-to-be don't miss a beat when their partner is pregnant; others struggle with a range of issues and can become withdrawn, right when their support is needed most.

Couple uses group photo trick to announce pregnancy to loved ones

Katharine and Kris Camilli devised a clever trick to immortalise their family and friends' reaction to their exciting pregnancy news.

Why Tracey Spicer has given up make-up

"After 30 years on television, I had become what I despised: a painted doll who spent an hour a day and close to $200 a week putting on a mask."

Empowering bikini photo of 46-year-old mum goes viral

When a group of teenagers made rude remarks about her body as she walked past them in a bikini at the local beach, Julie Cross refused to cover up.

Devastated widow discovers she's pregnant the day before husband's funeral

They had been trying to conceive a baby for seven years. Tragically Kristy Kirchner found out she was pregnant the day before her husband Royce's funeral.

Win a family pass to Disney Live!

We have 4 family passes to give away to see Disney Live! presents Three Classic Fairy Tales, touring Australia this December/January.

Gabriella Goat sues Peppa Pig

Every toddler's favourite television pig is being sued by an Italian woman who shares a name with a Peppa Pig character.

Meet the Mpregs, the male pregnancy enthusiasts

"Men can't have babies - that's something only women can do! But our community is full of like-minded people who wish otherwise."

Your new motherhood survival kit

Forget about the bright, pretty baby things - while you're in survival mode, all you'll need are the essentials.

More than 100,000 cars recalled globally after death of pregnant woman

The announcement of a mass recall comes as Malaysian police investigate the death of pregnant woman in July.

I had a 'good baby' but still suffered from postnatal depression

I had a much wanted precious baby girl, a 'good baby' who slept well, self settled and was mostly content. It just seemed implausible to think I could succumb to depression.

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 one of 5 Little Tikes Cozy Coupe Sport

Australia?s No 1 selling car is now available in a Sports model and we have 5 to give away to some lucky Essential Baby families.

Join PADDINGTON on the red carpet!

To celebrate the release of PADDINGTON, we are giving five lucky winners the chance to win a family pass to the exclusive Australian Premiere in Sydney on December 7!

Knowing you are one of the lucky ones

I am secure, confident and strong, but the responsibility of protecting my children can almost bring me undone.

Why I am so emotional now I have kids?

There are so many ways in which parenthood changes us as women, but one of the most noticeable, for me, has been the changing state of my emotions.

Baby survives despite sharing womb with 'foreign body'

Baby Maia was conceived against the odds, only to find she was sharing a womb with an ominous "foreign body".

Video: Baby shows dog how to jump - or vice versa

They say dog is man's best friend, but this playful pooch seems to have chosen a jumping baby as her number one buddy.

10 ways to soothe a crying baby

New paernts can get frustrated when their newborn gets fussy and can't settle down. When you're feeling overwhelmed, try some of these simple tips to help soothe your baby.

20 baby names that are becoming more popular every year

The data-lovers at nameberry.com have been at it again – this time, they’ve discovered the names that are continually rising up the ranks, ready to take out some top spots in the next few years.

10 great meals to make for new parents

Ideally, you want to give food that isn’t expensive to make, isn't too difficult to create, and freezes well; stews, bakes, soups and pasta sauces are perfect.

'It's not you, it's me': Boston bombing survivor mum to have leg amputated

Rebekah DiMartino is going through a break-up. She even wrote a farewell love letter. But it's not to her husband.

What it's like to go through early menopause

In a cruel twist, Carla had been breastfeeding and perimenopausal at the same time. But she's far from the only one to go through menopause early.

Restaurant served alcohol to two-year-old

Busy restaurants can be forgiven for getting food and drink orders mixed up from time to time, but not when the confusion leads to a two-year-old being served an alcoholic cocktail instead of the child-friendly beverage they ordered.

Julia Morris tells of miscarriage on a flight

Julia Morris has spoken about the devastation of suffering a miscarriage while on an international flight.

Woman's survival after birth 'a story of two miracles'

A US mother is home and tending to her new baby less than a month after surviving without a pulse for 45 minutes.

Eating ice may give mental boost to the iron deficient: study

A new study proposes that, like a strong cup of coffee, ice may give those with insufficient iron a much-needed mental boost.

Tiny lives in caring hands: Thank U NICU Day

Each year in Australia, over 40,000 newborns need the help of a special care nursery or neonatal intensive care unit. One day a year, the staff are honoured by the parents they help through those dark days.

I paid $50,000 to have a girl

This time my husband and I hadn't taken any chances. We had paid $50,000 and travelled 13,000 kilometres to make sure the baby growing inside me was female.

Weird pregnancy products

Some pregnancy products come to market and are just awesome. Others just leave you scratching your head.

Dear firstborn, I'm sorry

Being a first-time mum is tough for so many reasons – particularly because you really have no idea what you're doing.

A trace of sesame could kill my son

Helen Richardson son's had two anaphylactic reactions in a month. It's traumatic for everyone.

When you know before the test says yes

It wasn't a pregnancy test or missed period that told me I was pregnant with my second baby; it was too early for those things. A doner kebab told me I was going to be a mum again.

What not to do when your partner is in labour

Robbie Williams stole the show during his wife Ayda's labour, pretty much demonstrating everything on the "what not to do when your partner is in labour" list.

Best maternity swimwear and beach cover-ups

Thinking about a tropical babymoon but have nothing to wear? Here are some great swimwear and beach cover-up options for mums-to-be.

'Chopstick Baby' born at 23 weeks

Given the nickname of 'Chopstick Baby' by local media, a baby born weighing 660g has survived a week outside the womb.

 

How many weeks til Christmas?

On your To-Do list

Get the "Santa" shopping done without the kids in tow.

 
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.