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Obstetrician confinement fee, What is it for?
Obstetrician Fees


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#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.




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