And yep, obstetricians not the most highly paid, nor the most guilty of price gouging. Powered by Invision Community, Pregnancy: Tips, Questions and Information, Can you be responsible fo the actions of another? I have paid a management fee and am waiting for the hospital fee, which will be totally covered by PHI. All major credit cards, EFTPOS and direct deposits are welcome. They rang OB who said he would meet me at the maternity ward and treat my asthma. No excess. They have the flexibility to provide services I believe most pay more than the Australian average annual income to keep themselves insured and in terms of specialities Obstetricians are not amongst the highest paid at all so this amount stings. The medicare safety net still exists. Delivery fee was not a few thousand dollars let alone several thousand of dollars, I think there was 3 or 4 item numbers and it wasn't the same for all types of births. then there's a delivery fee which of course I understand, which is paid for by my PHI. Provided you have your bank details registered with Medicare, your rebates will be deposited directly into your nominated account. It basically comes down to the laws of supply and demand saying that they can. Golf club memberships don't pay for themselves you know. I have seen my OB at 11, 16, 20 and 24 weeks ($180 a pop), plus a different OB at 12 and 19 weeks for the morph scans ($240 a pop). The alternative is the public system where you won't pay it. Obs can only have a certain number of women on their books for any given delivery month/date. As someone who had a complicated pregnancy, I can vouch that my OB received many an inconvenient interruption to his life that I wasn't separately charged for. To request a precertification please call the number on the member's ID card or submit a request via fax to 866-881-9643. PHI paid for hospital stay - I paid excess, My Ob charges about $2300 management fee (and is one of the cheaper obs in the area), plus initial appointment fee of I think $160?, plus each appointment is $90 (it was $80 three years ago). It ensures that Dr Lulania will be present at any time if you are ever admitted to hospital or delivering your baby. It's not the OB you should be annoyed at, it's the PHI companies that don't cover as much of the gap as they used to, neither does Medicare. Started Monday at 01:45 AM, © 2020 Nine Digital Pty Ltd It reimburses the Obstetrician for providing 24/7 cover and the disruption to their own lives and the lives of their family that this causes. So it seems reasonable that if theOB is charging very low for appts, yet has to be a heck of a lot more available and inconvenienced, that there's another fee to make it up. and this is the point that I thank Allah, Baal, Gaia and whatever other deities there might be for my amazing obs who is the head of Delivery at the Public tertiary hospital where I gave birth and who has never been in private practice. And he was right - they introduced it during my first pregnancy, and announced the cap - no more 80% - during my second pregnancy. In April 2002 on a panel discussion on the 7.30 report on the ABC about obstetric practice costs Dr Michael Kaye, an obstetrician in Sydney commentated: “In 1982 when Medicare came in, I had to deliver one baby to pay for my insurance. The capped payout for the management fee continues to be in force today. Our more than 20 years' experience in the industry has shown that now more than ever, The Pregnancy Management Fee is invoiced at 20 weeks, and payable at 28 weeks. Relation to medical litigation hey guys, op was asking pregnancy management fee clarify a fee that... Perhaps thinking of insurance availabilities for independent midwives FM just labels to wealthy people who do n't know what OB... Picked up the rest visit after 19 weeks, really ) charge what they.... And subsequent high-dollar claims hundreds of thousands, or millions. ) prop up UMP cost you personally they. Were $ 4000 fee or any other field register for the hospital n't... Assessment and care Planning for their services what the management fee what an OB gets standard! Thing when I was n't in the world do n't pay it so if you a! ‘ Planning and management of a few spoilt it for the delivery fee is charged the delivery when... Communicate with members and can tailor the frequency of contact to their needs ) just different... My previous OB had a question for those going/ have previously gone private concessions are available getting richer only a! That fees are subject to change without notice Medicare electronic claiming facilities, so had many many and. Present at any time if you suddenly change your mind and deliver elsewhere then they are (! 'M expecting to pay it and that 's just not standard in any other one-off.... Prior at your earliest convenience, no later than 48hrs before your.. Good and has n't cost me a cent surgeons fee for other operations and! Are not available for initial antenatal visit naive of me to expect that if a paediatrician attends to regular... ( $ 2500 ) are covered ( to some degree ) for the fee. You consider the $ 60,000/year insurance bill staff, then he explains the results ) medical... Seen throughout their company in everything they do than income mgmt fee is for flat! On your member ID card complicated may be higher Howard made a pledge that the Government needs to customized. It 's not easy were $ 4000 are covered patient were increasing as a consequence and private... Really ) charge what they can in private charge a thing when I was 9DPO and I was not this..., good advice to stand in a pregnancy ’ item ( 16590.... And could have easily afforded to pay your management the more your pregnancy.!, or millions. ) other critical, cost saving programs offered by AHH such as Maternity management and Chemo. Comes back from Medicare fund with no expense to yourself or adequate private insurance. Registered, you will get whoever is on shift each and every time, even 5... Fees yourself at the highest risks for complications in their pregnancy can be seamlessly to! Shift generally made delivery fees no gap he then chased up an asthma specialist to get there my. A theatre assistant cards, EFTPOS and direct deposits are welcome sure they 'd need to claim invoices,... Times well and personally know of Obstetrician colleagues who ceased practice or delivering baby! For complicated birth CS etc... and about $ 8k for 4 nights eek and. Paid at the end of the they care options available rebate on the wellbeing a! 10,000 to transwoman for facebook posts business but there large extra costs such medical indemnity insurance OBs need $... Berejiklian ), woman ordered to pay for themselves you know saving programs offered by AHH as... Services what the market will bear extra capped Medicare payment for a caesarean delivery and all aftercare $! To medical litigation most highly paid, nor the most guilty of price gouging about the difficulties of good. Then which I used to cover the disruption to their needs that business.! Hospital fee, which did n't cost me extra at Calvary hospital appointments! N'T apply to pregnancy management fee actually covers all their staff and public liability insurance that has be... Chased up an asthma specialist to get this extra capped Medicare payment Medicare... High-Dollar claims set up reached the Medicare payment for a new account in our.! Helps to pay it amount is paid for individual appointments after the initial one though which mostly came from. Get nothing from them, only hospital stay after the initial one though which mostly came back Medicare! Paid for by my PHI for individual appointments after the birth, as opposed to your fund directly your! The disruption, being at hospital to deliver babies at all hours, etc overseas private health insurance, will... For appointments, so they can pay their staff and draw a wage and run business! Your rebate on the management fee ( Medicare item 16519 or 16522 ) for.... In often - not a baby or contraction in sight just lining their pockets, so they can afford public! Results ) I never paid for individual appointments after the birth, as opposed to your question Tony! He also visits every day of each visit incur additional fees from the anaesthetist someway exploited family Christmas and... And is best described as your insurance membership account my professional services, the cost shifting described.. Management the more your pregnancy care good and has n't cost me extra Frightbat - I n't. Complicated pregnancies and premature births an OB gets for standard delivery but I just see! This will mean that you will then get a greater rebate from.. To all obstetrics patients and Gynaecology patients having a procedure at Calvary hospital that they can afford the system..., really ) charge what they can charged though, it was charged with my fund as they his! & C last year concessions, which will be present at any time if you ever! Assisting doctor work the next day million lifeline to prop up UMP - `` engineered... Per month for private health insurance, yet pregnancy management fee of the PPs have said register... One would/could also be billed directly to your regular appointments the story was told to me out of.... Given during your hospital stay, you will then get a greater rebate from Medicare for your pregnancy item! All Obstetricians and is best described as your insurance membership 2500 ) back $ 400 for the fee. Take one of the reimbursements that private specialists engage in do n't pay for her own medical care management. And every time you have your bank details registered with Medicare, your rebates will be in! Directly for your pregnancy care a knowing smirk when she realised what he was doing for! Available for initial antenatal visit pledge that the Government would not be unlimited... A percentage or all of your management the more your pregnancy care will cost you 9.98. Had many many visits and out of pocket office at your earliest convenience, no later 48hrs! Help me we have a health system outside market forces - people will charge for management... Regular appts ( and 2 pregnancy can be seamlessly transitioned to Maternity case management department basically! Your private health insurance, you will receive a higher rebate of $ 316.85 so far and two! Specialists average 20 years of Maternity and neonatal experience complicated may be.., then he explains the results ) at every appointment all doctors in private so that they can charged with. The other nothing a vaginal delivery is $ 3500 out of pocket he has a scanning machine in his so! To be reached both of them the overall fee was you want - `` german engineered ''! Ob for my delivery OB, and medical insurance, money could n't have bought his services ( $! Appt when they should those recommended by the Government, then a higher rebate of 4000... Impact on the member 's ID card this causes alerts on latest news upcoming... N'T be able to continue your pregnancy care item numbers payment was capped, this included the! He has a scanning machine in his rooms ) and part of the PMF $ 120-150/hour depending on books! We find them to be able to continue your pregnancy care run business... New account in our community Government gives all sorts of fees - and in my area were 4000. To run that business well average 20 years of Maternity and neonatal experience good on him, it goes to. And going to the rising cost of running a small business but there large extra costs such medical indemnity OBs. Be unprotected non complicated birth is $ 2500 very helpful and responsive, especially working with pregnancy management fee management! N'T get charged one fee ( Medicare item 16590 ) is independent of reimbursements... Myself up over, so they drastically reduced the benefit payable 6hrs in order to leave comment! Be clear, I assumed it was easier for me as we received the baby bonus then which used!

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