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Private obstetrician in a public hospital- no health insurance


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15 replies to this topic

#1 PJ Lover

Posted 22 March 2010 - 08:14 PM

Hey,
Just wondering if anyone can give a rough estimate of how much it would cost paying for a private obstetrician but going through a public hospital?

We dont have health insurance but if we were to get pregnant again would need our own Dr cause i would be high risk.

Is that the cheapest way to get your own Dr??

#2 Soontobegran

Posted 22 March 2010 - 08:21 PM

I think this could vary immensly. There are certain obstetricians who would charge several thousand dollars but others who may be 'kind' to you and give you a special deal..
Most women seem to pay between $3.500 -$6000 for their care privately and would imagine you'd be paying closer to the lower number out of pocket if you can find yourself a nice OB.

#3 3_for_me

Posted 22 March 2010 - 08:27 PM

Personally I'd be checking with your prospective hospital/s too.  I was high risk for my first pregnancy and saw the same OB all the way through at a public hospital under the public system, didn't need him in the end(thankfully) but I always saw the same one, if you have a preference you just need to find out when their regular consulting times are and make your appointment for then IYKWIM

#4 Boys Rock

Posted 22 March 2010 - 08:29 PM

What state are you in?
There is a great ob in brissie who does this. My friend used him twice this way and others have used him with PHI and everyone loves him

#5 fairymagic

Posted 22 March 2010 - 08:33 PM

Just wanted to reinforce what a PP stated. If your pregnancy is deemed high risk you will be under the care of an obstetrician in a public hospital anyway and not under the midwives clinic.

If you particularly wanted a private OB you can contact the public hospital where you intend to give birth and get them to provide the names of the private OBs who have admitting or treating rights at the hospital. You could then contact the OBs rooms and get a quote for costs from them.


#6 Mianta

Posted 23 March 2010 - 06:31 AM

You will be under the care of a high risk clinic, so allocated a consultant who will over see your care.

#7 blossomdeary

Posted 23 March 2010 - 07:56 AM

OB fees have nothing to do with private health insurance... it's purely about the hospital.

I found myself not fully covered after baby turned up as a surprise - so I am having my baby in a public hospital as a private patient.

I will be out of pocket about $5,500 from my OB whether I was fully covered or not. As far as the hospital I'm not sure what the fee would be if I wasn't partly covered for hospital. I'm not sure whether you have to pay extra for having your own OB.

In fact not sure you can actually choose your doctor in a public hospital unless you have some kind of basic health cover?? The basic hospital waiting period shouldn't be too long maybe you could sign up now and be covered in time?

Good luck original.gif

#8 Fourteenyears

Posted 23 March 2010 - 11:30 AM

QUOTE
OB fees have nothing to do with private health insurance... it's purely about the hospital.


Not quite true.  PHI doesn't cover appointments costs or the pregnancy management fee, but it does cover (with or without a gap) in hospital costs such as the OB's delivery fee, the anaethesist's fee etc.  It also covers the hospital fees (with or without a gap.)

It is usually possible to be a private patient (ie, have your own doctor if he has admitting rights there) in a public hospital but they will charge you as a private patient - so there will be a per night cost for your room which will probably vary depending on whether you end up in a shared or private room.

Keep in mind that if you are high risk, a private pregnancy can get expensive very, very quickly.  Extra OB visits, extra ultrasounds, extra admissions to hospital for montioring, extra bloodwork or whatever all add up.  My pregnancies are high risk and if I were to go private again under the new medicare outlines I would be budgeting about 10K for the pregnancy, and that's excluding what we'd get back from PHI for the actual stay in a public hospital.


#9 bailee

Posted 23 March 2010 - 07:52 PM

I have a high risk pregnancy and I go to a public clinic and see one of 2 doctors when I go.  I couldnt even contemplate seeing a private OB with for my pregnancies as it would cost a fortune - so far I have had surgery, 10 ultrasounds, investigations and treatments for infections, plus I see a specialist in addition to the OB and I'm only 20 weeks! The hospital I go to though, does have an option to see the doctor privately and be admitted as a public patient - so you see the dr in the same clinic as the public one, only you are guaranteed to see that doctor (and guaranteed to pay their fees - which are usually less than other private OBs). They also have a system where you can use your private health cover and medicare rebate as inpatient and not be charged any out of pocket expenses. This is only for inpatient services and does not count for ultrasounds, OB consults or other tests required.

Its worth calling various doctors and hospitals to find out their costs and policies.

#10 blossomdeary

Posted 23 March 2010 - 08:00 PM

QUOTE
Not quite true. PHI doesn't cover appointments costs or the pregnancy management fee, but it does cover (with or without a gap) in hospital costs such as the OB's delivery fee, the anaethesist's fee etc. It also covers the hospital fees (with or without a gap.)


Mine didn't cover any OB costs... the delivery fee was billed so was my anaethesist as a separate bill. As far as I am aware for me (and all my friends in the same boat) PHI covers the private hospital but not the OB. I'm with HCF and had full cover.



#11 Fourteenyears

Posted 23 March 2010 - 09:00 PM

Maybe your OB had an odd fee structure?  I'm with HCF too and they paid our OB's delivery fee for both kids.   The OB billed us, we paid and then we claimed through HCF.

#12 Soontobegran

Posted 24 March 2010 - 12:33 AM

QUOTE
In fact not sure you can actually choose your doctor in a public hospital unless you have some kind of basic health cover??


You can, not all private Obs will make themselves available but we have patients coming from some of the island countries in our region to deliver at our hospital. They have no insurance, no medicare, they have to make a deal with the individual doctor who does have bed rights at the hospital you wish to go to.
As PP have said though, if you have a High Risk pregnancy you will be under the control of a consultant who will more than likely be a private obstetrician who works at that hospital.

#13 blossomdeary

Posted 24 March 2010 - 08:58 AM

QUOTE (sassm @ 23/03/2010, 10:00 PM) <{POST_SNAPBACK}>
Maybe your OB had an odd fee structure?  I'm with HCF too and they paid our OB's delivery fee for both kids.   The OB billed us, we paid and then we claimed through HCF.


Hmmm - maybe we did claim it? I have no memory of it but then again I guess I was a little distracted!! wink.gif

I know we definitely couldn't claim the anaethestist.

#14 PJ Lover

Posted 24 March 2010 - 11:39 AM

Wow ladies- thanks for all that information.

Being high risk- my problem is that my babies are MASSIVE and my son ended up getting stuck with shoulder dystocia and almost didnt get out safely.

My worry is that a non-private ob wont be there for the delivery or may not take this very seriously. Im hoping for induction at 38 weeks.

What do people think?

#15 gfgirl

Posted 24 March 2010 - 12:10 PM

i would agree with some others - i was high risk and i have PHI and if i went private, it would have costed a fortune between both pregnancies i had


28 ultrasounds @$220 each
7 fetal medicine scans @ $480 (4 of them i paid myself)
87 blood tests @ $120 each
16 day admissions $600 for the bed + blood work etc
3 overnight stays @ $1500 for bed + extras
3 week long stays @ $4200 x 3 for bed = extras
58 visits by the OB @ $90 each
fertility blood work - $900


so i am glad i went public


#16 Luckyinlove

Posted 26 March 2010 - 11:13 AM

We have PHI, but only increased to incl babies 1 month before our wedding & un expectadly fell pregnant 3 weeks after our wedding.. SO we are not covered. We have decided to have our own OB who i love & he will deliver at public hospital. We are up for his fees - $2800.00 & paid that last week, got $460 or something close to that back from Medicare. We are also up for $950 for 2 nights accomodation in public hospital as a private patient, the anasthesists cost - NO IDEA what these are, maybe comeone can fill me in?

So all up $4000 ish.






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