Initial GP appointment to confirm pregnancy | Free if bulk billed, otherwise out-of-pocket cost applies. This cost is not covered by health insurance. Out-of-pocket cost usually ~ $30-$100. | Same with public patient | Same with public patient |
Follow-up appointments with the doctor | Free if bulk billed, otherwise out-of-pocket cost applies. This cost is not covered by health insurance. Out-of-pocket usually ~ $30-$100. | Same with public patient | Same with public patient |
Prenatal care – obstetrician appointments | Generally not available in the public system. You can access the OB program but don't get your choice of doctor. | You can choose which private OB you would like to see. Appointments are not covered by health insurance, but you can claim around $40 per appointment with Medicare. There are usually around 12 appointments throughout a standard, low-risk pregnancy and appointments are $100–$200 each. Out-of-pocket cost ~ $720–$1,920. | Same with private patient covered by health insurance |
Prenatal care – midwife appointments | You can access the midwife program through the hospital, but usually don't get your choice of practitioner. | You can choose which private midwife you would like to see. Appoinments are not covered by health insurance, but you can claim around $40 per appointment with Medicare. There are usually around 12 appoinments throughout a standard, low-risk pregnancy and appointments are $100–$200 each. Out-of-pocket cost ~ $720–$1,920. | Same with private patient covered by health insurance |
Genetic testing e.g. NIPT | NIPT is not rebated by Medicare and is not covered by private health insurance. Out-of-pocket cost ~ $400-$450. | Same with public patient | Same with public patient |
Ultrasound – Eearly pregnancy dating scan (7-9 weeks) | Free through the hospital. | Basic scans may be performed in OB office. Cost $200-$350, with a Medicare rebate of around $55. Out-of-pocket cost ~ $145-$245. | Same with private patient covered by health insurance |
Ultrasound – pregnancy dating scan (9-12 weeks) | Free through the hospital. | Basic scans may be performed in OB office. Cost $300-$350, with a Medicare rebate of around $55. Out-of-pocket cost ~ $245-$295. | Same with private patient covered by health insurance |
Ultrasound - nuchal translucency or first trimester morphology scan (12–14 weeks) | Free through the hospital. | Cost $300-$350, with a Medicare rebate of around $65. Out-of-pocket cost ~ $235-$285. | Same with private patient covered by health insurance |
Ultrasound - second trimester morphology (18-20 weeks) | Free through the hospital. | Cost $350-$500, with a Medicare rebate of around $95. Out-of-pocket cost ~ $245-$405. | Same with private patient covered by health insurance |
Ultrasound - foetal growth, 28 weeks onwards | Free through the hospital if medically necessary. | Cost $350-$500, with a Medicare rebate of around $55. Out-of-pocket cost ~ $245-$295. | Same with private patient covered by health insurance |
Blood tests | Free, covered by Medicare. | Same with public patient | Same with public patient |
Glucose tolerance test for diabetes | Free, covered by Medicare. | Same with public patient | Same with public patient |
Antenatal classes | May be offered for free through the hospital. | Covered if you have the right level of extras cover. | $300–$500. |
Delivery (theatre fees) – vaginal delivery | Free through the hospital. | The delivery and birthing suite is covered. The OB fees are usually covered through the no-gap scheme, but it's worth checking. | Delivery and birthing suite for standard delivery can be $1,000-$1,250 |
C-section | Free through the hospital. | The delivery and birthing suite is covered. The OB fees are usually covered through the no-gap scheme, but it's worth checking. | Delivery and birthing suite for C-section delivery can be $1,250-$1,500 |
Anaesthetist for epidural | Free through the hospital. | Some of the fee is covered by Medicare. Insurers set an upper limit for how much they'll pay over the MBS fee called the no-gap threshold. If your anaesthetist charges above the MBS fee, but under the no-gap threshold, you'll have no out-of-pocket costs. Otherwise, you could be out of pocket up to ~ $500. | Some of the fee is covered by Medicare. You'll be out of pocket for the rest of the fee, ~ $500–$1,000. |
Obstetrician pregnancy management fee | N/A. | Receive between $300 and $500 back on Medicare. If your doctor participates in the no-gap fee program, you're out of pocket the remainder, usually ~ $2,500–$4,000. | Receive between $300 and $500 back on Medicare. You're out of pocket the remainder, usually ~ $3,000–$5,000. |
Paediatrician fees in hospital | Free through the hospital. | Total cost $350–$500 for an initial consult at birth and subsequent daily visits, with Medicare rebates worth around $200. Out-of-pocket cost ~ $150-$300. | Same with private patient covered by health insurance |
Stay in hospital | Yes, usually a shared room with other patients, for 1 night. | A private room for 4 nights is covered. | A private room for 4 nights usually costs around $750-$1,250 a night or $3,000-$5,000 total. |
Home birth | Very few public hospitals provide home births that are covered by Medicare. As a guide, out-of-pocket costs can be around $5,000. | Same with public patient | Same with public patient |
Partner's food in hospital | N/A. | Not covered by private health insurance – out of pocket ~ $200. | $200 |
Midwife visits after birth | Free through the hospital. | May be offered for free as part of your OB or midwife program. Otherwise, private midwife visits can range from $100 each to $1,200 for a program. | Same with private patient covered by health insurance |
Postnatal services | No. | Yes, with extras cover. | $0-$400. |