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* 5. Please rank the approaches below in order of your preference to reduce or remove out of pocket expenses for obstetrics. (where 1 is your preferred option and 6 is your least preferred option)

  1. Total rebates (Medicare + Private Health Insurance) are increased to the level of median fees (including the pregnancy management fee) charged by obstetricians during 2019 (pre-COVID) and all future rebates are indexed to CPI or health CPI.
  2. All existing rebates (Medicare + Private Health Insurance) are indexed to CPI and a Government “bulk billing incentive” (similar to that given to GP’s) is incurred once 75% of all pregnancy item numbers are bulk billed.
  3. Obstetricians sign contracts with Private Health Insurers and Hospitals, allowing these entities to set fees (and rebates) which must be accepted for the term of the contract.
  4. Do nothing. It is fair for Australians to expect that doctors will accept established Medicare rebates as full payment for any service that is provided.
  5. Obstetricians implement fee flexibility or reduce fees to maintain/increase patient volume while taking account of economic and environmental drivers on patients.
  6. Government provides a rebate at a cap (say $1,500) for out of pocket private obstetric fees.

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* 6. Do you have any additional comments or suggestions?

Thank you for taking the time to help NASOG develop our policy and advocacy approach on the issue of Out of Pocket Expenses for Obstetrics. If you have any queries or wish to discuss further, please contact us at ceo@nasog.org.au