logo
Aussie's $963 Medicare shock as mum-to-be breaks down cost of having a baby: 'Incredible'

Aussie's $963 Medicare shock as mum-to-be breaks down cost of having a baby: 'Incredible'

Yahoo26-04-2025

A Melbourne mum-to-be has shared her surprise at the cost of giving birth in Australia. The cost of having a baby in Australia can vary significantly depending on whether you go public or private, with Medicare covering most costs of pregnancy and childbirth if you opt for the public system.
Sarah Brewer and her partner are expecting their first child in September and have spent $963 so far through the public system. The 29-year-old told Yahoo Finance she was 'really surprised' by how low their out-of-pocket costs have been.
'I was living overseas for the past couple of years and I just hear a lot of stuff online about how basically terrible our healthcare system is becoming and how hard it is to get a GP that bulk bills and all these kinds of things,' she said.
'I was going into it expecting to have to pay $230 for every scan, so I was surprised that so much was covered but it's incredible.'
RELATED
Aussie mum exposes 'confronting' dilemma after leaving six-figure job: 'Not spoken about enough'
Centrelink's blunt warning over $1,200 'one-off' cost-of-living payment: 'Be mindful'
Aussie boss defends controversial public holiday surcharge as workers paid $62 an hour: 'CEO wages'
Brewer shared a video online going through her costs so far.
Her and her partner found out they were pregnant in December and were able to see a bulk billing GP for free to get blood tests and confirm the results.
Their first dating scan was also free, along with follow-up visits to the GP.
Their 12-week scan was $230, with $66 back from Medicare, and they opted to get genetic testing done, which cost them $799 for the top-tier NIPT testing.
Their hospital care and midwife appointments at Monash Health have also been free.
They have been told their future 20-week, 28-week and 32-week scans will also be free.
Altogether, they are out of pocket $963 for the 12-week scan and genetic testing with no future expenses expected.
Brewer was made redundant from her job as a fitness manager and personal trainer at a gym in March and has been applying for casual retail jobs. Her partner owns his own landscaping business.
'Obviously, raising a baby is not the cheapest thing, so I'm expecting there will be significant costs in the future,' she told Yahoo Finance.
'I'm trying to do everything on the cheap, buying stuff off Facebook Marketplace, and family and friends have been chipping in, so just trying to lower my costs as much as possible.'
Brewer said she was finding it hard to find a job given she can only work for a short period of time before the baby arrives.
'It's so hard to find a job at five months pregnant. I get interviews and as soon as I say I'm looking for 12 to 16 weeks worth of work because I'm pregnant, they're like alright bye,' she said.
'I apply for 20, 30 jobs a day and don't hear anything back … I used to work in operations and logistics and had a team of 200 people I was in charge of and a Business degree.
'It's partly on me because I'm not applying for big girl jobs, I'm applying for casual jobs but I am finding it tough just to get my foot in the door.'
The cost of having a baby varies significantly depending on whether you choose the public or private healthcare system.
Finder's survey of more than 1,000 Aussies found $726 was the average cost for childbirth in the public system. This can cover things like optional dating scans, genetic testing, private specialist appointments or other occasionally extra costs.
'In the public system, all of the associated costs of pregnancy and childbirth are generally covered by Medicare, resulting in very few out-of-pocket expenses,' Finder personal finance expert Sarah Megginson told Yahoo Finance.
In comparison, Finder found you can expect to be out of pocket at least $5,000 for a private pregnancy and birth. But some Aussies could spend upwards of $10,000 to $12,000.
'A private pregnancy and birth can be quite expensive,' Megginson said.
'While gold-level health insurance should cover a large portion of the hospital costs, there's often still substantial out-of-pocket expenses for your ongoing specialist appointments.
'Medicare covers a small rebate, but most mothers-to-be can expect to be out of pocket by several thousand dollars for their obstetric appointments alone.'
Additional costs can include things like scans, gap fees for your obstetrician, anaesthetist and paediatrician, and excess on your hospital cover.
Megginson said the decision to go public or private was a 'personal choice' and was about more than just numbers.
She noted private care gave you access to more choices around your obstetrician, which hospital you deliver at, the times and dates of your appointments, along with getting a private room after birth.
'It really depends on the access you have to public hospitals in your area too, and also your own unique health concerns,' she said.
'I've given birth four times in a private hospital, and my out-of-pocket costs were in the range of $3,000 to 7,000 each birth – keeping in mind, my first birth was almost 15 years ago!
'It was really important to me to choose my own obstetrician and have that continuity of care, and I also wanted to stay in a private room for a few nights after birth. But if those things aren't as important to you, you could save a small fortune by going public.'
Brewer said she didn't have private health insurance and had decided to go through the public system.
She said she has been happy with her decision and has received "incredible" care so far.
'As someone with no fertility issues or anything, I didn't see the benefit of going private. I thought the public system would be fine and didn't have any hesitations,' she said.
Megginson recommended Aussies weighing up the decision do some research and list out all the costs involved.
You could also take a tour of the maternity and delivery suites in your local hospitals to help with your decision.Sign in to access your portfolio

Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

Republicans are also sweating Medicaid cuts in Big Beautiful Bill, poll finds
Republicans are also sweating Medicaid cuts in Big Beautiful Bill, poll finds

Yahoo

time2 hours ago

  • Yahoo

Republicans are also sweating Medicaid cuts in Big Beautiful Bill, poll finds

More than four in 10 Republicans are worried about the Medicaid cuts being contemplated as a part of President Donald Trump's domestic policy mega-bill, a reminder that key parts of President Donald Trump's base also stand to be adversely impacted by the sprawling legislation. One-third of respondents to the new KFF poll identify as MAGA Republicans, reflecting the overall enrollment in the joint state/federal health care program. Among enrollees, more than a quarter are Republican, including 1 in 5 who identify as MAGA Republicans, according to the pollWhil. Republicans who control the U.S. Senate now have the bill, which passed the U.S. House by a single vote late last month. The upper chamber is contemplating its own changes to the legislation, which would blow up the deficit and impose sweeping social service cuts as it seeks to make Trump's first-term tax cuts permanent. The poll found that a large majority of rural Americans and those with lower household incomes, another key part of Trump's base, are worried that Medicaid reductions would lead to more children and adults losing coverage. They said they also feared it would harm health care providers in their communities and make it more difficult for them and their families to access care, according to the poll. Those findings broke down along partisan lines. Nonetheless, half of rural Republicans said they were worried about people becoming uninsured, according to the poll. Rural health care providers, who often rely on Medicaid funding, may be "especially vulnerable to the decreased federal spending included in the reconciliation bill," according to KFF pollsters. Public views on how the Republican White House's policies will impact the nation's health care system are largely partisan. But overall, most of the public says the administration's policies will weaken Medicaid and Medicare, including most Democrats and independents. Republicans said they expect those policies to strengthen or have no impact on these programs. Read More: A 'historic battle': Mass pols protest Medicaid cuts in 'Big Beautiful Bill' | John L. Micek Among Republican Medicaid enrollees, however, 'views are mixed with similar shares saying the policies will strengthen, weaken, or have no impact on the program they rely on,' according to the poll. In Massachusetts, Democratic Gov. Maura Healey and her allies in the state Legislature have predicted grim consequences for MassHealth, as Medicaid is known in the Bay State. As it's currently written, the bill that passed the U.S. House by a single vote last week would reduce Medicaid spending by nearly $700 billion over a decade, according to an analysis by the Congressional Budget Office. That would cost the state's health care system $1.75 billion, affecting 250,000 people statewide, MassLive previously reported. This is my classroom. ICE isn't welcome here. What a monk, a librarian and a dentist have to do with Harvard's fight with Trump Harvard relinquishes possession of slave photos after years-long dispute Trump says Musk has 'lost his mind' as he disses peace offering Judge blocks Trump admin from banning Harvard international students from entering US Read the original article on MassLive.

Alpha Cognition Inc. Common Stock (ACOG): A Bull Case Theory
Alpha Cognition Inc. Common Stock (ACOG): A Bull Case Theory

Yahoo

time2 hours ago

  • Yahoo

Alpha Cognition Inc. Common Stock (ACOG): A Bull Case Theory

We came across a bullish thesis on Alpha Cognition Inc. Common Stock (ACOG) by anygal on r/investing on Reddit. In this article, we will summarize the bulls' thesis on ACOG. Alpha Cognition Inc. Common Stock (ACOG)'s share was trading at $9.33 as of 30th May. ACOG's forward P/E was 26.88 according to Yahoo Finance. A chemist in a laboratory analyzing data from the various therapeutic tests conducted. Alpha Cognition Inc. (NASDAQ: ACOG) represents a potentially overlooked opportunity in the Alzheimer's treatment space, having recently launched its oral drug, Zunveyl, at the end of March. With a current market cap of $150 million and $45 million in cash, the company is targeting the underserved segment of the Alzheimer's population—specifically, the 50% of patients in long-term care (LTC) not taking any current medications due to severe side effects. Unlike other galantamine-based drugs, Zunveyl significantly slows disease progression and improves short-term memory with a markedly better safety profile—only one serious side-effect case was reported in its Phase 3 trials, versus a 50% rate seen in traditional options. The drug's Medicare coverage further eases affordability, lowering monthly out-of-pocket costs to $30–$190. Initial demand appears promising, with nearly 500 patients starting treatment in the first two weeks of launch. Even a modest 1% market penetration into the LTC segment could yield $135 million in annual revenue, with $67.5 million in net income assuming 50% margins. A 5% penetration would put net income at $675 million, dwarfing the current valuation. Alpha Cognition has also secured a distribution deal with a major Chinese pharmaceutical firm, creating a royalty-based revenue stream in Asia. While the upside is substantial, key risks remain—most notably, the emergence of unforeseen serious side effects post-launch, which could lead to FDA scrutiny or suspension of sales. Still, the market's underreaction and the company's positioning as a safer, effective alternative in a high-need space make ACOG a high-upside, high-conviction bet for risk-tolerant investors. Previously, we have covered ACOG in March 2025 wherein we summarized a by BullishDoctor on Twitter. The user highlighted that Alpha Cognition Inc.'s drug ZUNVEYL addressed the major side effects of existing Alzheimer's treatments, making it highly tolerable and poised for adoption in long-term care facilities, a $2 billion market. The company was pre-revenue but launched in March 2025 with strong physician support, a nearly complete sales force, and promising catalysts like a Phase 4 study and sublingual formulation, projecting breakeven within three years. Since our last coverage, the stock is up 61% as of 30th May. Alpha Cognition Inc. Common Stock (ACOG) is not on our list of the 30 Most Popular Stocks Among Hedge Funds. As per our database, 8 hedge fund portfolios held ACOG at the end of the first quarter which was 10 in the previous quarter. While we acknowledge the potential of ACOG as an investment, our conviction lies in the belief that some AI stocks hold greater promise for delivering higher returns and have limited downside risk. If you are looking for an extremely cheap AI stock that is also a major beneficiary of Trump tariffs and onshoring, see our free report on the best short-term AI stock. READ NEXT: 8 Best Wide Moat Stocks to Buy Now and 30 Most Important AI Stocks According to BlackRock. Disclosure: None. This article was originally published at Insider Monkey. Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data

CHAMPVA and Medicare: Which Is Primary?
CHAMPVA and Medicare: Which Is Primary?

Health Line

time5 hours ago

  • Health Line

CHAMPVA and Medicare: Which Is Primary?

You can use CHAMPVA and Medicare at the same time. When you use Medicare together with CHAMPVA, Medicare is the primary payer. CHAMPVA is a cost-sharing health coverage program for some military families who don't qualify for TRICARE. You can use CHAMPVA with Medicare when you're eligible for both programs. CHAMPA will be the secondary payer to Medicare and will pay most of your out-of-pocket costs. Since there are no additional premiums if you qualify for CHAMPVA, using it alongside Medicare can significantly lower your healthcare costs. Glossary of common Medicare terms Out-of-pocket cost: This is the amount you pay for care when Medicare doesn't pay the full cost or offer coverage. It includes premiums, deductibles, coinsurance, and copayments. Premium: This is the monthly amount you pay for Medicare coverage. Deductible: This is the annual amount you must spend out of pocket before Medicare begins to cover services and treatments. Coinsurance: This is the percentage of treatment costs you're responsible for paying out of pocket. With Medicare Part B, you typically pay 20%. Copayment: This is a fixed dollar amount you pay when receiving certain treatments or services. With Medicare, this often applies to prescription medications. What is CHAMPVA? The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is a healthcare plan for certain dependents of veterans. CHAMPVA is a different program from TRICARE, which also services military members, veterans, and their families. TRICARE eligibility is open to people who are: active or retired uniformed service members spouses or children of active or retired uniformed service members members of the Army National Guard or Reserve spouses or children of Army National Guard or Reserve members spouses or children of deceased military members certain former spouses of military members Medal of Honor recipients spouses and children of Medal of Honor recipients You can't use CHAMPVA if you have or are eligible for TRICARE. CHAMPVA helps cover certain dependents who aren't eligible for TRICARE. For example, service members who leave active duty under certain conditions might not qualify for TRICARE. However, if they have a disability caused by their service, their family may be able to enroll in CHAMPVA. How does CHAMPVA work with Medicare? Since 2001, CHAMPVA beneficiaries have been able to use their coverage after turning 65 years old. This means CHAMPVA can be used alongside Medicare. You'll need to be enrolled in Medicare to keep your CHAMPVA coverage. Here are the rules for how that works: If you turned age 65 before June 5, 2001, and did not have Medicare Part B at the time, you only need to be enrolled in Medicare Part A to keep your CHAMPVA coverage. If you turned age 65 before June 5, 2001, and were already enrolled in Part B at that time, you need to be enrolled in both Part A and Part B to keep your CHAMPVA coverage. If you turned 65 years old after June 5, 2001, you need to be enrolled in parts A and B to keep your CHAMPVA coverage. Example For example, let's say you turned 65 years old in 1999 and enrolled in Medicare parts A and B. You won't be able to drop your Part B coverage and keep your CHAMPVA coverage. However, if you turned age 65 in 1999 and enrolled in only Part A, you wouldn't need to sign up for Part B to keep your CHAMPVA coverage. You can use CHAMPVA alongside: Original Medicare (parts A and B) Medicare Advantage (Part C) Medicare Part D, which is prescription drug coverage It's important to note that CHAMPVA won't pay for the cost of your Part B premium. You should also know that you can no longer use VA healthcare facilities or healthcare professionals once you're enrolled in Medicare. What services does CHAMPVA cover? CHAMPVA is a cost-sharing health insurance program. This means it will pay a portion of the cost of health services you receive, and you'll pay the remaining amount. You won't pay a premium for CHAMPVA, but there is a $50 deductible before coverage kicks in. After you pay your deductible, CHAMPVA will pay what's known as the 'allowable amount' for all covered services. Generally, CHAMPVA will pay 75% of the allowable amount, and you'll pay the other 25%. Covered services include: hospital stays primary care doctor visits specialist visits lab work skilled nursing care home care ambulance transportation mental health services prescription drugs There are two other completely covered benefits: Hospice care from any provider is 100% covered under CHAMPVA. You can also get prescription coverage at no cost to you if you use the Department of Veterans Affairs (VA) Meds by Mail program, if you have no other prescription drug coverage. Coverage works differently if you use CHAMPVA alongside another health insurance plan, including Medicare. When you use CHAMPVA with another insurance plan, CHAMPVA becomes what's called a secondary payer. This means your other insurance plan will be billed first, and CHAMPVA will then pay the remaining cost. This can save you a lot of money on out-of-pocket medical expenses like copayments or coinsurance amounts. Who pays first for healthcare costs? Medicare is the primary payer when you use it with CHAMPVA. This means Medicare will be the first to pay the cost of any service you receive, and then CHAMPVA will pay the rest. You'll have very few out-of-pocket costs using CHAMPVA and Medicare together since CHAMPVA will generally pay any copayments or coinsurance amounts. You can expect to pay: nothing out of pocket for any service that both Medicare and CHAMPVA cover your Medicare coinsurance cost of 20% for a service Medicare covers, but CHAMPVA doesn't your CHAMPVA cost sharing of 25% for anything CHAMPVA covers, but Medicare doesn't The same rules apply to Medicare Part D. CHAMPVA will pick up your copayments on all covered prescriptions. It will also pay 75% of the cost of prescriptions that your Medicare Part D plan doesn't cover. Present both your Medicare Part D plan card and your CHAMPVA ID card at your in-network pharmacy for coverage. Getting your coverage questions answered If you're not sure who will pay for a service, you can check ahead of time by: calling Medicare's Benefits Coordination & Recovery Center at 855-798-2627 (TTY: 855-797-2627) calling CHAMPVA customer care at 800-733-8387, Monday through Friday from 8:05 a.m. to 7:30 p.m. Eastern Standard Time What about Medicare Advantage? You can use your CHAMPVA coverage with a Medicare Advantage plan. Since Medicare Advantage plans replace Original Medicare, having an Advantage plan still meets the requirement to be enrolled in Medicare to keep CHAMPVA once you're age 65. Your Medicare Advantage plan will be the primary payer, just like when you have Original Medicare. CHAMPVA will pay your copayments and other out-of-pocket costs. Your bill will go to your Medicare Advantage plan first and then to CHAMPVA. In most cases, you won't have any out-of-pocket costs. Many Medicare Advantage plans also include Part D coverage. When you use a Medicare Advantage plan that includes Part D along with CHAMPVA, your CHAMPVA benefits will pick up the cost of your prescription copayments. Medicare Advantage plans often have networks. The network includes all the providers that your Medicare Advantage plan will cover healthcare services. In many cases, you'll need to pay out of pocket for any services you receive from an out-of-network provider. However, when you use CHAMPVA along with your Medicare Advantage plan, you can often get 75% of the cost of out-of-network services covered. How do I choose the right coverage options for me? You need to enroll in Original Medicare (parts A and B) to keep your CHAMPVA coverage. You can also choose to enroll in additional Medicare parts, such as: Medicare Advantage Medigap Medicare Part D The best option for you will depend on your personal needs and budget. Medicare Advantage, Medigap, and Medicare Part D plans have their own premiums, deductibles, and other costs. CHAMPVA can cover some of these costs, but not your premiums. You might not even need additional Medicare parts if you're using CHAMPVA. For example, Medigap plans are designed to cover the out-of-pocket costs of Medicare parts A and B. However, since CHAMPVA already does this when you use it alongside Medicare, you might not need a Medigap plan. Here are some other common scenarios to consider: Original Medicare + CHAMPVA Let's say you have CHAMPVA and Medicare parts A and B, and you choose not to enroll in any other Medicare plans. You'd pay the Medicare Part B premium, and Medicare would be your primary payer for all covered services. You could get prescriptions for 25% of the allowable amount at a pharmacy or completely covered if you use the Meds by Mail program using only CHAMPVA. Original Medicare + Part D + CHAMPVA You have CHAMPVA, Medicare parts A and B, and a Part D plan. You'd pay the Medicare Part B premium and the premium for your Part D plan. Medicare would be the primary payer for services and prescriptions. CHAMPVA would pick up your copayments and coinsurance amounts. Medicare Advantage + CHAMPVA You have CHAMPVA and a Medicare Advantage plan that includes Part D coverage. You'd pay the Medicare Part B premium plus the premium for your Medicare Advantage plan. Medicare would be the primary payer for your services and prescriptions. CHAMPVA would pay your copayments and coinsurance. Ways to save on Medicare coverage It's worth noting that you may be able to find Medicare Advantage or Medigap plans in your area with $0 premiums. You can shop for plans in your area on the Medicare website and compare prices, networks, and covered services before you commit to a plan. You can also look for savings on your Medicare coverage. You might qualify for programs to help lower your costs if you have a limited income. These programs include: Extra Help, which lowers your prescription drug costs Medicare savings programs, which can lower your costs for parts A and B Ultimately, the right plan for you depends on your needs and your budget. You'll want to select a plan that includes: the doctors you want to see any prescriptions you take any services you need You can also search for premiums in your price range, and those with out-of-pocket costs you can manage. How do I know if I'm eligible for CHAMPVA? You're eligible for CHAMPVA if you're the dependent child or the current or widowed spouse of a veteran who meets one of these conditions: is permanently and totally disabled from a service-related injury or disability was permanently and totally disabled from a service-related injury or disability at the time of their death died from service-related injury or disability died during active duty is not eligible for TRICARE There is no premium cost for CHAMPVA coverage. You can apply for CHAMPVA at any time. You'll need to send in an application along with documents that prove your eligibility. Depending on your circumstances, these might include: service records marriage records birth certificates You'll also need to send in information about any other insurance plan you currently have. Your application will generally be processed in 3 to 6 weeks. If your application is approved, you will receive a CHAMPVA card in the mail. As soon as your card arrives, you can start using CHAMPVA coverage. The takeaway When you use CHAMPVA with Medicare, CHAMPVA acts as the secondary payer. CHAMPVA doesn't cover Medicare premiums but will cover most of your other out-of-pocket healthcare expenses. CHAMPVA pays 75% of the cost of most services. The information on this website may assist you in making personal decisions about insurance, but it is not intended to provide advice regarding the purchase or use of any insurance or insurance products. Healthline Media does not transact the business of insurance in any manner and is not licensed as an insurance company or producer in any U.S. jurisdiction. Healthline Media does not recommend or endorse any third parties that may transact the business of insurance.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into the world of global news and events? Download our app today from your preferred app store and start exploring.
app-storeplay-store