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Choose the best health insurance cover that suits your family’s needs!

Whether you’re thinking about starting a family or you already have children, you probably want piece of mind to know you’ll have access to the medical services you need, when you need them. There are few things more important than our health, and while we do have access to a range of public health services in Australia, you’re likely questioning if it’s also worthwhile getting private health insurance.

Whether you’re new to health insurance or are reviewing your current cover, with so many health insurance providers and policy options on the market, it’s hard to know where to begin. That’s why we’ve developed this guide to help you choose a health insurance cover that suits your family’s needs. 

Click here for more health-related articles on reading food labels, wine mums and parent mental health! 

Why take out private health insurance?

The main reason families take out private health insurance is to have more choice and control over their medical treatment.

While Australia’s public health system does provide access to a range of services and procedures, if you want more control over your health and treatment options, you may need private health insurance. Private health can not only provide you with access to services that may not be covered under the public health system, it also gives you the ability to choose your doctor or specialist and where you receive your treatment.

Having private health insurance also means that you can potentially avoid long waiting queues you may encounter in the public health system.

Choosing your type of cover

The first step when selecting a health insurance policy for your family is to choose the type of cover you’ll need.

Generally, you’ll have three options to choose from:

  • Hospital cover – Hospital cover is designed to cover some or all of the costs associated with receiving medical treatment as an inpatient in hospital.
    Having private hospital cover gives you the flexibility and choice of doctor and hospital you wish to be treated in. Plus you can also elect to be covered as a private patient in a public hospital.
  • Extras cover – Extras cover is designed to cover some or all of the cost of a range of other health services and treatments, such as dental, chiropractic, physiotherapy and optical.
  • Packaged Hospital and Extras cover– Packaged cover is a combination of hospital and extras services under the one product. Most health insurance providers offer packaged covers aimed at suiting the needs of different ages and stages of life.

Most policies also include emergency ambulance cover, however it’s important to note that some insurers include this with their hospital cover, while others include it as an extra. It’s best to make sure you know what your chosen policy does or does not cover.

Choosing your level of cover

While most private health insurers currently offer customers the choice between top, medium or basic levels of cover, the federal government recently announced some changes to the way policies are categorized to make it easier to work out the level of cover you need.

From April 2019, health insurers will need to categorise their policies into four basic tiers (Gold, Silver, Bronze or Basic) which are based on the items included in the policy and the level of cover they provide.

If you’re just starting a family and want cover for pregnancy or fertility services, you’ll need to opt for a Gold level of cover. Private Health Insurance policies have no lock in contracts, which means that you are able to review your cover and change levels whenever your life circumstances and needs change.

From April 2019, health insurers will need to categorise their policies into four basic tiers (Gold, Silver, Bronze or Basic)

Make sure you also consider any specified waiting periods when selecting a policy, as these will affect how quickly you can access some services (for example, most insurers will specify a 12-month waiting period for pregnancy, meaning you’ll need to plan well in advance if you want to give birth in a private hospital).

You’ll also need to consider any excess or co-payment you’ll need to pay if you are admitted to hospital. Policies with an excess will require you to pay the specified amount upon admission to hospital regardless of how long you stay there, whereas a co-payment will be calculated based on the number of days you are admitted. Electing an excess and or co-payment is often a good way to reduce premiums, so make sure that you ask the question, but make sure you are aware of any costs that you will be up for if you do need to go to hospital.

Choosing your extras

Budget is a key constraint for most of us when shopping for private health insurance, so if you’re looking for a way to reduce the overall cost of your policy, your extras cover is usually the place to start.

If you know that one or more family members will need regular access to things like dental, optical, physiotherapy or chiropractic treatment, your extras policy is likely to pay for itself over time. It’s always a good idea to consider the cost of your extras policy versus the total benefit amount you may claim for using the covered services. Each private health provider offers different levels of Extras cover, so make sure that you are getting generous cover that is good value for money.

 

Click here for more information: https://www.healthpartners.com.au/ 

Be aware of these three health symptoms you should never ignore…

Most of us follow the rule that if we eat well, exercise regularly, avoid smoking, manage our stress levels and only indulge in moderation, we should be able to maintain generally good health and avoid major illnesses. However, knowing when you should and shouldn’t ignore a health symptom is also key to maintaining good health well into the future.

While none of us want to rush to the doctors’ office every time we feel a slight niggle or pain, there are a few health symptoms that often go ignored that should warrant a little more investigation.

Suspicious moles

In Australia, getting outdoors and soaking up the sun is simply part of our culture. Starting from childhood most of us can recall spending long days at the beach, playing outdoor sports or simply being outside enjoying nature, also continually exposing ourselves to potentially harmful UV radiation. As a result, almost all of us have at least some moles on our body.

Caused by an overproduction in melanin, while most moles are completely harmless, some may not be. Usually occurring in parts of the body that have been overexposed to the sun, melanoma is the fourth most common cancer in Australia, with one in 13 men and one in 22 women being diagnosed with the cancer which can be deadly if left unnoticed and untreated.

If you have a suspicious mole that you think could be cancerous, the warning signs to look for usually include a change in size, colour or shape, or if they begin to ooze, bleed or weep. If you notice any of these symptoms, you should see a doctor immediately.

If caught early, most people can have the mole removed and continue to live a long and healthy life, making having a regular mole check very important. If you do need to have a mole removed, the procedure is usually relatively straightforward, with places like this mole removal clinic in Melbourne able to remove the mole very quickly with almost no recovery time.

Major toothache

Have you’ve had a toothache for a while but haven’t got around to getting to the dentist to have it checked out? Don’t delay any longer. While there can be a range of causes of a major toothache, if the pain is being caused by gum disease or tooth decay, the longer you leave it untreated, the worse your condition will get.

When the bacteria, acid and food debris in our mouths combine, it forms plaque which can then lead to a range of problems. Dentists can usually find cavities during a regular check-up and treat them relatively easily by removing the decayed portion of the tooth with a drill, before repairing the hole with an amalgam, resin, alloy or porcelain filling.

However, if a cavity is left untreated for too long, it could reach the root or pulp of the tooth (which may have already happened if you’re experiencing pain) and require more major root canal treatment to also remove the nerve, blood vessels and tissue. You may also need a crown to replace the missing portion of the tooth.

Not only is a root canal procedure likely to cause a lot more pain and require a longer recovery period than a simple filling but it’s also likely to cost a lot more, so it’s well worth making an appointment with your dentist sooner rather than later.

Unexplained weight loss

If you’ve recently increased the amount of exercise you do or started paying more attention to what you’re eating, weight loss can be a sign that you’re making some great progress. However, if you haven’t made any major changes to your diet or exercise regime lately but have noticed you’ve lost a significant amount of weight, it could be a sign that something in your body’s not functioning as it should.

Unexplained weight loss could occur because of things like a thyroid issue, gut disease, rheumatoid arthritis or depression, or in some cases could be a sign of diabetes or even cancer. While you shouldn’t jump to any conclusions, it’s important that you see a doctor to try to identify what could be behind your weight loss so you can address any underlying health issues you may not have been aware of.

Wine Mom Culture has become a massive phenomenon, both in social media and in real life.  But is a culture that promotes drinking as a reward actually healthy?

“I’ll definitely need a glass of wine tonight,” I recently told a friend as I recounted a stressful week with my kids. “Parenting is making me crazy.” Though my friend laughed and nodded in agreement, I realized that, without thinking, I had personified a meme I have frankly always been disturbed by: The Wine Mom, the perpetually-stressed-yet-zany parent whose eyes are glued to the clock, waiting for the appropriate time to indulge in her nightly glass.

In recent years, the “wine mom” has both shaped online content and positioned companies to strategically market wine-themed products — and actual wine — to young moms.  In addition to content glorifying alcohol consumption, the wine mom has gotten her fair share of space in think-pieces pointing out why, exactly, a culture that promotes drinking as a reward is problematic for women. Although the ritual of a nightly glass of wine isn’t in itself automatically detrimental, it does speak to a broader issue: Drinking among moms is increasing, and joking about it undermines the problem.

According to a study conducted by the nonprofit research organization ChildTrends, the percentage of mothers who drank at least moderately spiked by nearly 25 percent between 2004 and 2014.  And among two-parent families in 2014, three percent of mothers reported routine heavy drinking. Whether women employ a single glass of Pinot or a whole bottle to abate their stress, “wine mom” gives them a permissive smile and a nod as they do so.

Photo Designed by Freepik.

And therein lies one of wine mom’s fatal flaws: Her caricature is both pointed and broad enough to appeal to women with a variety of drinking habits and histories. Wine mom simply likes to drink, and her buzz-inducing weapon of choice is almost always portrayed as a well-earned stress reliever. Without consideration of a woman’s past (including the potential of predisposition toward addiction), the meme paints a stressful picture of motherhood and, in so doing, prioritizes alcohol as both a reward and an escape — and therein lies the problem.

“The spread of the ‘wine mom’ across social media normalizes the idea that motherhood is stressful, but drinking will help,” says Whitney Hawkins, a Miami-based psychotherapist specializing in substance abuse and addiction. “There is nothing wrong with drinking in moderation, but the idea that drinking is the only way to get through motherhood is a damaging concept. It also completely leaves mothers who are prone to addiction out of the equation and makes alcohol consumption a normal means of dealing with the stress of motherhood.”

Molly Davis, life coach and author of BLUSH: Women and Wine, experienced “wine mom” culture before it evolved to a meme, and eventually saw the impact of looking to alcohol as an emotional escape. “When I was raising my daughters, almost every mom I knew drank wine almost every night,” she said. “Wine has become a very classy-looking coping mechanism for women to deal with stress, dull pain, and avoid uncomfortable issues, emotions, conversations, and relationships that are calling for our clear-headed attention.”

Davis’ own evening wine habit, she said, affected her relationship with her children. “My own daughters knew me with a glass of wine in my hand in the evening, and the smell of it on my breath when I read to them,” she told Brit + Co. “And while I didn’t drink my way through a bottle of wine at night, I do know that there were times that I wasn’t as present as I could have been for my daughters.”

While moderate drinking may make a more subtle impact on one’s personal life and family relationships, heavy drinking has more serious repercussions. Of course, there are long-term risks to routine heavy drinking, like alcohol dependence, liver damage, and certain kinds of cancer. But there are also more immediate physical and emotional repercussions to alcohol abuse. Beyond the potential of a brutal hangover, regular heavy drinking can cause dehydration, weight gainsleep problems, and even increase the risk for mental health concerns like depression. In many ways, this means alcohol, especially when it’s abused, can actually make the problems women are trying to mask worse, which is a pricey tradeoff.

Along with the physical buzz that comes with it, alcohol significantly affects the brain. Because consuming alcohol helps shut down higher order brain functions and decreases rumination and thought, it can have a mental/emotional numbing effect that’s appealing in times of stress. However, experts say the continued use of alcohol as a coping mechanism can make matters worse over time.

“Alcohol is both addictive chemically and psychologically. This means that with continued use, especially during stressful situations, you can end up completely dependent on the substance,” said Hawkins.

There’s also the issue of building a tolerance over time with regular use of alcohol, which can also lead to alcohol abuse. Say you only need one glass of wine to relieve stress now. If you continue to drink regularly, you will likely need more alcohol to get the same effect over time, said Hawkins. This is why we see people who can put away a large amount of alcohol without becoming inebriated; their body has built up a tolerance.

Ultimately, Hawkins says the wine mom’s offer of escape by way of alcohol — though enticing in moments of stress —  isn’t worth the long-lasting repercussions. Like any other mode of self-medication, drinking to escape the hard parts of motherhood simultaneously glosses over and perpetuates deeper emotional issues.

“Using substances for mental health issues is a band-aid on a bullet wound. If you are experiencing feelings and emotions that are detrimental to your daily functioning, alcohol will not improve them,” says Hawkins. “It will only mask the feelings temporarily, leaving you with a headache and more problems in the morning.”

The article was originally published by  Brit + Co. and has been republished with permission. View the original article here.

Choosing where to give birth is one of the biggest decisions you will make during your pregnancy. Whether you are contemplating public or private care, there are several important factors, as well as possible alternatives, to consider when choosing the best maternity care option for you and your family.

Finding out you are going to be a parent is a very exciting time, but making decisions about the right maternity care for you and your new baby can be a bit overwhelming. We take a look at some of the maternity care options available.

Private Care

If you have maternity care included in your private health package, you may wish to choose private care for you and your baby. If you receive care through the private system, you choose a private obstetrician, who will care for you from your antenatal appointments, right through to the birth and postnatal check-up.

Dr Stephen Lane, president of the National Association of Specialist Obstetricians and Gynaecologists (NASOG), says in the private system, the baby is delivered by very experienced caregivers, with obstetricians going through six or more years of specialist training, on top of their five or six-year medical degree.

He says the most common reason many people choose to have a private obstetrician is continuity of care.

Dr Lane says some considerations expectant parents think about when choosing an obstetrician include:

Gender (for some women, choosing a female obstetrician is important)

Location (“Is there a suitable carpark that is accessible? Are the rooms easy to get to? I think these things are important to consider,” says Dr Lane)

The obstetrician’s desk staff (“If the desk staff are friendly and approachable that is a good sign,” Dr Lane says. “It gives a good feel that they are a mirror of the person you will be seeing.”)

Cost (Dr Lane says the majority of obstetricians and gynaecologists in Australia charge well below the Australian Medical Association’s rates, with the average out-of-pocket cost for delivering a baby throughout Australia around $2000).

Note: Ask about your chosen obstetrician’s fee schedule and check with your health cover provider to find out exactly what is covered so you can be prepared for any out-of-pocket expenses.
“Australia is recognised as one of the safest countries in the world to have a baby, and this is a reflection of the world class education our specialist obstetricians and gynaecologists undertake, with many completing more than 12 years of study and training,” he says. “NASOG believes that the care provided by specialist obstetricians and gynaecologists is worth every cent to the patients who enjoy improved health outcomes as a result of our professional care.”

Katie Lavercombe says she chose a private hospital because she wanted to be able to access any pain relief that she wanted during childbirth and was afraid her wishes might not be respected at a public hospital.

“I loved giving birth at a private hospital, the care was great, it was never too busy, and the staff were attentive,” she says. “We loved being able to stay together as a couple and have time to bond with each new baby.”

Katie is currently pregnant with her fourth child and does not have the right level of cover to choose a private hospital this time, so is receiving care through the public system.

“We are utilising the public system, and while it is full of hard working doctors and midwives, there are long wait times at each appointment, meaning a large chunk of my time is taken up by waiting for medical appointments,” she says.

Crystal Henderson decided to have her daughter at a public hospital because her GP recommended it. “We had planned to go Private, but when he recommended it, along with many of our friends, who shared their very positive birth stories after giving birth in public hospitals, we thought we should at least look at it,” she says. “When we went to the public hospital, and they took us through the rooms and birth suites, we were blown away.”

Ms Henderson says she was very happy with the care she received. “There (were) some minor complications during the labour and I needed extra medical assistance, however I felt very safe, in control and informed of everything the whole time,” she says

Shared Antenatal Care

If you have a great relationship with your trusted family GP, then shared antenatal care might be an option to consider. In a nutshell, antenatal shared care involves a woman’s appointments being shared between maternity care providers (usually GPs, midwives and obstetricians), and is most commonly between a GP and maternity staff in a public hospital.

Dr Wendy Burton, chair of The Royal Australian College of General Practitioners’ antenatal/postnatal care specific interest group, says women choose to have shared antenatal care with their GP for a number of reasons.

“They may have a good relationship with their GP and are confident that they will be well taken care of,” she says. “The GP’s rooms may be closer or more convenient than the hospital/obstetrician or GPs may work extended hours, making appointments easier to plan around work commitments.


“Antenatal shared care involves a woman’s appointments being shared between maternity care providers – usually GPs, midwives and obstetricians.”

“The best models of shared antenatal care involve a collaborative team effort with well-informed GPs communicating effectively and efficiently with the other providers of care,” she adds. “If your usual GP is not up-to-date with current best practice for antenatal care, they may be able to recommend another GP who is better placed to provide care for you.

Work is currently underway to create digital records and an app for women, which will give additional options for the sharing of the pregnancy health record.”

Your Support

Who will be your support person when you welcome your baby into the world?

Many women will choose a partner, family member (such as their Mum) or a close friend to be their support person. However, there are some options to consider.

For example, a midwifery student is a good choice. They will attend antenatal appointments with you and, if you consent, can also attend the birth.

Another support option is a doula (a professional, non-medical birth and/or postnatal companion who is able to provide continuity of care, and emotional and physical support during pregnancy, birth and the postpartum period).

Michelle Perkins, chairperson of Australian Doulas, says many women hire a doula after experiencing a negative or traumatic previous birth experience.

“Some hire a doula to help them understand the maternity/obstetric systems. Some hire a doula to provide emotional and physical support if they do not have a partner, or if they believe their partner may also need support and guidance.”

Home Birth

Do you want to have your baby at home?

Grace Sweeney, coordinator at Homebirth Australia, says a woman who chooses to birth at home is guaranteed to receive continuity of care from a known midwife.

Ms Sweeney says the most important thing that a woman considering homebirth needs to do is to seek out a midwife as soon as possible.

“Nearly a decade of a sustained witch hunt against homebirth midwives has meant that midwives in private practice are scarce, and book out early,” she says. “It’s worth doing research on midwives in your area before you’re pregnant and making a booking as soon as your pregnancy is confirmed.”

Dr Lane says NASOG does not support home births in Australia.

Sarah Purvey decided she wanted a homebirth for her first child. “I had two private midwives,” Sarah says, when asked about her care. “A primary midwife came to my house regularly in pregnancy, so I built a very close relationship with her in that time and all the options for tests and injections were managed by her, with my consent and our discussions about them first. My primary midwife was there during the birth and then I had a second midwife attend shortly before my babies were born. For my first birth, I was also supported by a private obstetrician. I saw her a few times during pregnancy and she was open to supporting me, if I needed to transfer to hospital, if I needed more medical support from home.”

She says her experiences were wonderful and empowering.

“My first birth was very tough, long and in the end, I did transfer to the private hospital with my obstetrician, as I had a long second stage. In the end, I had an episiotomy, which couldn’t be done at home. This was handled beautifully by my midwives and by my obstetrician. I spent about 30 minutes continuing to labour in the private hospital, once I arrived, then we all discussed the option to do an episiotomy. I consented and this was done well. I felt wonderful when my baby arrived, despite 18 hours of active labour and a previous night of no labour.”

“Second time was much easier – four hours of active labour and my baby was born in to the water, straight into my arms and onto my chest.”