Queen Mary Hospital (QMH) - Info on Public vs Private Care & C-Sections - Links

M

MRC

New member
Queen Mary Public vs Private & information on C-Sections

Some information is below that may be useful if you are considering a public or private care at Queen Mary.

- Queen Mary is the main medical teaching hospital on Hong Kong Island with a number of professors from Hong Kong University. It is in Pok Fu Lam on west side of the island (see map link below). It has 63 gynaecology beds and 90 maternity beds and the charges as a public patient are minimal ($100 a day) where as the private patient charges are significant (see below)

Queen Mary Hospital (QMH)(Obstetrics)
Department of O&G, HKU

Obstetrics Patient Information:
Department of O&G -Patients Information

- To deliver at Queen Mary you need to call and register with Tsan Yuk Hospital Ante Natal Clinic on Hospital Road in Sai Ying Pun (see map link below).
Tsan Yuk Hospital Ante Natal Clinic
Tsan Yuk Hospital
Antenatal Registration: 2589 2100

- Tsan Yuk Hospital Ante Natal Clinic is very professional. They will monitor your pregnancy and the level of service as a public patient at the antenatal clinic (incl scans) is professional, quick and cheap (HK$100 per visit). You can change at any time from the public Tsan Yuk antenatal clinic to the private clinic (see below) but there is little advantage at the early stage of pregnancy

Queen Mary has a public ward / clinic where most patients deliver, this includes a private delivery room where your husband is allowed and a shared ward for recovery (3-5 days) where your husband is only allowed during visiting hours (2 hours a day).

- Queen Mary has two private antenatal clinics with private beds and dedicated consultants from HKU or HA (a list of doctors is below). The contact numbers for the private clinic are below along with a PDF with private care fees. The only difference between QMH public system and private clinics is that you can nominate your doctor (see list below) and you get a private room for recovery. You will still deliver in the same delivery room as the public system

- Queen Mary private chargesfor all services on a per item basis (from admission through delivery and post opp care) so private delivery at Queen Mary is expensive and can cost more than a package at private hospitals such as Canossa, the Infirmary, Matilda etc

- Note Queen Mary does not allow elective C-Sections in the public or private clinics of QMH so you can not "choose" to have a c-section at QMH. If you want a C-Section and your doctor does not agree that you need one on medical grounds you will need to go to private hospital with a private doctor such as Canossa, the Infirmary, Matilda etc

Queen Mary Hospital (QMH)
Obstetrics Website:
Department of O&G, HKU
Obstetrics Patient Information:
Department of O&G -Patients Information

Queen Mary Doctors:
http://www3.ha.org.hk/qmh/qmhppsrv/listofdoctors/List of Doctor (O&G) 11.5.09.pdf

Tsan Yuk Hospital Map:
Tsan Yuk Hospital 30 Hospital Rd - Google Maps

Queen Mary Hospital Map:
Queen Mary Hospital, 102 Pok Fu Lam Rd, Pok Fu Lam - Google Maps
 
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HA / QMH - Charges for Public / Private Obstetrics Care at Public Hospital

HK Hospital Authority (HA) Obstetric Services Website
http://www.ha.org.hk/preg

Charges for Public / Private Obstetrics Care at Public Hospital
Hospital Authority

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1. Fees and Charges (Jan 2010)

Medical services provided by HA hospitals/clinics are charged as per the Gazette. There are 3 categories of charges:
i) Public charges ? Eligible Persons
(See Charges for Public / Private Obstetrics Care at Public Hospital Link below)

ii) Public charges ? Non-eligible Persons
(See Facts & FAQ Link below)

iii) Private charges
See QMH - OBS Charges for Private Patient (PDF) below)

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QMH - OBS Charges for Private Patient (PDF)
https://docs.google.com/fileview?id...WItNDUxMS00OWQyLWExZjctYWIzYmIwMWY1NWRi&hl=en

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New Arrangement for Antenatal Checkup and Delivery Booking for Non-local Expectant Mothers (Non Eligible Persons (NEP))
Hospital Authority

Facts & FAQ - Charges NEP
Hospital Authority

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Charges for Public / Private Obstetrics Care at Public Hospital
Hospital Authority

1. Fees and Charges

Medical services provided by HA hospitals/clinics are charged as per the Gazette. There are 3 categories of charges:
i) Public charges ? Eligible Persons

ii) Public charges ? Non-eligible Persons
(See Facts & FAQ Link below)

iii) Private charges
(NB the


(a) Definitions of Eligible Persons and Non-eligible Persons

Patients eligible for the charges applicable to ?Eligible Persons? include

? holders of Hong Kong Identity Card issued under the Registration of Persons Ordinance;
? children under 11 years of age with Hong Kong resident status; and
? other persons approved by the Chief Executive of the Hospital Authority.

Persons who are not Eligible Persons are classified as Non-Eligible Persons.


(b) List of Fees & Charges

(i) Public Charges ? Eligible Persons

Service
Fees
Accident & Emergency
$100 per attendance
In-patient (general acute beds)
$50 admission fee, plus $100 per dayN1,N2
In-patient (convalescent, rehabilitation, infirmary & psychiatric beds)
$68 per day N1,N2
Specialist out-patient (including allied health services)
$100 for the 1st attendance, $60 per subsequent attendance, $10 per drug item
Day procedure and treatment at Clinical Oncology Clinic and Renal Clinic
$80 per attendance
General out-patient
$45 per attendance
Dressing & Injection
$17 per attendance
Geriatric, Psychiatric & Rehabilitation day hospital
$55 per attendance
Community nursing (general)
$80 per visit
Community nursing (psychiatric)
Free
Community allied health services
$64 per treatment


(ii) Public Charges ? Non-eligible Persons
Service
Fees
Accident & Emergency
$570 per attendance
In-patient (general hospitals)
$3,300 per day N1
In-patient (psychiatric hospitals)
$1,200 per day N1
Special intensive care ward/unit
$18,100 per day N1
Intensive care ward/unit
$13,900 per day N1
High dependency ward/unit
$9,800 per day N1
Nursery
$640 per day N1
Obstetrics package charge
For booked cases, include
? one antenatal checkup;
? delivery / delivery care service; and
? three days (two nights) hospitalization in a public general ward related to the delivery / delivery care service

For non-booked cases or patients who have not undergone any antenatal checkup provided by HA during the pregnancy concerned, includes
? delivery / delivery care service; and
? three days (two nights) of hospitalization in a public general ward related to the delivery / delivery care service

Further details are explained in part (c).

$39,000







$48,000
Specialist out-patient (including allied health services)
$700 per attendance
Day Procedure and Treatment at Clinical Oncology Clinic
$600 per attendance
Day Procedure and Treatment at Ophthalmic Clinic
$460 per attendance
General out-patient
$215 per attendance
Dressing & Injection
$70 per attendance
Geriatric & Rehabilitation day hospital
$1,400 per attendance
Psychiatric day hospital
$880 per attendance
Community nursing (general)
$340 per visit
Community nursing (psychiatric)
$1,050 per visit
Community allied health services
$1,050 per treatment


(iii) Private Charges
Service
Fees
In-patient (acute hospitals) N3
1st class
2nd class
Nursery

$3,900 per day N1
$2,600 per day N1
$640 per day N1
In-patient (other hospitals) N3
1st class
2nd class

$3,300 per day N1
$2,200 per day N1
Special intensive care ward /unit N3
$12,700 per day N1
Intensive care ward/unit N3
$9,900 per day N1
High dependency ward/unit N3
$7,000 per day N1
In-patient consultation (per specialty)
$550 - $2,250 per visit
Out-patient consultation N4 (per specialty)
Initial consultation
Subsequent follow up consultation
$550 - $1,750 per attendance
$450 - $1,150 per attendance
Others (e.g. pathology services, diagnostic procedures)
Per Gazette (s.s. No. 4 to Gazette No. 13/2003)
Details can be obtained at the admission office / shroff office of HA hospitals
N1 The rate of maintenance fee is per day or part thereof.
N2 Children under twelve years of age and babies who cannot be discharged at the same time as their mothers are charged half the maintenance fees appropriate to the type of bed occupied. All other fees are the same as those for adults.
N3 In-patient fee covers general nursing, core pathology investigations, catering and domestic services.
N4 Outpatient consultation fee does not include the supply of medicines, prostheses, diagnostic services or therapeutic treatments referred to in Sections 3 to 7 of the Gazette (s.s. No. 4 to Gazette No. 13/2003). Medication and prostheses will be separately charged at cost. Alternatively, patients may purchase the medication and prostheses privately.



(c) Minimum Obstetric Package Charge for Non-eligible Persons

The minimum obstetric package charge for ?non-eligible person? was introduced to ensure the service priority for ?eligible person? expectant mothers and discourage undesirable behaviour of ?non-eligible person? of delivering babies in HA hospitals with no antenatal care. The minimum obstetric package charge is $39,000 for those who have made a confirmed booking for their delivery and have undergone the antenatal checkup provided by the Hospital Authority during the pregnancy concerned (i.e. booked cases). This minimum charge is non-refundable except in those circumstances set out below where refund may be considered upon application:-

(1) in cases involving miscarriage, termination of pregnancy or still birth, a partial refund of not more than $20,000 may be made subject to deduction of those charges for the hospital services which the patient has received for the concerned pregnancy; or
(2) in cases involving a change in the patient?s status from a Non-Eligible Person to Eligible Person after payment of this minimum rate but before the delivery, a full refund may be made subject to deduction of those charges for the hospital services which the patient has received for the concerned pregnancy.

For patients who have not made a confirmed booking and/or have not undergone the antenatal checkup provided by the Hospital Authority during the pregnancy concerned (i.e. non-booked cases), a minimum obstetric package charge of $48,000 will be charged.


(d) Administrative Charges on Late Payments

To discourage late or non-payment of medical fees, an administrative charge is imposed on late payments of medical fees and charges for medical services provided on or after 1 July 2007.

Administrative charge is applicable to all outstanding medical fees and charges, including Self-financed Items (SFI), drug charges, drug handling charges and Privately Purchased Medical Items (PPMI).

1st Administrative Charge
5% of the outstanding fees overdue for 60 days from issuance of the bills, subject to a cap of $1,000 for each bill
2nd Administrative Charge
An additional 10% on the outstanding fees if the bills remain outstanding 90 days from issuance of the bills, subject to a cap of $10,000 for each bill (excluding unpaid 1st administrative charge)

The maximum total amount of 1st and 2nd administrative charges would be 15% of the outstanding fees, subject to a cap of $11,000.




2. Waiver Mechanism


It has always been the Government's fundamental philosophy that no one will be denied adequate medical care due to lack of means. To ensure that this principle is upheld, recipients of Comprehensive Social Security Assistance (CSSA) are waived from payment of their medical expenses of public health care services. To assist the three vulnerable groups in the community, i.e., the low income group, chronically ill patients and elderly patients who have little income or assets, who are not CSSA recipients, the medical fee waiver mechanism is in place to provide effective protection from undue financial burden to them.

The guiding principles of the waiver mechanism are: (1) Public funds should be channeled to the vulnerable groups and to services which carry major financial risks to patients; (2) There should be a set of objective and transparent criteria to assess a patient's eligibility for exemption from payment of public medical fees. Both financial and non-financial factors should be considered; and (3) The mechanism should facilitate accessibility to services while maintaining the low administrative and operating costs.

Patients who have financial difficulties in paying medical fees should approach the Medical Social Workers to apply for a waiver.



3. Payment Methods

1. In Person
Payment by cheque, cash, EPS or credit card will be accepted during normal office hours at the Accounts Office of any hospitals under the Hospital Authority. Payment may also be made at the Accident and Emergency Registration Counter of the hospitals (except St. John Hospital) when the Accounts Office is closed.

2. By Post
Please send a crossed cheque, bank draft or cashier order made payable to ?Hospital Authority? and post to the Accounts Office of the address given on the bill. Patient?s name and bill number should be written on the back of your cheque / bank draft / cashier order, and allow sufficient mailing time. Do NOT send cash by post.

3. Payment by Phone Services (PPS)
After opening account at any PPS Terminals, payment can be settled via PPS Hotline 18031 or ?PPS on Internet? at Welcome to PPS on Internet. For details, please call PPS Pre-recorded Information Hotline 900 00 222 329. The merchant code of Hospital Authority is 83.

4. Internet Banking
Payment can be made via internet services provided by banks.

5. By Automated Teller Machine (ATM)
Payment can be made at any ATMs with ?JET PAYMENT? signage using any JETCO member bank?s ATM card or credit card with cash withdrawal function. The merchant code of Hospital Authority is 9083.

6. Cash Payment at 7-Eleven
Cash payment can be made at any 7-Eleven convenience stores in Hong Kong by presenting the bill. The maximum cash payment per transaction is HK$5,000.

Remarks

i. Time for payment processing
At least three working days should be allowed for processing payment.

ii. Issuance of receipts
Receipt will NOT be issued by HA for payment by post, PPS, internet banking, ATM or 7-Eleven convenience store. Please retain the original bill / PPS reference number / internet transaction record / receipts provided by ATM or 7-Eleven convenience store for record.
 

Attachments

Hi MRC,

This is very useful information indeed as planning to have children and considered QMH public and private.
I can't find any info. on the costs of QMH private though as it would be really useful to make a comparison.

Do you know if any local resident can qualify to get into QMH?

I live in New Territories (West).
I've been to Princess Margaret and it was not a very nice experience there!
I don't know if I can register for Tsan Yuk c'os I'm not living on HK Island.
 
Quick update, we delivered our first baby at QMH in Mar 10 and are delivering our second baby in Sept 11. The only update to post above is that they will allow you to elect a c-section if you have had a c-section before.

Re public vs private care: Medically QMH is superb, however, it is an old fashioned system where the patients and hospital are the priority (which is fine in my book). If you are looking for touchy feely new age treatment with nice private room and can afford HK$100k (normal delivery) - 200k (emergency c-section) then you may want to look at private hospital such as Matilda or Conossa. We decided to save the HK$100k that a private room would cost and use it to join a club (which our daughter enjoys far more). Our QMH costs for inducing, delivery and post natal recovery were HK$330

Spud. sorry missed your message, as not getting emails, assume you figured it all out but if you live in NT you would go to one of the Kowloon public hospitals, fees will change, they should be online or hospital can give you
 
spud said:
Hi MRC,

This is very useful information indeed as planning to have children and considered QMH public and private.
I can't find any info. on the costs of QMH private though as it would be really useful to make a comparison.

Do you know if any local resident can qualify to get into QMH?

I live in New Territories (West).
I've been to Princess Margaret and it was not a very nice experience there!
I don't know if I can register for Tsan Yuk c'os I'm not living on HK Island.
Click to expand...

from what i remember the cost at QMH private is comparable to that at any other private hospital...check ups are 1000, scans are not 3D / 4D though unless there is a problem...waits are just about as long too.
 
I'm interested in going private at Queen Mary. I know that if you're on the public ward then your husband can't stay with you before the birth. Does anyone know whether this is the case if you're a private patient too? Are you put in a private room while labouring, or do you stay on the public ward before delivery?
 
Tori C said:
I'm interested in going private at Queen Mary. I know that if you're on the public ward then your husband can't stay with you before the birth. Does anyone know whether this is the case if you're a private patient too? Are you put in a private room while labouring, or do you stay on the public ward before delivery?
Click to expand...

Given the cost of going private at QM is comparable to private hospital options, why would you go with QM?
 
Hi Pandy

QM is widely regarded as the finest maternity unit in the entire region. If anything goes wrong at another hospital, they will send you to QM so it seems sensible to go there from the start. I understand that you can go through all the checks as a public patient and then choose a private or semi-private room once you get there.

Do you know whether your husband can stay with you during labour if you have a semi-private or private room?
 
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