Pregnancy in Austria
Which examinations actually count, which deadlines cost money, and what the insurer pays for. The most expensive mix-up is between the ultrasound and the examination.
General information about processes, deadlines and entitlements in Austria. This is not medical or legal advice. The details are time-sensitive.
What actually decides your situation
- The examinations money hangs on
- Five physician examinations in pregnancy, five for the child
- The ultrasound is not one of them
- Ultrasounds and the midwife consultation are not a precondition
- The five windows
- by end of wk 16 · wk 17–20 · wk 25–28 · wk 30–34 · wk 35–38
- Maternity protection
- Eight weeks before and eight weeks after the birth
- Referrals
- You need none to see a gynaecologist
- Seeing a Wahlarzt (private-billing doctor)
- The examination still counts - but you only get 80% of the public tariff
Only those ten. Fail to prove even one and your childcare benefit drops by €1,300 - per parent.
Mutter-Kind-Pass-Verordnung 2002 - consolidated version (the pass was renamed Eltern-Kind-Pass on 1 Jan 2024; the regulation was not)The regulation says so explicitly. The very thing that feels most like "the scan" carries no financial consequence. Skipping the 18–22 week ultrasound costs €0. Skipping the 17–20 week gynaecological examination costs €1,300.
Mutter-Kind-Pass-Verordnung 2002 - consolidated version (the pass was renamed Eltern-Kind-Pass on 1 Jan 2024; the regulation was not)A missed window cannot be made up - a late proof usually can. Weeks 21–24 have no examination at all, and the last one closes at week 38, before some babies arrive.
Mutter-Kind-Pass-Verordnung 2002 - consolidated version (the pass was renamed Eltern-Kind-Pass on 1 Jan 2024; the regulation was not)At least twelve weeks afterwards for a preterm or multiple birth, or a caesarean. The employment ban is absolute: you cannot consent to keep working through it.
Maternity Protection Act (MSchG) - consolidated versionYour e-card takes you straight there. In Austria a referral is only needed for labs, X-ray, CT and physical medicine.
Referrals: when you need oneThe law says a "physician" examination, not a "contracted physician" one, so the proof is valid. But the 80% is 80% of what the insurer would have paid a contracted doctor - not 80% of your bill.
Wahlarzt: reimbursement at 80% of the contract tariffHow it usually goes
Two clocks run in parallel: the medical one and the bureaucratic one. The second is less forgiving.
- 1Get the pregnancy confirmed - straight to a gynaecologist, no referral
- 2Receive the Eltern-Kind-Pass and have the first examination by the end of week 16
- 3The other four examinations in their windows - free at a contracted doctor
- 4Tell your employer "as soon as you know". That is what switches on protection from dismissal
- 5Four weeks before the eight-week period starts: notify it, and claim Wochengeld
- 6The birth - covered in hospital in the general fee class
- 7Claim childcare benefit. Backdating is capped at 182 days
Who pays for what
- Free at a contracted doctor
- All five examinations, and the three recommended ultrasounds
- Wochengeld (maternity pay)
- Employees: based on the last 13 weeks’ earnings. Self-employed: a flat €72.18 per day (2026)
- Childcare benefit (Kinderbetreuungsgeld)
- Account model: €41.14 down to €17.65 per day. Income-based: up to €80.12 per day
- Not covered
- Antenatal classes, postnatal recovery, breastfeeding advice - and bringing your own midwife into hospital Midwives - tariffs and benefits 2026
The insurer does pay for the ultrasounds - they are simply not a precondition for the childcare benefit. Both things are true at once.
Mutter-Kind-Pass-Verordnung 2002 - consolidated version (the pass was renamed Eltern-Kind-Pass on 1 Jan 2024; the regulation was not)This is the structural unfairness in the system: employee maternity pay is earnings-based and uncapped, while the self-employed get a fixed sum unrelated to what they earn. Marginally employed with self-insurance: €12.19 per day.
Wochengeld - entitlement and calculationThe account model is a fixed pot: the longer you draw it, the less per day. The amounts are not being uprated for 2026 and 2027 - they are frozen.
Brochure "Kinderbetreuungsgeld und Familienzeitbonus", as of January 2026Where people come unstuck
The €1,300 mix-up
The regulation states it in black and white: ultrasound examinations are not a precondition for keeping the childcare benefit at its full amount. The same goes for the midwife consultation.
What counts is only the five physician examinations for you and the first five for the child. Ten appointments, nothing else.
The reduction is a switch, not a dial: missing one examination costs exactly as much as missing five - €1,300. And it hits every parent who claims the benefit. If both of you claim, that is €2,600.
With multiples, add €650 for each further child, and the proofs must be provided separately for each child.
The grace period that is barely published anywhere
The official pages give you the 15-month deadline and the €1,300 - and stop there. The statute does not stop there.
You still get the full benefit if the proofs are supplied by the time the child turns 18 months. That needs no reason and no excuse.
And you get the full amount if the examination was missed for reasons that are not your fault.
So a parent told in month 16 that their €1,300 is gone may well have two months left.
What "not your fault" actually means
The courts draw the line surprisingly clearly: your doctor’s decision or a genuine external obstacle excuses you. Your own caution does not.
Accepted: the doctor postponed the appointment for medical reasons. Or: a family moved shortly before the appointment, the mother rang more than ten practices and found nothing - no blame, no reduction.
Not accepted: a mother postponed her child’s examination out of general worry about a flu outbreak. The reduction stood.
The digital Eltern-Kind-Pass - and why the official page misleads
On 8 July 2026 parliament voted to postpone the electronic Eltern-Kind-Pass again: mandatory only for pregnancies from 1 October 2027. The reason is IT interfaces between the federal government and the Länder.
Important: that postponement is not yet in force. It sits inside a budget act the upper house has still to vote on, and it has not been published in the law gazette. We are telling you that rather than presenting it as settled.
The health ministry’s own page still says "autumn 2026" - it was overtaken by the 8 July vote. If you read something different there than here: both were true once.
In practice: rely on the paper pass, and on the fact that the proofs are still yours to keep.
NIPT and the anomaly scan: the question nobody officially answers
The honest answer here is an admission: for NIPT - the blood test for trisomies - there is no position in the ÖGK’s tariff documents. Not "not covered", simply no rule we could find.
The only official sentence about the cost of prenatal testing is generic and dates from 2020: social insurance covers it "only under certain conditions", such as investigating a suspicion or an elevated risk.
We deliberately quote no price. Every figure in circulation comes from providers, not from the insurer.
The sensible move: ask your insurer in writing before the test. And be careful with rules from Germany - NIPT has been covered there since 2022. That does not apply in Austria.
Telling your employer - what actually hangs on it
There is no week by which you must tell them. The law says "as soon as you know".
The point is not a penalty, it is protection: you cannot be validly dismissed during pregnancy and until four months after the birth - but only if your employer knows.
If you are dismissed while they do not know, you can cure it: tell them within five working days and the dismissal is void retroactively.
Little known: that protection also runs until four weeks after a miscarriage.
You notify the start of the eight-week period in the fourth week before it begins. If they demand a medical certificate, they pay for it.
Next step
- Understand how the Austrian system works
- Prepare for an appointment
- Call 1450 - free health advice, around the clock
- In an emergency: 144