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  3. Medical: Health Care

spend down

French translation: stratégies de dépense d’excédents en soins

GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)
English term or phrase:spend down
French translation:stratégies de dépense d’excédents en soins
Entered by: Drmanu49

20:59 Oct 8, 2017
English to French translations [PRO]
Medical - Medical: Health Care / Legal aid in healthcare issues (US)
English term or phrase: spend down
Translating a form from a welfare organization in the US helping patients by solving legal issues that impact their health. The form has a list of boxes to be marked by the applicant depending on the type of issue they are facing:

Benefits, Local Welfare
[...]
*DHHS (Department of Health and Human Services) - Difficulty processing applications timely, documents not getting put in the right file
*DHHS - Medicaid (prior authorization, ***spend down**, refusal of service, choices for independence)
Social Security: SSDI/SSI (appeals, terminations, reductions in benefits, overpayments, waivers)
Unemployment Compensation (denials, overpayments)
City and Town Welfare
[...]

Here is an explanation of the term in English:
http://www.oms.nysed.gov/medicaid/resources/medicaid_spend_d...
What is a Medicaid Spend Down and how does it work?
Some people have too much income to qualify for Medicaid. This amount is called excess
income. Some of these people may qualify for Medicaid if they spend the excess income on
medical bills. This is called a spend down.

My current solution:
stratégies de dépense d’excédents (« spend-down »)

I have found 'épuisement des actifs/du capital/de la dotation' in Term Search, but I think that refers to a complete spending of all available assets, as in
a company closure. My situation is different - it is more like a strategy where only a certain amount (excess income) needs to be spent in a certain way in order to achieve a qualifying level.

Suggestions welcome, thanks!
Nathalie Stewart
France
stratégies de dépense d’excédents en soins
Explanation:
sounds OK to me
Selected response from:

Drmanu49
France
Local time: 06:12
Grading comment
Merci
4 KudoZ points were awarded for this answer



Summary of answers provided
4 +2stratégies de dépense d’excédents en soins
Drmanu49
4explication
chaplin
4déduction des frais médicaux des revenus ("spend down")
FX Fraipont (X)


  

Answers


10 mins   confidence: Answerer confidence 4/5Answerer confidence 4/5 peer agreement (net): +2
stratégies de dépense d’excédents en soins


Explanation:
sounds OK to me

Drmanu49
France
Local time: 06:12
Specializes in field
Native speaker of: Native in EnglishEnglish, Native in FrenchFrench
PRO pts in category: 1105
Grading comment
Merci

Peer comments on this answer (and responses from the answerer)
agree  chaplin
2 mins
  -> Thank you.
agree  GILLES MEUNIER: oui
8 hrs
  -> Thank you Gilles.
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11 mins   confidence: Answerer confidence 4/5Answerer confidence 4/5
explication


Explanation:
This amount is called excess income. Some of these people may qualify for Medicaid if they spend the excess income on medical bills. This is called a spend down. For example, a person over 65 is denied Medicaid because her monthly income is $50 more than the limit for Medicaid eligibility.
Medicaid Spend Down Procedures
www.oms.nysed.gov/medicaid/resources/medicaid_spend_down.pd...

chaplin
United Kingdom
Local time: 05:12
Works in field
Native speaker of: French
PRO pts in category: 20
Notes to answerer
Asker: Ummm - thanks but you are quoting the same link that I already posted in my question. Do you have any suggestions for translating the term in French?

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7 hrs   confidence: Answerer confidence 4/5Answerer confidence 4/5
déduction des frais médicaux des revenus ("spend down")


Explanation:
"QU’EST-CE QUE “SPEND DOWN”?
Sous cette méthode de “spend down” certains États vous accordent le droit à Medicaid en tant que personne qui a une “exigence médicale”, même si vous avez trop de revenus pour pouvoir bénéficier. Cette méthode vous permet de déduire vos frais médicaux de vos revenus -connu comme “spend down” en anglais-, afin d’avoir droit à Medicaid (par exemple, les frais d’hôpital ou des visites chez le médecin). Ceci réduira vos revenus de sorte qu’ils seront inférieurs au montant maximum autorisé pour avoir droit au programme de Medicaid de votre État. Pour avoir droit
à Medicaid en tant que personne qui a une “exigence médicale”, vos ressources calculables (par exemple, vos comptes d’épargne et certificats de dépôt) doivent aussi être inférieurs au montant autorisé par votre État."
Une vue d'ensemble de Medicaid - Medicare.gov
https://www.medicare.gov/pubs/pdf/other-languages.../11409-F...


FX Fraipont (X)
Belgium
Local time: 06:12
Works in field
Native speaker of: Native in FrenchFrench
PRO pts in category: 291
Notes to answerer
Asker: Merci, c'est aussi une bonne suggestion mais finalement je préfère garder la notion "d'excédent" dans ma traduction.

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