self-pay patient

French translation: patients supportant eux-même le coût du traitement

GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)

English term or phrase:	self-pay patients
French translation:	patients supportant eux-même le coût du traitement
Entered by:	Solen Fillatre

08:59 Jan 11, 2016

English to French translations [PRO]
Medical - Medical: Health Care

English term or phrase: self-pay patient

All accounts who are contractually left with a financial liability by their insurer or who fail to have third party liability coverage are considered ***self-pay patients***.
***Self-pay patients*** receive a series of four data mailers and one urgent notice over a period of 135 days from the date of the first billing statement for care

Solen Fillatre KudoZ activity Questions: 1609 (6 open) (142 closed without grading) Answers: 226 France
Local time: 14:01

patients supportant eux-même le coût du traitement

Explanation:
= non assurés

"https://kce.fgov.be/.../KCE_169B_soins_programmes_...
PATIENTS AVANÇANT OU SUPPORTANT EUX-MÊMES LE COÛT ..... traitement se révèle plus lucratif pour les hôpitaux et les médecins, cela."

Selected response from:

FX Fraipont (X)
Belgium
Local time: 14:01

Grading comment

thank you FX
4 KudoZ points were awarded for this answer

Summary of answers provided

5 +2

patients supportant eux-même le coût du traitement

FX Fraipont (X)

4 +1

patient « self-pay » (supposé payer eux-mêmes leurs factures)

Bertrand Leduc

Patient prenant en charge les coûts du traitement

GILLES MEUNIER

patient aux dépenses non remboursées

Francois Boye

à la charge du patient

Manuela Domingues

Discussion entries: 1

Answers

7 mins confidence:

à la charge du patient

Explanation:
suggestion

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Note added at 11 minutos (2016-01-11 09:10:21 GMT)
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paiement à la charge du patient...

Manuela Domingues
Portugal
Local time: 13:01
Native speaker of:

French,

Portuguese

11 mins confidence:

peer agreement (net): +2

patients supportant eux-même le coût du traitement

FX Fraipont (X)
Belgium
Local time: 14:01
Works in field
Native speaker of:

French
PRO pts in category: 291

Grading comment

thank you FX

12 mins confidence:

peer agreement (net): +1

patient « self-pay » (supposé payer eux-mêmes leurs factures)

Explanation:

--------------------------------------------------
Note added at 13 minutes (2016-01-11 09:12:29 GMT)
--------------------------------------------------

«On les appelle les "self-pay", car ils sont supposés payer eux-mêmes leurs factures même si le plus souvent ils ne peuvent pas payer»,
http://www.liberation.fr/planete/2009/12/26/nous-devons-soig...

Bertrand Leduc
United Kingdom
Local time: 13:01
Specializes in field
Native speaker of:

French
PRO pts in category: 205

13 mins confidence:

Patient prenant en charge les coûts du traitement

Explanation:
-

--------------------------------------------------
Note added at 14 minutes (2016-01-11 09:13:03 GMT)
--------------------------------------------------

on parle de prise en charge en français correct

GILLES MEUNIER
France
Local time: 14:01
Native speaker of: French
PRO pts in category: 441

14 hrs confidence:

patient aux dépenses non remboursées

Explanation:
self-pay = out-of-pocket = medical expenses not refunded by the healthcare insurer or the national healthcare system

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Note added at 14 hrs (2016-01-11 23:28:35 GMT)
--------------------------------------------------

The individual insured person's obligations may take several forms:[2]
Premium: The amount the policy-holder or their sponsor (e.g. an employer) pays to the health plan to purchase health coverage.
Deductible: The amount that the insured must pay out-of-pocket before the health insurer pays its share. For example, policy-holders might have to pay a $500 deductible per year, before any of their health care is covered by the health insurer. It may take several doctor's visits or prescription refills before the insured person reaches the deductible and the insurance company starts to pay for care. Furthermore, most policies do not apply co-pays for doctor's visits or prescriptions against your deductible.
Co-payment: The amount that the insured person must pay out of pocket before the health insurer pays for a particular visit or service. For example, an insured person might pay a $45 co-payment for a doctor's visit, or to obtain a prescription. A co-payment must be paid each time a particular service is obtained.
Coinsurance: Instead of, or in addition to, paying a fixed amount up front (a co-payment), the co-insurance is a percentage of the total cost that insured person may also pay. For example, the member might have to pay 20% of the cost of a surgery over and above a co-payment, while the insurance company pays the other 80%. If there is an upper limit on coinsurance, the policy-holder could end up owing very little, or a great deal, depending on the actual costs of the services they obtain.
Exclusions: Not all services are covered. The insured are generally expected to pay the full cost of non-covered services out of their own pockets.
Coverage limits: Some health insurance policies only pay for health care up to a certain dollar amount. The insured person may be expected to pay any charges in excess of the health plan's maximum payment for a specific service. In addition, some insurance company schemes have annual or lifetime coverage maxima. In these cases, the health plan will stop payment when they reach the benefit maximum, and the policy-holder must pay all remaining costs.
Out-of-pocket maxima: Similar to coverage limits, except that in this case, the insured person's payment obligation ends when they reach the out-of-pocket maximum, and health insurance pays all further covered costs. Out-of-pocket maxima can be limited to a specific benefit category (such as prescription drugs) or can apply to all coverage provided during a specific benefit year.
Capitation: An amount paid by an insurer to a health care provider, for which the provider agrees to treat all members of the insurer.
In-Network Provider: (U.S. term) A health care provider on a list of providers preselected by the insurer. The insurer will offer discounted coinsurance or co-payments, or additional benefits, to a plan member to see an in-network provider. Generally, providers in network are providers who have a contract with the insurer to accept rates further discounted from the "usual and customary" charges the insurer pays to out-of-network providers.
Prior Authorization: A certification or authorization that an insurer provides prior to medical service occurring. Obtaining an authorization means that the insurer is obligated to pay for the service, assuming it matches what was authorized. Many smaller, routine services do not require authorization.[3]
Explanation of Benefits: A document that may be sent by an insurer to a patient explaining what was covered for a medical service, and how payment amount and patient responsibility amount were determined.[3]

Francois Boye
United States
Local time: 08:01
Native speaker of:

French

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French translation: patients supportant eux-même le coût du traitement

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