Receiving unscheduled healthcare outside of the EU, the EEA, Switzerland, Montenegro, Serbia or the Republic of North Macedonia
Please note: Brexit may have an impact on healthcare in the United Kingdom. For more information, please consult our FAQ on the subject.
During a trip abroad, immediate access to healthcare may become necessary.
Coverage differs depending on whether or not the care is provided in a country with which Luxembourg has entered into a bilateral agreement on social security.
Who is concerned
Anyone enrolled for sickness and maternity insurance in Luxembourg who requires urgent medical care while travelling abroad, outside of the EU, th EEA, Switzerland, Montenegro, Serbia or the Republic of North Macedonia.
Prerequisites
The conditions differ depending on the destination country.
For countries outside the European Union (EU), the EEA, Switzerland, Montenegro, Serbia and the Republic of North Macedonia, but which are bound by a bilateral agreement with Luxembourg, the insured is required to submit the appropriate form to the social security institution in the country that they are visiting, certifying that they are entitled to benefits in kind during their stay.
For countries outside the European Union (EU), the EEA, Switzerland, Montenegro, Serbia and the Republic of North Macedonia, that are not bound by bilateral agreements with Luxembourg, no documents can be issued.
How to proceed
Procedures for implementing coverage
The procedures for coverage of care by the competent Luxembourgish health insurance fund depend on the country where the care was provided and on whether or not there is a bilateral agreement between Luxembourg and that country.
Generally, an insured may only benefit from coverage if they go to a care provider or supplier that is approved by the health insurance in the country they are visiting. It is thus important to get information about the health system of the destination country in order to benefit from good medical coverage.
Unforeseen healthcare in a country that is bound by a bilateral agreement with Luxembourg
Prior authorisation
For countries bound by a bilateral agreement with Luxembourg, the insured is required to submit a certificate to the social security institution in the destination country. This certificate certifies that the insured is entitled to benefits in kind during their stay.
The certificate can be applied for directly online on MyGuichet.lu.
Reimbursement of costs incurred
The insured must pay healthcare fees in advance and may request reimbursement directly from the health insurance fund in the country where they are staying. Reimbursements will be paid at the rates and prices applicable in that country.
Non-urgent healthcare delivered in an out-patient setting (e.g. visual aids, dental prostheses or crowns) is not reimbursed.
Reimbursement if the form is forgotten or refused
The insured must pay the costs of the medical care they received in advance, and request reimbursement from their competent fund in Luxembourg upon their return.
To do so, they will need to produce the receipted bills, itemising the delivered care/service (in medical terms and not as codes) in English, French or German.
The competent health insurance fund will determine the pricing for the bills with the health insurance fund in the destination country, and the insured individual will be reimbursed at the rates and prices in force in that country. Healthcare services delivered by non-contract providers, or services not provided for in the country where the insured individual was staying, will not be reimbursed.
Unforeseen healthcare in a country that is not bound by a bilateral agreement with Luxembourg
Healthcare bills from these countries are reimbursed by a Luxembourgish health insurance fund at Luxembourgish rates and prices, on the condition that the healthcare received is provided for by Luxembourgish legislation.
Bills submitted to the competent health insurance fund for reimbursement must:
- have already been paid;
- itemise the delivered healthcare in medical terms and not as codes;
- be written in English, French or German, or accompanied by a translation into one of these languages.
Since medical and hospital costs may differ from one country to another, and may even be substantially higher than in Luxembourg, it may be appropriate to take out additional private insurance.
Basic non-urgent visits with a general practitioner, or visits in connection with an illness that existed before the trip abroad, will not be reimbursed, except in the case of medical emergencies. This is also valid for births occurring abroad after the 8th month of pregnancy.
Forms / Online services
Application for a certificate of entitlement to benefits in kind necessary during a temporary stay in Cape Verde, Quebec, Bosnia and Herzegovina, Tunisia and Turkey
To complete your application, the information about you collected from this form needs to be processed by the public administration concerned.
That information is kept by the administration in question for as long as it is required to achieve the purpose of the processing operation(s).
Your data will be shared with other public administrations that are necessary for the processing of your application. For details on which departments will have access to the data on this form, please contact the public administration you are filing your application with.
Under the terms of Regulation (EU) 2016/679 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, you have the right to access, rectify or, where applicable, remove any information relating to you. You are also entitled to withdraw your consent at any time.
Additionally, unless the processing of your personal data is compulsory, you may, with legitimate reasons, oppose the processing of such data.
If you wish to exercise these rights and/or obtain a record of the information held about you, please contact the administration in question using the contact details provided on the form. You are also entitled to file a claim with the National Commission for Data Protection (Commission nationale pour la protection des données), headquartered at 15, boulevard du Jazz L-4370 Belvaux.
By submitting your application, you agree that your personal data may be processed as part of the application process.
Demande d'attestation de droit aux prestations en nature rendues nécessaires lors d'un séjour temporaire au Cap Vert, au Québec, en Bosnie et Herzégovine, en Tunisie ou en Turquie
Les informations qui vous concernent recueillies sur ce formulaire font l’objet d’un traitement par l’administration concernée afin de mener à bien votre demande.
Ces informations sont conservées pour la durée nécessaire par l’administration à la réalisation de la finalité du traitement
Les destinataires de vos données sont les administrations compétentes dans le cadre du traitement de votre demande. Veuillez-vous adresser à l’administration concernée par votre demande pour connaître les destinataires des données figurant sur ce formulaire. Conformément au règlement (UE) 2016/679 relatif à la protection des personnes physiques à l'égard du traitement des données à caractère personnel et à la libre circulation de ces données, vous bénéficiez d’un droit d’accès, de rectification et le cas échéant d’effacement des informations vous concernant. Vous disposez également du droit de retirer votre consentement à tout moment.
En outre et excepté le cas où le traitement de vos données présente un caractère obligatoire, vous pouvez, pour des motifs légitimes, vous y opposer.
Si vous souhaitez exercer ces droits et/ou obtenir communication de vos informations, veuillez-vous adresser à l’administration concernée suivant les coordonnées indiquées dans le formulaire. Vous avez également la possibilité d’introduire une réclamation auprès de la Commission nationale pour la protection des données ayant son siège à 15, boulevard du Jazz L-4370 Belvaux.
En poursuivant votre démarche, vous acceptez que vos données personnelles soient traitées dans le cadre de votre demande.
Antrag auf eine Bescheinigung über den Anspruch auf erforderliche Leistungen während eines vorübergehenden Aufenthalts in Kap Verde, Quebec, Bosnien-Herzegowina, Tunesien und in der Türkei
Ihre in diesem Formular erfassten personenbezogenen Informationen werden von der zuständigen Verwaltungsbehörde verarbeitet, um Ihren Antrag erfolgreich abzuschließen.
Diese Informationen werden von der Behörde für den zur Verarbeitung erforderlichen Zeitraum gespeichert.
Die Empfänger Ihrer Daten sind die im Rahmen Ihres Antrags zuständigen Verwaltungsbehörden. Um die Empfänger der in diesem Formular erfassten Daten zu erfahren, wenden Sie sich bitte an die für Ihren Antrag zuständige Behörde.
Gemäß der Verordnung (EU) 2016/679 zum Schutz natürlicher Personen bei der Verarbeitung personenbezogener Daten und zum freien Datenverkehr haben Sie das Recht auf Zugang, Berichtigung und gegebenenfalls Löschung Ihrer personenbezogenen Informationen. Sie haben zudem das Recht, Ihre erteilte Einwilligung jederzeit zu widerrufen.
Weiterhin können Sie, außer in Fällen, in denen die Verarbeitung Ihrer Daten verpflichtend ist, Widerspruch einlegen, wenn dieser rechtmäßig begründet ist.
Wenn Sie diese Rechte ausüben und/oder Einsicht in Ihre Informationen nehmen möchten, können Sie sich unter den im Formular angegebenen Kontaktdaten an die zuständige Verwaltungsbehörde wenden. Sie haben außerdem die Möglichkeit, bei der Nationalen Kommission für den Datenschutz Beschwerde einzulegen (Commission nationale pour la protection des données, 15, boulevard du Jazz L-4370 Belvaux).
Wenn Sie Ihren Vorgang fortsetzen, akzeptieren Sie damit, dass Ihre personenbezogenen Daten im Rahmen Ihres Antrags verarbeitet werden.