Ordering certificates and forms

  1. Certificate of co-insurance
  2. Certificate of affiliation for those living on minimum wage and those living on pensions
  3. Provisional certificate replacing the European Health Insurance Card (EHIC)
  4. Form applicable during a stay in a country linked to Luxembourg by bilateral agreement
  5. S1/BL1 form

 

Certificate of co-insurance

The certificate of co-insurance can be ordered via MyGuichet.

Note

1) A certificate of co-insurance for Luxemburg residents is always issued by the CNS.

2) As a general rule, a certificate of co-insurance for non-residents is issued by the competent social security institution of the place of residence.  

Exception : if the institution requesting the certificate of co-insurance (e.g. university, embassy etc.) is not situated within the country of residence, the CNS is responsible for issuing the requested certificate.

Certificate of affiliation for those living on minimum wage and those living on pensions

The certificate of affiliation for those benefiting from a minimum wage or those living on pensions can be requested with the "Service Coassurance et signalétique" by using the e-mail below.

Note

The CNS only issues the certificate of affiliation for persons benefiting from a minimum wage and those living on pensions. The certificate of affiliation for active persons must be requested with the Joint Center of Social Security (Centre commun de la sécurité sociale).

Provisional certificate replacing the European Health Insurance Card (EHIC)

The provisional certificate replacing the EHIC (valid for three months as of the issue date) can be issued on request via MyGuichet.

Form applicable during a stay in a country linked to Luxembourg by bilateral agreement

For a stay in a country linked to Luxembourg by bilateral agreement, the insured person is required to present a specific form to the social security institution of their place of stay, certifying that the holder has the right to benefits in kind during their stay. This institution covers the provided healthcare at the same rates and tariffs, and under the same conditions as they normally apply.

The countries are Bosnia-Herzegovina, Cap Verde, Morocco, Quebec, Tunisia and Turkey (the European Health Insurance Card is valid in Macedonia, Montenegro and Serbia).

These forms can be issued on request via MyGuichet.

S1/BL1 form

A cross-border worker insured in Luxembourg must register with the health insurance fund of their country of residence in order to benefit from health care reimbursements in that country. The CNS issues a document of entitlement for this purpose:

  • S1 (except Belgium)
  • S072, the document of entitlement intended for French cross-border workers living in the departments of MEURTHE-ET-MOSELLE (54) and MOSELLE (57), is sent directly to the respective CPAM (Caisse Primaire d'Assurance Maladie). A confirmation of registration will be sent to the cross-border worker by the CPAM.
  • BL1 for Belgian cross-border workers.
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