Authorised absences from home when on sick leave

I'm currently on sick leave for health reasons. While I'm fully adhering to my doctor's recommendations, I'd like more information about the permitted absences from home during my sick leave and the rules I need to follow.

Everything I need to know

I will be staying elsewhere than at my home. How do I inform the CNS?

For personal reasons or because of my state of health (need for assistance, a quiet environment, accommodation without stairs, etc.), I may stay at an address other than my own during my sick leave.

In this case, the address must appear in detail on my certificate of incapacity for work: place, street, number, floor, name on the doorbell, etc.

Please note! This form only applies to addresses in the country of residence.

I want to stay abroad or need to travel abroad. Is this possible?

In theory, while I am on sick leave, the country in which I am staying cannot be different from my country of residence.

If I need or wish to stay abroad, this is only possible with prior authorisation from the CNS, which will only be granted in the following cases:

  • if I suffer from a serious illness (e.g. cancer, stroke, severe heart failure, multiple sclerosis, etc.),
  • if I have the right to palliative care,
  • if I find myself on invalidity proceedings,
  • in the event of the death of a close relative,
  • if my child is born abroad.

Good to know: In the case of a death or birth abroad, authorisation can only be requested and granted once the event has taken place, on presentation of the death certificate or birth certificate.

Caisse nationale de santé
Service Contrôle et gestion des certificats d'incapacité de travail
L-2980 Luxembourg

I will be informed of the decision regarding the approval or refusal of authorisation.

When can I leave my home while I'm off sick?

Two specific rules apply depending on whether I am between the 1st and 5th day, or between the 6th day and the end of my sick leave.

Eating a meal

From day 1 and throughout my incapacity for work, I may take a meal outside my home/address of stay.

I must inform the CNS in advance using the online form: Notification regarding taking a meal outside during sick leave.

Between days 1 and 5

Between days 1 and 5, I am allowed to leave for:

  • Attending appointments with the Social Security Medical Board (Contrôle médical de la sécurité sociale)
  • Receiving treatment, diagnostic procedures, medication, or medical devices.

I do not need to inform the CNS, but I must be able to justify my absence in case of an administrative control.

From the 6th day

From the 6th day onwards, provided that my doctor has authorised it on my certificate of incapacity for work, I may go out:

  • Between 10.00 and 12.00 in the morning
  • Between 14.00 and 18.00 in the afternoon

From the 43rd day - Waiver of exit hours

If I am unable to work for a period of more than 6 consecutive weeks, I can ask the CNS to lift certain restrictions from the 43rd day of absence. All I have to do is complete the online form by clicking on the following link: Requesting a waiver of exit hours restrictions and wait for the CNS's answer.

What activities am I not allowed to pursue? 

During the period of my incapacity for work, I cannot:

  • Take part in sporting activities, unless medically indicated;
  • Engage in an activity that is incompatible with my state of health;
  • Visit a pub or catering establishment, except to take a meal and only after informing the CNS via the online form 'Notification regarding taking a meal outside during sick leave'.

What I need to know about the administrative control of the CNS

 

What does administrative control involve?

In the context of incapacity for work, the National Health Fund (CNS) may carry out administrative controls to verify that I am complying with the obligations associated with my incapacity for work, in particular:

  • the exit times;
  • the place of residence declared during my incapacity for work.

 

Administrative control does not apply to pregnant women (maternity leave or exemption from work), adoption leave, leave for family reasons, family hospice leave, persons undergoing spa treatment or persons benefiting from a progressive return to work for therapeutic reasons (RPTRT).

Who carries out these controls?

The controls are carried out by sworn control officers authorised by the CNS.

These officers must be able to present a service ID at any time upon request to prove their authority to carry out these controls.

When and where can these controls take place?

  • Control times: Control officers may visit between 8 a.m. and 9 p.m.
  • From the first day: An administrative control may take place from the first day of my incapacity for work.
  • Possible locations: Controls may be carried out at my home, but also in public places, with no time restrictions applying to the latter.
  • Multiple checks: The control officer may make several visits on the same day if necessary.

Important information

Even if a foreign medical certificate (from France or another country) allows permitted exits, I must comply with the rules laid down in the CNS statutes, which take precedence in Luxembourg. Therefore, any absence outside the hours authorised by the CNS will not be considered valid, even if the foreign certificate provides for other hours.

If I am entitled to hours of absence in accordance with the CNS, no controls will be carried out during these authorised hours.

For more details on the rules governing hours of absence, please refer to tab 3, ‘Authorised absences from home’.

What exactly does the control officer do?

The role of the control officer is to ensure that I comply with the administrative obligations associated with my incapacity for work, in particular:

  • the permitted hours of absence,
  • the location that I have reported to the CNS.

The control officer never enters my home: they simply check that I am present at the address provided (place of residence or temporary place of residence).

If I am present, the control officer draws up a certificate of presence, which I must sign.

The control officer may also ask me to present identification to confirm that the person opening the door is indeed the insured person in question.

To ensure that the check runs smoothly, I must ensure that the control officer can reach me, for example by making sure that the doorbell is working or that all other usual means of access to my home are functional.

The control officer is not a doctor and does not assess my state of health. The medical assessment is the sole responsibility of the CMSS and is carried out only after a summons.

What happens if you are absent during the control?

If I am not at home at the time of the visit, the control officer will leave a notification together with a response form, asking me to justify my absence in writing within three working days. The date of dispatch of this notification shall be deemed to be the relevant date.

 

How can you verify the identity of the control officer in case of doubt?

If I have doubts about the identity of a person claiming to be a control officer, I can always contact the CNS to verify their legitimacy.

It is important to remain vigilant, but in any case, control officers are required to show their service ID.

Can controls be carried out outside Luxembourg?

Yes, administrative controls can also take place outside Luxembourg, namely in France, Belgium and Germany.

Can an employer request an administrative control?

An administrative control can be requested by my employer using a form provided for this purpose.

It is important to note that this is not a medical control.

Are self-employed persons subject to controls?

If I am self-employed or a freelancer and have reported incapacity for work, I may be subject to administrative controls from the first day of incapacity for work under the same conditions as employees.

Related procedures

I will be staying elsewhere than at my home

I may stay at an address other than my own during my sick leave (note: in the same country as my place of residence!).

If I have forgotten to indicate my temporary address on the back of my sick leave certificate, I can inform the CNS using the declaration form.

Access the declaration form

I inform the CNS that I am taking a meal outside

From the 1st day of my incapacity for work, I can take a meal outside.

I must inform the CNS in advance using the online form 'Notification regarding taking a meal outside during sick leave'.

Access the declaration form

I am asking the CNS to lift certain exit restrictions

I am unable to work for more than 6 consecutive weeks.

I can ask the CNS to lift certain restrictions from the 43rd day of absence. All I have to do is complete an online form.

Access the declaration form

I want or need to stay abroad during my sick leave

This is only possible with prior authorisation from the CNS and under certain conditions.

I make the request using a specific application form.

Access the declaration form

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