Nurses

I receive care from a nurse!

Nursing care prescribed by my doctor is covered by health insurance.

I am free to choose my nurse, whether they work alone as a liberal professional, in a liberal association or as part of a care network.

Acts performed under a palliative care treatment and acts performed in establishments (hospitals, convalescent homes, doctors' surgeries, etc.) are not covered by this section.

Everything I need to know

What acts and care are covered?

Nurses can perform all the services provided for and listed in the nomenclature of nursing services.

The complete list of acts and services provided by nurses is set out in the nomenclature of acts and services provided by nurses. I click here to view this nomenclature (list in PDF format).

Please note: the nomenclature of acts and services provided by nurses does not apply to persons entitled to palliative care.

Nurses may also provide the following services from the list of acts and services of medical analysis and clinical biology laboratories: 'Blood samples via superficial vein (BY001)' and 'Blood samples via venipuncture in children under 6 years of age (BY002)'.

Injections or infusions can only be covered if the medicines administered are covered by health insurance or, in certain cases, if they are injections for vaccination purposes.

What are the conditions for coverage?

All acts and services performed by nurses must be prescribed by a doctor by means of a medical prescription before nursing care begins.

If I need to have venous blood taken at home (act N106), I must have a prescription from my doctor certifying the medical necessity of taking the sample at home.

If the nurse does not carry out all the care prescribed on my medical prescription, they will indicate the number of acts actually performed on the prescription.

Please note: If my medical prescription for nursing care does not indicate a deadline, I must begin the prescribed treatment within 30 days of the prescription being issued.

Are travel expenses covered?

For each home treatment, a travel allowance can be invoiced. If the nurse carries out several treatments during the same session, they are entitled to a single travel allowance.

If, during the same trip, the nurse treats several people in my household or from the same establishment, the travel allowance can only be invoiced for the first person treated.

The nurse does not have the right to charge a travel allowance if my treatment takes place:

  • in an assistance and care establishment;
  • in a hospital and in a specialised hospital establishment;
  • in a therapeutic and convalescent cure establishment;
  • in a doctor's surgery.

The nurse's travel allowance is covered provided that:

  • the need to provide nursing care at my home is justified on the medical prescription;
  • the journey takes place on Luxembourg territory. A trip across the border is not covered.

If these conditions are met, the travel package is covered at the same rate as that applied to the act delivered for the travel.

How does coverage work?

The third-party payer

As a general rule, my nurse's fees in Luxembourg are paid directly by the CNS under the third-party payer system.

I only pay the nurse the portion that I am responsible for.

Upfront payment

However, if the third-party payment system has not been applied, my nurse will give me an invoice. I am then required to advance the sum and send the duly paid invoice to my competent fund, together with the medical prescription.

Coverage rate

Acts and services included in the nurses' nomenclature are covered at a rate of 88% of the fixed tariffs.

For nursing acts carried out on my children if they have not reached the age of 18 at the time of the prescription, coverage rate is 100%.

The rate is also 100% if I have a coverage plan entitling me to long-term care insurance benefits or if I receive care allowance or a special allowance for the severely disabled.

Frequently asked questions (FAQ)

And if I am a cross-border worker, what about coverage for nursing care?

If I am a cross-border worker and I receive nursing care in my country of residence, the services are exclusively reimbursed by my local fund, in accordance with the rates, tariffs and conditions in force in my country of residence.

If necessary, I have to call on a registered nurse in my country of residence.

What are the codes and tariffs applied?

The complete list of acts and services provided by nurses covered by health insurance is set out in the nomenclature of acts and services provided by nurses. I click here to access this nomenclature (list in PDF format).

Why did my nurse invoice me for fees lost or extraordinary constraints?

Compensation for loss of fees

If I fail to attend an agreed appointment or am not at home to receive care at the appointed time, without having notified my nurse at least the day before the appointment, they are entitled to compensation for loss of fees. This compensation, as well as any travel expenses, will not be covered by health insurance. These costs will therefore be at my expense.

Compensation for extraordinary constraints

If my nurse gives me an appointment at my express request on a specific day after 19:00 or on a Saturday, Sunday or public holiday, they are entitled to compensation for extraordinary constraints, provided that the appointment is outside my nurse's normal working days or hours and that they keep the appointment. This compensation is not refunded and will therefore be at my own expense.

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