Midwives

I'm expecting a baby!

I can rely on my health insurance to support me during this joyful yet delicate time, ensuring the well-being of both myself and my unborn child.

As the primary person concerned, I have the freedom to choose and to be cared for by a midwife outside the hospital setting, before, during and after birth.

Everything I need to know

What acts and care are covered?

Midwives are authorised to assist me before, during and after the birth, but only if they perform these acts personally, and only outside a hospital setting in Luxembourg.

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

1 - During pregnancy

I can call on the services of midwives during the prenatal period (before the birth), whether for preparation for the birth and parenthood or for the monitoring and provision of obstetric care. If I plan to give birth outside of a hospital setting, such as at home, I can be accompanied and monitored by a midwife of my choice.

2 - Childbirth

In hospitals (maternity wards), I can be monitored and assisted by the midwives employed by the establishment. These services are not included in the list of midwives.

Home births are covered directly by the CNS.

3 - After birth

After the birth (postnatal period), I can also call on a midwife for postpartum care at home, covering 15 days after the birth or, in the cases listed below, even for complex postpartum care, covering a period of 21 days after the birth, including the midwife's travel allowance.

I am entitled to complex care lasting 21 days in the following cases:

  • it is my first delivery, on prescription,
  • it is a multiple birth,
  • it is a premature delivery,
  • it is a caesarean section,
  • it is a death in utero,
  • early discharge from hospital on the day of or the day after delivery.

Health insurance also covers follow-up (a consultation) and advice on breastfeeding for infants under 9 months. A maximum of three interventions in the event of breastfeeding difficulties are covered.

My midwife may suggest pelvic floor rehabilitation (perineal rehabilitation) sessions. Please note: health insurance will only cover them if the sessions take place within a deadline of twelve months from the date of delivery. A maximum of eight sessions are taken into account.

And in the event of a pathology?

It is possible that I may be confronted with a pathological pregnancy or that a pathology may arise after the birth. In this case, I must consult my gynaecologist or general practitioner to obtain a medical prescription before I can resort to certain care provided by midwives.

USEFUL: If I have a medical prescription and no deadline is specified for starting the treatment, the prescribed treatment must begin within 30 days of the prescription being issued.

Sexual health and family planning

For the purposes of sexual health and family planning, aside from pregnancy, I can also ask a midwife for a preventive consultation for sex and family education. This consultation can take place a maximum of twice a year and must last at least 30 minutes.

Si j'ai des questions sur le suivi ou les soins fournis par les sages-femmes, j'en parle idéalement avec ma sage-femme. Elle est la mieux placée pour m'aider. Chaque situation étant unique, elle me guidera et m'indiquera les démarches à entreprendre si nécessaire.

Are travel expenses covered?

Travel expenses include travel allowance and travel expenses per kilometre. For my midwife's travel expenses to be covered, certain conditions must be met:

  • The journey must take place on Luxembourg territory. Any travel beyond the border will not be covered.
  • Treatment must be carried out in a non-hospital environment.

How does coverage work?

The third-party payer

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

Upfront payment

However, if the third-party payment system has not been applied, my midwife will give me an invoice. I am then required to advance the sum and send the duly paid invoice to my competent fund, accompanied, if applicable, by the necessary supporting documents.

Coverage rate

Acts and services included in the midwifery nomenclature are covered at a rate of 100%.

Frequently asked questions (FAQ)

And if I am a cross-border worker, what about the coverage of midwifery care?

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

A midwife established in Luxembourg may only provide care on Luxembourg territory.

Can my midwife issue a prescription or a pregnancy certificate?

Midwives have the right, under their own responsibility, to prescribe certain medicines and certain biological analyses.

For maternity leave requests, only pregnancy certificates issued by a doctor are accepted by the CNS. In other words, certificates issued by a midwife, a common practice in neighbouring countries, cannot be accepted by the CNS for maternity leave.

What are the codes and tariffs applied?

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

Why did my midwife 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 midwife 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 midwife 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 midwife'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.

Contact us

Last update