Renewal intervals

Important: All expired prescriptions and certificates of coverage for interrupted or never undertaken treatment due to COVID-19 must be renewed by the treating physician to ensure that treatment is still required and appropriate.
The statutory time limits for medical prescriptions remain unchanged.

Dental treatment

The total or partial rebasing of removable dentures is covered once for each period of 365 days from the second rebasing (art. 40 of the CNS statutes).

Scaling (removal of dental tartar) is covered once every 6 months.

Fixed prostheses are only renewed in periods of twelve years.

Removable dentures are only renewed every five years.

However, by way of derogation, the renewal periods may be reduced by the Medical Board of the Social Security in the following cases:

  • Maxillofacial bone fracture
  • Neoplasia involving the maxillo-oral region
  • Treatment with a very high dose of biphosphonates
  • Dental prosthetic treatment before the age of 17

(art. 42 of the CNS statutes)

Nursing treatment

Unless contrary indications exist on the medical prescription issued by the doctor, medical prescriptions for nursing treatment are only covered by the health insurance fund if the prescribed treatment begins within thirty days of the issue date of the prescription (art. 49 of the CNS statutes).

Physiotherapy and massage treatment

To be covered by health insurance, medical prescriptions for the services of masseurs and masseur-physiotherapists provided outside the inpatient hospital setting must be validated by the CNS. This validation must be requested within thirty-one days of the prescription issue date. The validation comes in the form of a certificate of coverage that guarantees the services will be covered according to the statutory conditions (art. 56 of the CNS statutes).

Speech therapy

To be covered by health insurance, medical prescriptions for the services of speech therapists must be validated by the CNS. This validation must be applied for within thirty days of the prescription issue date. The validation gives the insured person an entitlement to cover that guarantees the services will be covered according to the statutory conditions (art. 60 of the CNS statutes).

In the absence of instructions to the contrary from the doctor, medical prescriptions for speech therapy are only covered by the health insurance fund if the treatment prescribed begins within six months of the prescription issue date (art. 61 of the CNS statutes).

Midwifery

In the absence of instructions to the contrary from the doctor, medical prescriptions for midwifery services are only covered by the health insurance fund if the treatment prescribed begins within thirty days of the prescription issue date (art. 66 of the CNS statutes).

Psychomotor treatment

In the absence of instructions to the contrary from the doctor, medical prescriptions for psychomotor treatment are only covered by the health insurance fund if the treatment prescribed is begun within six months of the prescription issue date.

If the waiting period exceeds six months, and the service provider certifies this, the preceding provision does not apply (art. 68 of the CNS statutes).

Analyses

In the absence of instructions to the contrary from the doctor, medical prescriptions for laboratory or clinical biology services are only covered by the health insurance fund within two months of the prescription issue date.

However, if the services are not all provided at the same time the last service provided remains covered by the health insurance fund within a maximum of six months from the prescription issue date (art. 75 of the CNS statutes).

Prescriptions

To be covered by health insurance, prescriptions for medications must be dispensed within the time specified by the doctor on the prescription or, if no time is specified, within three months of the prescription issue date.

However, in the case of prescriptions specifying several successive supplies of medications, the last supply provided remains covered by the health insurance fund within a maximum of six months from the first supply (art. 94 of the CNS statutes).

Visual aids

Except in the case of dioptre changes greater than or equal to +/- 0.50, the health insurance fund only covers the supply of one frame and one pair of lenses every three years, per vision.

A dioptre change of +0.25 in one eye and -0.25 in the other eye is considered equivalent to a dioptre change of 0.50. A dioptre change of +0.25 in the same direction in both eyes is not considered equivalent to a dioptre change of 0.50.

The starting point for calculating the renewal interval is the date of the last cover provided by the health insurance fund (art. 126 of the CNS statutes).

Except in the case of a dioptre change as defined in paragraph 1 of article 126 or another specific medication indication, the renewal interval for a contact lens is three years (art. 128 of the CNS statutes).

Hearing aids

The renewal period for hearing aids is five years for an adult.

By way of derogation, this period shall be reduced to three years for children and young people who have not reached the age of 18 years on the delivery date of the last hearing aid covered by health insurance.

The time limits shall be calculated from the delivery date of to the last hearing aid device covered.

The determination of the renewal period is based on the age attained by the insured person at the time of the delivery date of the last hearing aid covered.

(art. 152 of the CNS statutes)

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