The hospital sector in Luxembourg includes acute care hospitals as well as the "Centre hospitalier neuro-psychiatrique", the "Centre national de rééducation et de réadaptation fonctionnelles", the "Institut national de chirurgie cardiaque et cardiologie interventionnelle pour la chirurgie cardiaque" and the "Centre pour radiothérapie François Baclesse" in Esch-sur-Alzette.
List of hospitals (10 in total and Colpach is part of the LNS)
Course of the patient's stay
Except in emergencies, the patient has the free choice of the hospital as well as the doctor among those admitted to practice in the hospital.
For inpatient treatment
Insured persons are admitted to an inpatient treatment under the responsibility of a licensed hospital doctor, who registers the date and time of admission.
At the end of an inpatient hospital stay, the attending physician sets the date of the insured person's discharge.
For outpatient treatment
Outpatient treatments are covered according to the same terms as consultations/treatments in medical practices.
The patient has the right to leave the hospital at any time, at his own risk. When the discharge poses a danger to the patient and is made against the doctor's advice, the patient is required to sign a certificate of discharge against medical opinion, after having been informed of the risks of his discharge.
What is covered
Outpatient or inpatient treatments and hospitalisations in second-class rooms, with the exception of medical fees, are fully covered.
The attending physicians must invoice the acts and services provided for in the table of the nomenclature of acts and services of doctors and dentists.
The hospital shall adequately inform the patient of the financial conditions of his or her stay, including the amounts to be paid by the patient.
The CNS covers hospitalisations in rooms that fall within the definition of a second class room without extra charge.
In the event of hospitalisation of a child under 14 years of age, accomodation costs (provision of a bed), with the exception of catering costs generated by the presence of an accompanying person in the hospital, are covered by health insurance.
Second class room: one or more sinks, a toilet, a shower, an electronic nurse call equipment with integrated radio
What is not covered
Treatments not covered by health insurance
Benefits not prescribed by the legislation, regulations and statutes in force are not covered, in particular: accommodation, cosmetic surgeries (unless authorised by the Medical Board of Social Security and unless the first treatment results in complications).
Accommodation: a stay during which no further treatment is carried out and the patient is waiting for his discharge, a classic case, is a patient waiting for a place available in a retirement home.
Except in the event of delivery by the official care or emergency service, or in the case of extraction of more than three teeth, hospital stays and treatments in connection with dental treatments are only covered by health insurance with the prior agreement of the Medical Board of the Social Security and under specific conditions.
Amounts to be paid by the patient (in second class)
- Insured persons, with the exception of children under 18 years of age, participate in their maintenance during an inpatient hospital stay at a rate of 22.54 euros for each day of hospitalisation started, up to a maximum of 30 days per calendar year. In the event of hospitalisation during childbirth, this contribution is not due during the first 12 days.
- Insured persons, with the exception of children under 18 years of age, placed under surveillance in a hospital or admitted to hospital day care participate in their maintenance at a rate of 11.27 euros per day. Specific rules apply to treatments in psychiatric day hospitals.
Various supplements (personal convenience/1st class)
- telephone, TV, internet access etc.
A stay in 1st class/individual room leads to:
- the invoicing of a supplement per day according to the type of room occupied. This supplement per day varies according to the type of room occupied (with or without shower, etc.)
- a 66% increase in medical fees. In this case, the physician or other intervening physicians (anaesthetist etc.) are entitled to apply a rate increased by sixty-six percent (66%) over the official rate applied for consultations, visits and second-class medical procedures and services.
The supplement per day for 1st class and the 66% increase are not covered by health insurance.
The 66% increase:
A 66% increase in the rate cannot be applied when hospitalisation in a single room is necessary for medical reasons.
Surgical procedures in the operating room may also be increased by 66% if the insured person's occupancy of the first-class room only begins within 48 hours of the surgery or exit from the intensive care unit.
If, during hospitalisation, several surgical operations are carried out, at least one of which is not covered by health insurance, the costs normally covered and incurred during the period of hospitalisation shall be covered only if the most important operation is covered by health insurance.