Doctors

Most doctors in Luxembourg are self-employed. As part of a liberal medical system, they either work in individual private practices or they collaborate with one or more doctors in one practice.

General information

The role of doctors

The main duty of doctors is to treat and prevent diseases. This is referred to as primary care, which is mainly provided by general practitioners and specialists in medical practices.

Each person should choose a general practitioner for themselves and a paediatrician and/or general practitioner for their child. These healthcare providers will be the first point of contact in the event of illness and will guide them. If the usual doctor is not available, the insured person may contact another doctor of their choice, in accordance with the principle of free choice of service provider.

Free choice of service provider

Except in case of emergency, the insured person is free to choose a healthcare provider. He can also consult a specialist without first going through a general practitioner and does not need a transfer/prescription from his doctor to consult the specialist. The insured person may change doctors at any time.

However, in a hospital setting, choice can often be limited, as hospital organisational structures allow only health professionals licensed by the hospital to provide medical care.

Medical specialities

In Luxembourg, the term "doctors" (excluding dentists) refers to doctors practicing general medicine and medical specialists. The various medical specialities recognised in Luxembourg are defined by a Grand-Ducal regulation, here are some examples: cardiology, general surgery, dermatology, gastroenterology, ophthalmology, paediatrics, urology, etc.

Compulsory agreement of the doctor

In order for services such as consultations, visits, procedures, medical and care services to be covered by the health insurance fund, they must be delivered by providers who are covered by agreements. In Luxembourg, there is a general and mandatory convention system. All doctors and dentists authorised to practise in Luxembourg are therefore automatically and mandatorily covered by agreements and they have to comply with the nomenclatures and tariffs.

Conditions of cost coverage

Affiliation to health insurance

Any person working in Luxembourg must be affiliated with the CNS or the competent public sector fund. An insured person may co-insure their family members in order to benefit from medical care in Luxembourg. The insured person receives a social security card with a 13-digit national identification number, which is to be presented to healthcare providers.

Acts and services specified in the nomenclature

In order for an act or service provided by a doctor to be reimbursed, this act or service must be recorded in a nomenclature. For doctors and specialist doctors, these procedures are provided in the nomenclature of acts and services of doctors.

Limitation of coverage

Authorisation

Certain acts or services can only be covered with the authorisation or prior authorisation of the National Health Fund (CNS), with the assent of the Medical Board of the Social Security (CMSS). In the doctors' nomenclature of acts and services and the CNS statutes, these acts are indicated by ACM (authorisation of the Medical Board of the Social Security required) or APCM (prior authorisation of the Medical Board of the Social Security required).

Number of consultations/visits

The CNS only covers:

  • one consultation or visit from the general practitioner or specialist in the same medical discipline per 24 hours, unless there is an intervention by the emergency medical service,
  • two consultations or visits by the general practitioner or specialist in the same medical discipline per seven-day period,
  • twelve consultations or visits by a general practitioner or a specialist in the same medical discipline per semester, unless they are consultations or visits delivered during a long stay in the geriatric ward or in hospital,
unless a previously requested authorisation was given or a medical justification accepted, with the approval of the Medical Board of the Social Security.
 

Prescription renewals and serial injections and dressings shall not be taken into consideration for the application of the foregoing provisions.

Personal conveniences

Doctors have the right to charge additional fees for personal conveniences, provided that the insured person has been previously informed about it. The treatment in question can only be started when the insured person authorises the doctor to charge the additional fee. These fees are not covered by health insurance.

Medical emergencies

A person should only go to the emergency services of an on-duty hospital if they fall seriously ill, or if they suffer an acute injury or fracture, etc.

Primary care centres (“maisons médicales”)

Primary care centres have been set up to provide a replacement service for general practitioners whenever the insured person requires general medical care during evening or night hours (8pm to 7am), weekends and public holidays (8am to 7am).

During the closing hours of medical practices, primary care centres provide an alternative service in the form of a general medical permanence. It is important to note that these are not emergency services and that in the event of a medical emergency, the insured person must immediately call 112.

In Luxembourg, three on-call primary care centres have been set up: Luxembourg City, Esch-sur-Alzette and Ettelbruck.

Paediatric emergencies

When a child falls seriously ill, a paediatric primary care centre (“maison médicale”), is available or, in second instance, the paediatric emergency services, which are both located within the "KannerKlinik" at the Luxembourg Hospital Centre (CHL). After the administrative admission at the KannerKlinik's reception desk, a triage and guidance nurse will refer the patient either to the paediatric emergency services or to the paediatric primary care centre, depending on the reason for admission and scientific triage criteria.

The paediatric emergency services are open 24 hours a day.

The paediatric primary care centre offers care provided by paediatric doctors, from Monday to Friday between 7 p.m. and 10 p.m. all year round; on weekends and on public holidays, from 9 a.m. to 9 p.m.

The Paediatric Policlinic manages EMERGENCIES 7 days a week from 8 a.m. to 8 p.m. It is located on the ground floor of Kirchberg Hospital.

The paediatric emergency services take care of children from birth to the age of 15.

Medical care received abroad

Medical care scheduled abroad (member state of the EU, the EEA and Switzerland)

The insured person may choose to deliberately seek treatment abroad:

Outpatient care (care in hospital without overnight stay or outside the hospital, e. g. medical practice...)

Prior authorisation is not required. Scheduled outpatient care is reimbursed by Luxembourg according to Luxembourg conditions, rates and tariffs. When care is provided using highly specialised and costly hospital infrastructure or medical equipment, prior authorisation is required.

Inpatient care

A prior authorisation from Luxembourg is required for coverage, upon presentation of a transfer request filled out by a doctor and following a favourable opinion from the CMSS.

Emergency care (medical care required during a stay abroad)

When traveling abroad, immediate access to healthcare may be necessary. In order to avoid any inconveniences, different steps must be taken before, during and after the holidays. Destinations can be subdivided into three categories.

Care received in the country of residence of a cross-border worker

For cross-border workers, the health insurance fund of the country of residence is responsible for reimbursing healthcare provided in that country. For medical care provided in Luxembourg or any other country, the cross-border worker may request reimbursement from the CNS.

 

Last update