In order to be entitled to coverage from the CNS or the competent public sector fund, all physiotherapy-massage sessions must be prescribed by a doctor.
Medical prescription: Content and number of sessions
A standardised prescription for physiotherapy must be issued, which provides information about the type of treatment, the number of sessions and their frequency as well as the treatment prescribed.
The number of sessions covered per prescription may vary depending on the type of treatment, that is 8 in case of a common pathology, 64 in case of a severe pathology and 32 in case of post-surgery rehabilitation.
Severe pathologies are defined in the statutes of the CNS and they are indicated on the back of the standardised prescription. All pathologies that are not on this list, except post-surgery rehabilitation, are considered to be common pathologies.
Foreign prescriptions must contain the same indications as the standardised prescription and they must be written in French, German or English. Prescriptions in other languages are returned, as they cannot be processed by the CNS.
Validation of the prescription
The prescription has to be validated by the CNS. In general, the insured person gives the prescription to the physiotherapist during their first session, who will then take care of the necessary administrative formalities. If the administrative conditions are met, the CNS validates the prescription. This validation has to be requested within 31 days of the issue date of the medical prescription.
Certificate of coverage
The validation takes the form of a certificate of coverage issued by the CNS.
The certificate of coverage states the maximum duration of the treatment, the number of sessions covered and the rate of coverage.
The physiotherapist can adapt the frequency of sessions and techniques used (massage, electrotherapy, …) according to the patient’s needs and the evolution of their pathology.
The physiotherapist has to respect certain quality standards. These standards provide for criteria relating to the infrastructure (waiting room, minimum surface of the treatment rooms, mandatory display of certain information) and the criteria in relation to the treatment itself (it is not allowed to treat more than one patient at a time, definition of the content of the patient’s files, minimum duration of 20 minutes per session, …).
The physiotherapist's travel costs may be covered at a fixed rate, as long as:
- the doctor indicates on the prescription that it is medically necessary for the physiotherapist to provide the treatment at the insured person’s home.
- the journey takes place inside Luxembourg. Journeys beyond the border are not covered.
If these conditions are fulfilled, the fixed travel allowance is covered at the same rate as the physiotherapy treatment provided at home.