Transfer abroad for an extended period

The insured person has received authorisation from the CNS for scheduled and extended treatment abroad (for example, authorisation valid from 1 September 2019 to 31 March 2020). Such treatment will involve several back-and-forth trips from Luxembourg to the country of treatment.

However, the conditions for covering a serial transport (=repetitive) abroad are not met.

Under certain conditions, a single transport by ambulance is possible, but a prior request must be made separately for each transport.

Conditions of coverage

For each simple transport by ambulance taking place during the period of validity of the transfer abroad, a request for the issue of a certificate of coverage must be made in advance by the doctor. The doctor must issue a medical prescription indicating the medical reasons justifying the need for transport in a lying or semi-seated position.

Procedures

Certificate of coverage for each outward journey

The attending physician must issue a medical prescription indicating the medical reasons justifying the need for transport in a lying or semi-seated position. This prescription must first be submitted to the CNS. The CNS carries out an administrative check of the file. If the check is satisfactory, the CNS issues a certificate of coverage which is sent to the insured person. If the return journey takes place in one day, the attending doctor will also make the request for the return journey on the outward journey form.

Certificate of coverage for each return journey

The attending physician (physician who carried out the treatment abroad, respectively the physician who authorised the hospital release) must issue a medical prescription stating the medical reasons justifying the need for transport in a lying or semi-seated position. This prescription must be submitted to the CNS. If the check is satisfactory, the CNS issues a certificate of coverage which is sent to the insured person.

Reimbursement / Coverage

The insured may:

• hand over the certificate of coverage to the approved transport provider and ask him to apply for coverage through the third-party payment system. If all the conditions are met, the insured person only pays to the provider the part of the costs not covered by the health insurance.
• advance the costs and subsequently request reimbursement from the CNS. The documents to be attached are the paid invoice from the approved transport provider and the valid certificate of coverage.