Are there any conditions that must be met in order to be entitled to a progressive return to work for therapeutic reasons (RPTRT - reprise progressive du travail pour raisons thérapeutiques)?
Yes, the progressive return to work for therapeutic reasons is subject to the following conditions:
- the insured person must be unable to work at the time of the request;
- the insured person must have been unable to work for at least one month out of the three months preceding the request;
- the request must be made by the insured person using a standard form "Request for progressive return to work for therapeutic reasons" on which the attending physician certifies that a progressive return to work for therapeutic reasons promotes an improvement in the insured person's state of health;
- the employer must give their consent;
- the CNS must give its prior approval on the basis of a reasoned opinion from the Medical Board of the Social Security.
What are the steps to be taken in order to apply for the progressive return to work for therapeutic reasons (RPTRT)?
The request for RPTRT is made by the insured person using the standard form "Request for progressive return to work for therapeutic reasons" available on the website www.cns.lu under "Forms".
The application form, duly completed and signed by the attending physician and the insured person, must be submitted to the employer.
If the employer agrees with the progressive return to work for therapeutic reasons (PRTRT), the request must be sent to:
Caisse nationale de Santé
Indemnités pécuniaires
L-2980 Luxembourg
Upon receipt, the CNS asks the Medical Board of the Social Security to take a position on the request.
The decision will be notified as soon as possible to the insured person and the employer.
IMPORTANT
The progressive return to work can only start after receiving the CNS's agreement!
What are the return rates during the progressive return to work for therapeutic reasons?
Given that the legal provisions do not provide for fixed rates, the return to work can be done gradually according to the insured's state of health, in order to encourage improvement.
It should be noted that in the event of early resumption of full time work (100% of the normal working time according to the employment contract), the insured person is required to inform the CNS in writing.
Who pays the salary for the period of progressive return to work for therapeutic reasons (RPTRT)?
The period of progressive return to work is 100% compensated by the National Health Fund, provided that the payment charge (as defined by Article L. 121-6 of the Labour Code) is the responsibility of the latter.
If the CNS is not in charge of paying the financial compensation, the employer is responsible for paying the salary during the progressiv return to work for therapeutic reasons.
Does the insured person have to present a medical certificate of incapacity for work during the period of progressive return to work for therapeutic reasons?
Yes, the insured person must present a medical certificate of full-time incapacity for work (100%) for the entire duration of the measure and is considered to be incapacitated under Labour Law.
As a result,
- days or periods of complete absence due to incapacity for work, which fall within the period of progressive return to work, do not require an additional medical certificate of incapacity for work;
- the RPTRT period is fully included in the calculation of periods of incapacity for work to determine the end date of entitlement to financial compensation (78 weeks over a period of 104 weeks).
Is the beneficiary of a progressive return to work for therapeutic reasons required to respect the rules to leave home?
No, the provisions concerning the rules to leave home do not apply to persons who are unable to work and to whom a progressive return to work for therapeutic reasons has been granted.