Prior authorisation from the CNS
A prior authorisation from the CNS for a transfer abroad is mandatory in the following situations:
- the insured person is expected to stay for at least one night in a hospital abroad for scheduled care,
- the insured person's scheduled care involves the use of highly specialised and cost-intensive infrastructures, such as national competence centres, national services and specialised establishments of re-education, recovery (convalescence) and thermal cures,
- the insured person's scheduled care involves the use of highly specialised and cost-intensive equipments, as provided for in the national hospital plan.
In these cases, the doctor has to fill out a request for a prior authorisation of a transfer abroad.
Request for prior authorisation of a transfer abroad
The request must be made well before the scheduled treatment is supposed to begin. This is made using a standard form "Request for prior authorisation of a transfer abroad" (available in French or German) which has to be completed by a doctor.
The request must be filled out in accordance with the dispositions of article 27 of the CNS statutes, thus, it is - among other things - essential to indicate the code CIM10 (ICD10) which the doctor can find under the following link.
The request can then be submitted to the CNS by post, fax or email.
In order to process the request for prior authorisation of a transfer abroad efficiently, it is important:
- that the corresponding requests are submitted to the CNS in a timely manner. The request and the authorisation from the CNS must be issued prior to the beginning of the treatment for which the transfer is requested,
- that the means of transport needed for the transfer abroad is indicated on the standard request form.