Starting 01.04.2023, the new agreement between the State of the Grand Duchy of Luxembourg and the CNS on the establishment of a preventive medicine programme for universal access to contraceptives at national level is in place.
Who can benefit from the programme?
Any person with valid health insurance who is entitled to benefits in Luxembourg may receive the benefits provided for in this programme, but only if these benefits are provided in the Grand Duchy of Luxembourg.
There is no age limit for coverage.
What contraceptive methods are covered?
As of 01.04.2023, the following contraceptive methods will be covered at 100% and without an age limit, when they are delivered in Luxembourg:
- the contraceptive pill
- the contraceptive patch
- the contraceptive ring
- the minipill
- the contraceptive injection
- the morning-after pill
- the contraceptive implant
- IUD (intrauterine device)
- sterilisation (tubal ligation)
- vasectomy
Attention
This free contraception does not, however, apply to the male condom.
How are the different methods of contraception covered?
Contraceptive pill
The contraceptive pill is covered at 100% when it is delivered by a pharmacy on the basis of a prescription issued in advance by a doctor. A midwife may also prescribe this contraception, but only during the first six weeks after childbirth.
Coverage is limited to the number of packs needed to cover contraception for at least three cycles. Smaller packs, for example for one cycle, are not covered.
A prescription can cover a maximum treatment period of 13 cycles.
Contraceptive patch
The contraceptive patch is covered at 100% when it is delivered by a pharmacy on the basis of a prescription issued in advance by a doctor. A midwife may also prescribe this contraception, but only during the first six weeks after childbirth.
Coverage is limited to the number of packs needed to cover contraception for at least three cycles. Smaller packs, for example for one cycle, are not covered.
A prescription can cover a maximum treatment period of 13 cycles.
Contraceptive ring
The contraceptive ring is covered at 100% when it is delivered by a pharmacy on the basis of a prescription issued in advance by a doctor. A midwife may also prescribe this contraception, but only during the first six weeks after childbirth.
Coverage is limited to the packs needed to cover contraception for at least three cycles. Smaller packs, for example for one cycle, are not covered.
A prescription can cover a maximum treatment period of 13 cycles.
Minipill
The minipill is covered at 100% when it is delivered by a pharmacy on the basis of a prescription issued in advance by a doctor. A midwife may also prescribe this contraception, but only during the first six weeks after childbirth.
Coverage is limited to the number of packs needed to cover contraception for at least three cycles. Smaller packs, for example for one cycle, are not covered.
A prescription can cover a maximum treatment period of 13 cycles.
Contraceptive injection
Contraceptive injections are reimbursed at 100% when they are delivered by a pharmacy on the basis of a prescription issued in advance by a doctor.
Coverage is limited to the packs needed to cover contraception for at least three cycles. Smaller packages, for example for one cycle, are not covered.
A prescription can cover a maximum treatment period of 13 cycles.
The injections are carried out by the doctor and are included in the consultation tariff.
Contraceptive implant
The contraceptive implant is reimbursed at 100% of the reference price indicated in the list of reimbursable contraceptives when it is delivered by a pharmacy on the basis of a prescription issued in advance by a doctor.
Reimbursement is limited to medicines with a duration of action of at least three years.
The costs of insertion and removal under local anaesthetic are reimbursed at 100% of the corresponding tariffs of the nomenclature of medical acts and services.
Morning-after pill
Hormonal emergency contraception is reimbursed at 100% when delivered by a pharmacy.
A prescription is not required.
IUD
The copper IUD
The copper IUD is covered at 100% of the reference price (EUR 180 as of 01.04.2023) when it is delivered by a pharmacy on the basis of a prescription issued in advance by a doctor.
Coverage is limited to devices with a duration of action of at least five years.
The hormonal IUD
The hormonal IUD is reimbursed at 100% of the reference price indicated in the list of reimbursable contraceptives when it is delivered by a pharmacy on the basis of a prescription issued in advance by a doctor.
Coverage is limited to devices and medicines with a duration of action of at least three years.
IUD insertion and removal
The costs of inserting and removing the intrauterine device and the related ultrasound examination are reimbursed at 100% of the corresponding tariffs of the nomenclature of medical acts and services.
Sterilization
The costs of hospitalisation in connection with tubal ligation (codes NZC11 and NZC12 of the nomenclature of medical acts and services) are fully covered.
The same applies to the gynaecologist's preliminary consultation on the efficacy, mode of action and possible side effects of tubal ligation, the pre-anaesthetic examination (tubal ligation outside the caesarean section) and the follow-up consultation 4 weeks after the procedure.
Vasectomy
The costs of hospitalisation in connection with vasectomy (code MRQ23 of the nomenclature of medical acts and services) are fully covered.
The same applies to the prior informative consultation with the urologist concerning the efficacy, mode of action and possible side effects in connection with the vasectomy, as well as the follow-up consultation 4 weeks after the operation.