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Country-by-country guide

Accessing healthcare in Luxembourg

Each country's health system is different and might not include all the things you would expect to get free of charge from the NHS.

This means you may have to make a patient contribution to the cost of your care.

Your European Health Insurance Card (EHIC) will enable you to access public healthcare provided in Luxembourg at a reduced cost, or sometimes for free.

It will cover you for treatment until you return to the UK. It also covers you for treatment of pre-existing medical conditions and routine maternity care, provided the reason for your visit is not specifically to give birth

Get the EHIC smartphone app

The European Commission has developed a useful multi-language free phone app, which explains how to use the EHIC card in different countries within the EU.

It summarises the treatments, costs and procedure for reimbursement, and also provides emergency numbers:

If you are travelling for the express purpose of obtaining medical treatment, see our section on seeking medical treatment in Europe.

Find help in emergencies

If you find yourself in a serious or life-threatening emergency or you need an ambulance, dial 112. Ambulance and air ambulance transport is free of charge in an emergency if you can present a valid EHIC.

Other important phone numbers to note down:

Tip

 Make a note of these useful French phrases for emergencies:

 

  • I have had an accident                   J'ai eu un accident
  • It's an emergency                           C'est une urgence
  • I need an ambulance                      J'ai besoin d'une ambulance
  • I need a doctor                               J'ai besoin d'un médecin
  • Where is the nearest hospital?       Où se trouve l'hopital le plus proche?
  • Where is the nearest pharmacy?    Où se trouve la pharmacie la plus proche?

Emergency services and out of hours care is rotated among the main hospitals in Luxembourg. You can find out which hospital is providing emergency care in your area by checking the local newspapers or the LuxWeb website.

 

Health services and costs

Your EHIC does not cover private treatment. Ensure you are treated by a healthcare provider that has a contract with the Luxembourg National Health Fund (Caisse nationale de santé, or CNS).

TipYou should be particularly careful if healthcare arrangements are made by a hotel or travel representative. Any costs incurred for private healthcare are non-refundable.

You may have to pay any medical care upfront and apply for a refund for all or some of the costs with the Luxembourg national health fund (CNS) later. See "How to claim refunds", below, for more information about this.

Make sure you keep all receipts and prescriptions you are given so you can use them to claim a reimbursement. if necessary.

Doctors, specialists and dentists

You may consult any doctor  or dentist you wish while in Luxembourg as they all work with the CNS, and you can go directly to a specialist without a referral.

However, you must seek approval from the CNS in advance for some dental treatments, prescriptions for glasses, or orthopaedic items. If in doubt, contact the CNS in advance. Ensure you can present a valid EHIC at your appointment.

Doctor and dentist fees can vary, but you may be entitled to a reimbursement of some of the cost.

  • doctor's appointment – usually you have to pay 88% of the official tariff; make sure you are given a receipt for any amount you pay
  • doctor's visit at home – you have to pay 20% of the minimum cost of a home visit
  • dental treatment – beyond an annual amount of  €60 fully reimbursed, dental care is reimbursed at the rate of 88%; specific reimbursement rates and conditions apply for dental prostheses

Hospital treatment

All hospitals in Luxembourg have a contract with the CNS, so hospital treatment is normally free of charge. You must present your EHIC on admission, however.

In-patients pay a non-refundable standard daily fee of  €20.93 – this is limited to a maximum of 30 days per calendar year. Children under 18 do not have to pay this daily fee.

There may also be a charge you need to pay directly to the doctor treating you, but you may be able to claim a reimbursement from the CNS. Ensure you keep any receipts.  

You'll also have to pay for any optional extras, such as a single room.

Prescriptions

You can take your prescription to any pharmacy in Luxembourg. However, some prescriptions must be authorised by the CNS before you can obtain the medicine. 

How much you are reimbursed depends on the medicine required. You should therefore ask the doctor whether you need to contact the CNS.

Ambulance including air ambulance

Ambulance and air ambulance transport is free of charge in an emergency if you can present a valid EHIC.

Non-emergency transport is covered up to 70% of the bill. You will be charged €1.12 per km, with a minimum amount of €34 per trip.

Only transportation arriving at or departing from a hospital is covered. Referrals must state that, for medical reasons, the patient needs to be transported in a reclining or immobilised position.

Making healthcare arrangements in advance

The most common treatments or conditions that require advanced arrangements are listed below. For all other conditions or treatments, you should consult your doctor. Remember, you must present your EHIC for all treatment abroad.

Oxygen therapy

Ensure your EHIC is valid before you travel. In most cases you will have to use the authorised oxygen company for the country you are travelling to.

You'll have to make your own arrangements, including arranging for permission from your hotel to deliver and install the equipment. There may also be additional costs that the EHIC will not cover.

You should contact the National Health Fund Caisse nationale de santé (CNS) for assistance.

Your home oxygen supplier is not required to provide a service outside the UK. However, most suppliers will be able to advise you on what to do. Your oxygen treatment clinic will organise your home oxygen supply from one of these suppliers:

Air Liquide:

Call them on:

  • 0808 143 9991 for London
  • 0808 143 9992 for North West
  • 0808 143 9993 for East Midlands
  • 0808 143 9999 for South West

Baywater Healthcare: covers Yorkshire and Humberside, West Midlands and Wales – call them on 0800 373 580, or visit the Baywater Healthcare website for more information.

BOC: covers the east and north east of England – call them on 0800 136 603

Dolby Vivisol: covers the south of England – call them on 0500 823 773

The British Lung Foundation (BLF) may have additional oxygen contacts for the country you are travelling to. Their website offers general advice about travelling abroad with a lung condition.

Ensure you allow plenty of time to make all your arrangements before you travel.

Dialysis

You will need to speak to the co-ordinator at your UK Dialysis Unit, who will contact the dialysis unit in Luxembourg nearest to where you will be staying. You can look up UK renal units on the Renal Association website.

Ensure you make arrangements according to your UK schedule. There may be different guidance, depending on what type of dialysis you receive. Make sure you speak to your doctor before you travel.

The National Kidney Federation website offers general advice about travelling with a kidney disease, as well as specific guidance for haemodialysis patients, peritoneal dialysis patients and transplant patients.

Routine diabetic care, such as blood tests

Blood tests are covered by healthcare insurance, but a prescription is necessary.

Any other specialist treatment

If you need to receive any other specialist treatment, such as chemotherapy or other prescriptions, again it may be advisable to make arrangements for this in advance of your trip.

Some treatments abroad require prior approval from your local NHS commissioner and are not covered by the EHIC. It is advisable to speak with your GP before you go abroad – read the section about Planned treatment abroad.

The following hospitals may be able to help you arrange your chemotherapy in Luxembourg:

Get more advice about travelling abroad with conditions:

Living in Luxembourg

If you move to Luxembourg long-term or plan to work there, you'll need to register with the Centre Commun de la Sécurité Sociale (CCSS), or your employer will have to do this on your behalf.

Once you are registered to work and make social security contributions, you'll receive a social security card entitling you to state-provided healthcare on the same basis as a citizen of Luxembourg.

Working in Luxembourg

If you are a worker posted by a UK company to Luxembourg, you may be entitled to health cover funded by the UK in the country you are posted to.

Contact HM Revenue and Customs (HMRC) for more details:

National Insurance Contributions and Employer Office
HM Revenue and Customs
BX9 1AN
United Kingdom

  • telephone: 0300 200 3506
  • outside UK: +44 191 203 7010
  • opening times: 8.30am to 5pm, Monday to Friday – closed weekends and bank holidays

For more information, see Moving abroad.

Pensioners

If you are living in Luxembourg and you receive an exportable UK pension, contribution-based Employment Support Allowance or another exportable benefit, you may be entitled to state healthcare paid for by the UK. You will need to apply for a certificate of entitlement known as an S1 form.

For exportable UK pensions and contribution-based Employment Support Allowance, you can apply for your form via the International Pension Centre at the Department for Work and Pensions on 0191 218 7777.

You may need to liaise with a different team, depending on the exportable benefit. Different exportable benefits can have different rules in terms of healthcare cover. Find out more about claiming benefits if you live, move or travel abroad on the GOV.UK website.

Once issued, register the S1 form with the relevant authority in Luxembourg. Often you need to do this before you can register for healthcare or obtain a medical card.

Once you have registered your S1 in Luxembourg, you will be entitled to apply for and use a UK-issued European Health Insurance Card (EHIC) to access state-funded necessary medical treatment when you visit other EEA countries.

Studying in Luxembourg

If you are going to study or are currently studying in Luxembourg as part of a UK-recognised course, you may be entitled to healthcare paid for by the UK government. You and any dependants you may have will need an EHIC.

Also read:

How to claim refunds in Luxembourg

Travellers to Luxembourg carrying an EHIC may be entitled to refunds for any medical costs incurred. You may not be reimbursed in full, however, because some state-covered healthcare in Luxembourg must be paid for in part by the patient. Since July 1 2014, co-payments are also no longer refundable in the UK.

If you wish to claim a refund in Luxembourg, you'll need to submit the original bill and a proof of payment to Caisse nationale de santé (CNS), the Luxembourg National Health Fund, to be reimbursed.

You also need copies of your European Health Insurance Card (EHIC), residential address and bank details. Confirmation of your refund will be sent to your home address. Remember to keep copies of anything you send for your records.

Caisse nationale de santé (CNS)
125 Route d'Esch
L-1471 Luxembourg

Telephone: (+352) 27 57 1
E-mail: cns@secu.lu

Details of regional CNS offices can also be found on the CNS website

Page last reviewed: 09/09/2016

Next review due: 09/09/2019

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