Since the National Health Fund took control of authorisations for treatment abroad, there have been fewer refusals – although the procedure could be improved.
On December 1st 2022, the Ministry of Social Security decided to change the procedure for resident patients to undergo treatment or surgery abroad. The move was designed to quell the growing discontent with the Medical Inspectorate, which has been criticised for its often unexplained refusals, its rigidity and its lack of transparency. This department, which reports to the Ministry, is now consulted only in rare cases by the National Health Fund (CNS). It is now the CNS that examines applications and, where necessary, issues the prior authorisation that ensures that patients are reimbursed for treatment abroad. At the beginning of 2023, the Lëtzebuerger Journal reported on the difficulties encountered by patients, which were brought to our attention by a number of MPs, the Patientevertriedung, the Collège médical and the Ombudsman – not forgetting the lawyers who have to deal with the social courts when a patient contests a refusal of reimbursement.
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