Luxembourg has changed the rules for reimbursement of laboratory tests
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In Luxembourg, the debate continues around the new rules on the reimbursement of medical tests, which come into force on 24 September 2024. MPs Yves Cruchten and Mars Di Bartolomeo sent a parliamentary enquiry to find out how timely doctors and patients were notified of the new rules. The Minister of Health, Martine Deprez, provided an official explanation.
Although the new rules came into force on 24 September 2024, doctors and dentists did not receive official notification until 9 October 2024 through CNS Update No. 81. In addition, the CNS (Caisse Nationale de Santé, CNS) sent out letters by mail on 8 October 2024. However, the changes to the nomenclature of medical laboratories were published as early as 25 September 2024 in CNS Update No. 80.
The Minister noted that the Journal Officiel remains the official source and it was after its publication that the CNS could start sending notifications. However, the system of informing doctors does need improvement, as not all health workers are subscribed to the CNS mailing list.
MPs expressed concern that patients could face unexpected costs as their old appointments became invalid under the new rules. However, the Minister explained that reimbursement for tests is determined by the date of performance, not the date of the appointment. This means that patients who underwent tests after 24 September 2024 faced the new rules even if they had old referrals.
If the test is not covered by insurance, laboratories are required to notify patients prior to performing the procedure. Upon request, the patient can obtain an estimate of the cost and an explanation of the conditions for reimbursement. These provisions are enshrined in Article 12 of the Convention between the Federation of Luxembourg Medical Laboratories (Fédération luxembourgeoise des Laboratoires d'analyses médicales) and the CNS.
The Minister also said that the Government would consider introducing a delayed introduction of the new rules to give doctors and patients more time to adapt. However, in some cases, rapid changes are necessary due to circumstances.
