Different types of stops

Incapacity for work due to illness

If the incapacity for work lasts only 1 or 2 days, the employee may, depending on the company's established practice, be exempted from presenting a medical certificate for these two days.

Before the end of the third day of incapacity for work, the employee (whether resident or cross-border worker) must ensure that their employer is in possession of their medical certificate.

If the incapacity for work lasts only 1 or 2 days, the employee may, depending on the established practice in the company, be exempted from presenting a medical certificate for these two days.

Before the end of the third day of incapacity for work, the employee (whether resident or cross-border worker) must ensure that their employer has their medical certificate.

The employee must send:

  • the first section of the medical certificate, duly completed and signed by their doctor, to the National Health Fund;
  • the second section to their employer.
  • They must keep the third section of the certificate for their own use.

If the incapacity for work continues beyond the period initially set, the employee must inform their employer on the first day initially scheduled for their return to work and send a medical certificate:

  • to the CNS before the end of the second day following the day initially scheduled for their return to work;
  • If the last day of this period is a Saturday, Sunday or public holiday, the period is extended to the next working day.
  • to the employer, who must be in possession of the medical certificate of extension before the expiry of the third day of the extension of the incapacity for work.

Children's illness

In Luxembourg, a working parent may take leave for family reasons if their child is ill.

This leave may be requested:

  • if the state of health of a child under the age of 18 requires the presence of a parent at their side;
  • or if a child under the age of 13 is subject to isolation measures decided or recommended by a competent authority to limit the spread of an epidemic.

The length of family leave varies according to the age of the child. For each child and per age group, the parent is entitled to:

  • 12 days: from birth to 3 years of age;
  • 18 days: from 4 to 12 years of age;
  • 5 days: from 13 to 17 years of age, only if the child is hospitalised.

In certain specific cases, the duration of this leave may be extended, particularly when the child:

  • has progressive cancer;
  • is hospitalised for more than two consecutive weeks;
  • is placed in quarantine, in the broad sense, for health reasons.

The maximum duration of the extension is 52 weeks, calculated over a period of 104 weeks.

For children who receive special supplementary allowance, the duration of the leave is doubled and the age limit of 18 does not apply.

Hospitalisation

 

When treatment is covered by health insurance, the hospital bill is sent directly by the hospital to the National Health Fund (CNS).

Medical fees, on the other hand, must be paid directly to the doctor. Each practitioner working at the hospital draws up their own fee statements, which the insured person must first pay before submitting them to the CNS for reimbursement. However, if the hospital stay exceeds three days or if the medical fees exceed €100, the doctor may send their invoice directly to the CNS.

Coverage of medical fees:

  • In the case of outpatient treatment, medical fees are reimbursed:
    • at 88% for adults;
    • at 100% for patients under 18 years of age.
  • In the case of inpatient treatment or day hospital care, fees are covered at 100%, based on the rates set out in the nomenclature of medical procedures and services.

Please note that the 66% surcharge applicable to treatment in a private room is not covered by health insurance.

Workplace accidents and occupational illnesses

If a doctor prescribes time off work following a workplace accident, a commuting accident or an occupational illness, the certificate of incapacity for work must be sent to the National Health Fund (CNS).

In addition, it is the employer's responsibility to report the accident or occupational illness to the Accident Insurance Association (AAA).

The AAA is the body responsible for the prevention of occupational risks and for compensating victims of accidents at work, commuting accidents or occupational illnesses.

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