On 19 November 2024, a letter of intent was signed by the Fédération des hôpitaux luxembourgeois (FHL), the Luxembourg government, and the European Commission setting out two objectives:
- Simplification of administrative procedures and exchanges between hospitals and the Joint Sickness Insurance Scheme (JSIS). To this end, a new systematic direct billing system (automatic direct billing) will be put in place for JSIS beneficiaries.
- Determining the costs of hospital services in a more targeted manner.
An administrative arrangement, signed on 25/09/2025, lays down the rules for collaboration between Luxembourg hospitals and the PMO, as regards administrative exchanges and the payment of care.
Simplify your administrative procedures for your hospital stays in Luxembourg! Thanks to our new direct billing system: focus on your recovery while we do the rest.
How does it work?
If you (or a member of your family covered by JSIS primary cover) must go to hospital for:
- Hospitalisation
- Childbirth
- Heavy outpatient treatment
Follow these simple steps:
Is it mandatory?
No. This is an optional service offered for your convenience. You can still choose to pay your hospital invoices yourself and submit a standard reimbursement request to JSIS.
Which hospitals and centres are concerned?
- HRS (Hôpitaux Robert Schuman): Centre hospitalier du Kirchberg, Clinique privée du Docteur Bohler, ZithaKlinik)
- CHL (Centre Hospitalier de Luxembourg)
- INCCI (National Institute for Cardiac Surgery and Interventional Cardiology)
- CHDN (Centre Hospitalier du Nord)
- CHEM (Centre Hospitalier Emile Mayrisch)
- Centre François Baclesse
Which treatments are automatically covered?
- Hospitalisation or childbirth, including care provided by surgeons, anaesthetists, and medical assistants.
- Pre-hospitalisation patient pathway (SPH).
- Major outpatient treatments, such as dialysis or chemotherapy.
- Injections at the ophthalmology outpatient clinic.
- Non-surgical day hospital care, or an invasive and/or high-cost examination
- Surgical day hospital care, such as a colonoscopy
This list is not exhaustive. In case of doubt, please reach out to JSIS via the dedicated contact form or via MyPMO Single phone number (+32 2 29 11111).
Which treatments require prior authorisation for direct billing coverage?
Some treatments require prior authorisation.
If you haven’t taken the necessary steps to obtain it, JSIS may recover the full amount of the invoices if the services are found to be non-reimbursable.
It is therefore important to check in advance whether your procedure/treatment requires authorisation.
A summary list is available here.
This list is not exhaustive. In case of doubt, please reach out to JSIS via the dedicated contact form or via MyPMO Single phone number (+32 2 29 11111).
Which services are excluded from automatic direct billing?
- Any procedure related to orthodontics, periodontics, dental implants, or dental prostheses
- Medically assisted reproduction (PMA) — including insemination, fertilisation, and embryo reception
- Any surgical procedure related to gender reassignment
- Hospital stays in psychiatric care units (except in emergencies)
- Any aesthetic plastic surgery
For some of these treatments, this does not mean JSIS direct billing is not possible — but you will need to submit a standard prior authorisation request to JSIS, as your file must be reviewed in advance.
This list is not exhaustive. In case of doubt, please reach out to JSIS via the dedicated contact form or via MyPMO Single phone number (+32 2 29 11111).
What are the other benefits of this change?
Alongside the move to automatic direct billing, the PMO is working with DIGIT to replace the current paper-based hospital invoicing system with a fully digital process.
Building on the existing IT architecture, the Commission will roll out a secure digital solution offering several key advantages:
Security
- Better protection of your personal and medical data
- Easier control over who can access your information
Data accuracy and integrity
- Fewer errors from manual entry or paper-based processes
- Greater consistency and accuracy of your data across all relevant systems
Process efficiency and automation
- Faster processing of invoices and quicker reimbursement
- All relevant data (invoices, treatment information) will be available in real time or with minimal delay
Traceability and data analysis
- Easier audits and controls
- Simpler access to documentation for reviews or disputes
- Data analysis will help improve overall PMO services
Environmental benefits
- Reduced paper use and less need for physical storage
For more information, please consult the FAQs