Joint Sickness Insurance Scheme

Screening tests under the JSIS’ preventive medicine programmes

Possibility for beneficiaries of primary or supplementary cover under the JSIS to obtain authorisation for direct billing for screening tests ⁽¹⁾

This Administrative Notice relates to the possibility to obtain direct payment (authorisation for direct billing) for screening tests.

Preventive medicine (through screening programmes) is handled by the sickness insurance fund and intended for beneficiaries of the Joint Sickness Insurance Scheme (JSIS). The composition and regularity of these programmes are determined by the Central Office, acting on a proposal from the Medical Council and after consulting the Sickness Insurance Management Committee. This information is available at the following address:
http://www.cc.cec/pers_admin/sick_insur/prevention/index_en.html

Beneficiaries who wish to take screening tests and are covered by the Brussels, Luxembourg or Council office should phone +32 22953866, while those covered by the Ispra Settlements Office should phone +39 0332789382. After checking entitlement and the regularity of the tests, an authorisation will be issued for the tests to be conducted at an approved centre. A list of approved centres is available at the following address:
http://www.cc.cec/pers_admin/sick_insur/prevention/detection_en.html

However, if there is no approved centre in the beneficiary’s region of residence or employment, the Settlements Office may, pending the conclusion of framework contracts through a new invitation to tender procedure, authorise him/her to take the relevant screening tests at medical centres or other hospitals in his/her place of employment or residence.

In that case, an authorisation for direct billing may be issued in order to obtain direct payment provided that

• the beneficiary is eligible, depending on the regularity of the tests
• he/she chooses a single medical centre or hospital that conducts all the tests to be reimbursed under the preventive medicine programme.

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Footnotes

⁽¹⁾ Article 20(6), third paragraph, of the Common Rules on sickness insurance for officials of the European Communities.