*Update 05.02.2025: here is the recording of the conference. *Update 04.02.2025 we’ve added to the list of JSIS questions below and uploaded the presentation. Thanks to the colleague who pointed out that there is now a PMO optician form which is more recent than our draft optician letter and easier to do, since you’re not having to ask the optician to print anything. *
Original article: The Joint Sickness Insurance Scheme (JSIS) of the European Union (also RCAM [Régime Commun d’Assurance Maladie]) is not the most user-friendly of systems and yet it’s all we have, for everything health-related whether it’s routine, an accident or an illness. It’s easy to miss out on something you’re entitled to simply because you didn’t know about it and now the deadline has passed. Generation 2004 is here to present the JSIS and the common pitfalls.
We invite you to join us on Tuesday 4 February at 12.30 (CET) for a conference/debate on this topic.
****Added 04.02.2025: Here is the presentation.****
We will make the presentation and recording (but not the chat) available here after the event.
See you there!
Examples of JSIS-related questions we’ve had
- the special reimbursement where the part left for you to pay exceeds half of your basic salary (Article 72(3)),
- options for complementary health insurance cover for the part not reimbursed,
- the 12-month JSIS extension for adult children,
- the odd rules on what may or may not be reimbursed,
- where the reimbursement paperwork for routine checks can now to be found (health screening) and
- how long you have to make a claim (18 months from the date of the medical treatment)
- how long you have to keep the originals of all documents in case of an audit (18 months)
- what to do when the Reimbursed amount = 0 €
- hospitalisation: what’s covered: check General Implementing Provisions for the reimbursement of medical expenses and the codes, Page 18 onwards.
- accident insurance for children/family: Only primary JSIS members have accident cover (i.e. reimbursed at 100%). Children who are beneficiaries of JSIS cover would therefore be reimbursed the same as they would be for a normal illness.
- Medical transportation is available for certain circumstances but ‘repatriation costs in the event of accident or illness (except for Staff serving outside the Community)’ are not reimbursable. Similarly: these are excluded: ‘Mountain search and rescue Search and rescue costs (skiing, climbing, sailing)’.
Unwritten or lesser-known rules
We’d like to hear from you if you’ve had difficulties with unwritten or lesser-known rules related to reimbursement. Do you know of any cases where people have had a rule applied to their situation which is not published on MyIntracomm i.e. a convention or tradition rather than a hard rule? Do you have any tips or questions to share? We’d like to help to make the whole process a little more transparent and user-friendly, if we can.
As always, we would love to hear from you. Please do not hesitate to get in touch with us or leave a comment below.
If you appreciate our work, please consider becoming a member of Generation 2004.