Doctors and dentists in Luxembourg will not receive a pay increase for 2025 or 2026, following a decision by the High Council for Social Security.
The judicial body, which oversees the Social Security system, issued its ruling on Thursday, according to Radio 100,7.
At the heart of the matter is the so-called “Lettre-clé” – a value that helps determine the rates charged for medical and dental services and procedures. The High Council decided against revaluing it.
The Association of Doctors and Dentists (AMMD) had pushed for a 2.68% increase, the maximum permitted by law. The Ministry of Health and Social Security, meanwhile, had signalled its willingness to open negotiations based on a more modest rise of 1.34%.
A 2.68% increase would have cost an estimated €24 million. The ministry expressed reservations about the proposal, particularly given that the reserves of the National Health Fund (CNS) are projected to drop below the minimum required level next year – despite a €59 million contribution from the state. In that case, contribution rates would ultimately need to be raised.
After mediation efforts failed, the CNS formally requested before the High Council that the “Lettre-clé” should not be revalued at all. The Council granted that request.
The AMMD terminated its agreement with the CNS at the end of last year. According to the association, the move was not solely motivated by the dispute over the Lettre-clé, but also by a broader desire to push for reforms in the healthcare sector.
