Vade Mecum IV

Part 4
JSIS forms
November 2021

The Vade-mecum is designed to inform third parties of your wishes  should you be unable to do so in person: 
Part 1 provides useful information, procedures and rules (in the event  of illness, accident or death) for you or who will have to take care of  you. 
Part 2 : Forms to be filled 
Part 3 : Useful addresses and complaints 
Part 4 : Forms of the JSIS 
This document is intended for retired officials of the European Institutions who do not have access to the internet or to   My IntraComm 

Most of these forms are available on My IntraComm : 

SFPE – SEPS, 175 rue de la Loi, Office JL 02 40 CG39, BE-1048 Brussels
Bank account: 363-0507977-28 IBAN: BE37 3630 5079 7728 BIC: BBRUBEBB
Tel: +32 (0)475 472470  
ASBL Company n°: 806 839 565

Table of content 

M Annexes – Concerning the JSIS (forms) 


The rules on all typical treatment are available on My IntraComm (under « Reimbursement rules » in  several languages) and from the SEPS secretariat upon request. : 

accidents analyses (medical imaging, laboratory tests and other forms of diagnosis) confinement (and  pregnancy) consultations (and visits) contact lenses cures : convalescent and post-operative cures cures: thermal cures dentistry / orthodontics diagnosis (medical imaging, analyses, laboratory tests and  other forms of diagnosis) funeral allowance hearing aids homes (nursing and convalescent homes) hospitalisation infertility treatments (and in-vitro fertilisation) in-vitro fertilisation (and infertility  treatments) kinesitherapy (see miscellaneous treatments) laboratory tests (analyses, medical imaging  

and other forms of diagnosis) medical auxiliaries (nursing care) medical equipment medical imaging  (analyses, laboratory tests and other forms of diagnosis) medicines (pharmaceutical products) miscellaneous treatments (kine, psychotherapy, speech therapy, etc.) negative opinions of the Medical  Council nursing attendance nursing care (see medical auxiliaries) nursing homes (and convalescent  homes) occupational disease orthodontics / dentistry orthopaedic appliances (see medical equipment) ostheopaty (see miscellaneous treatments) pharmaceutical products (medicines) pregnancy (and  confinement) preventive medicine programs (screening tests) psychotherapy (see miscellaneous  treatments) screening tests (preventive medicine programs) serious illness spectacles (frames and  lenses) speech therapy (see miscellaneous treatments) surgery transport visits (and consultations). 

Sets of the General Implementing Provisions are also available on My Intracomm and upon request  from the SEPS secretariat (FR, EN, DE). 

The rules and forms that we have selected for inclusion in our Vade-Mecum are those that are of  interest to the majority of pensioners. There are other rules and forms on My Intracomm, often in  several languages. These can be obtained via the SEPS secretariat. 

Documents in annex are extracted from My IntraComm  They are addressed to pensioners of the European Institutions who are not familiar with Internet

Brussels settlement office 

Postal address (often the former address is given on the forms: rue de la Science). 

European Commission 
Settlements office  
41, avenue de Tervuren 
B – 1049 Brussels 

Other alternative: 

PMO 3 – JSIS Reception area for retired officials MERO 

The permanence of PMO/3 “Medical insurance” is at the disposal of pensioners on the ground floor of  the MERO building – Bur. 00/P026 every day, without appointment, for questions about JSIS  (reimbursement of medical expenses, direct billing, prior authorisation, etc). 

You can access on presentation of the pensioner’s badge at the reception of the building: from Monday to Friday : in the morning, from 9h30 to 13h00 

As before, this reception area is equipped with a printer and a letterbox for any correspondence relating  to the sickness insurance. 

Luxemburg settlement office
European Commission  
DRB B1/061 
L – 2920 Luxembourg 

Ispra settlement office
 Commissione delle Comunità Europee 
Uffiicio di liquidazione (PMO/6) 
Centro Comune di Ricerca T.P. 740 
I – 21020 ISPRA (Varese)