| The SEPS-SFPE Vade-mecum is intended to : Ø inform you about the administrative rules to be followed with regard to social security (JSIS -Pension); and Ø to inform third parties about the administrative formalities and your wishes and desires in case you are unable to express them The 4 Parts are updated individually Part 1: Statement of useful information, procedures and regulations (in case of illness, accident or death) for you or for those who will take care of you. Part 2: Information of a personal nature for your dependants or third parties who will take care of you Part 3: Addresses of services and key persons Part 4: RCAM forms |
| This document is intended for pensioners of the European Institutions who do not have access to the Internet and in particular to My IntraComm |
Most of these forms are available on My IntraComm
www.myintracomm-ext.ec.europa.eu
SEPS/SFPE 175, rue de la Loi, office JL 02 CG39, BE-1048 Brussel
105, avenue des Nerviens, N105 office N105 00/022, BE-1049 Brussel
Tél : +32 (0)475 472470 ASBL N°: 806 839 565
Email: info@sfpe-seps.be Web: Seniors de la fonction publique européenne
Annex M1 Claim for reimbursement
Annex M2 Specimen reimbursement statement from the JSIS (normal case)
Annex M2.2 Specimen reimbursement statement from the JSIS: rejected
Annex M4.1 Annex to prior authorization (declaration)
Annex M6 New combined form for dental treatment and estimate
Annex M9 How to declare an accident
Annex M10.1 Accident-follow-up
Annex M10.2 Request for the reopening of a file relating to an accident
Annex M11 Direct billing request
Annex M12 Request for priority treatment of a reimbursement claim
Annex M13 Application for advance on major medical expenses
Annex M14 Application for direct billing for a convalescent or nursing home
Annex M15 Medical questionnaire for the evaluation of the degree of dependent
Annex M16 Registered partnership
Annex M17 Application form for recognition of non-marital partnership
Annex M18 Serious illness recognition
Annex M18.1 How to declare a serious illness
Annex M19 Programme for screening test N° 3
Annex M20 Programme for screening test N° 6
Annex M22.1 How to benefit of a screening programme.
Annex M22.2 Preliminary questionnaire
Annex M22.3 Full clinical examination
Annex M23.1 Health screening centres with which the JSIS signed an agreement
Annex M23.2 Health screening centres DA-FI-SV-UK
Annex M24 Table of medical treatments
Annex M25 New form for applications under Article 72(3)
Annex M26 Agreements with health professionals
Annex M 27 Joint sickness insurance scheme – template
Annex M28 How to ask for a thermal cure
Annex M29 Glasses form to be completed by the optician and attached to the invoice
Notes:
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 imaging3 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
RCAM – MERO
41, avenue de Tervuren B – 1049 Brussels
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Luxemburg settlement office
European Commission
Krankenkasse (PMO)
DRB B1/061
L – 2920 Luxembourg
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Ispra settlement office
Commissione delle Comunità Europee
Uffiicio di liquidazione (PMO)
Centro Comune di Ricerca T.P. 740
I – 21020 ISPRA (Varese)
Italy