Statutory civil servants and officials of the European Union (and their families, under certain conditions) have the right to its joint sickness insurance scheme (régime commun d'assurance maladie de l'Union européenne — RCAM), which reimburses 80–85 % of medical expenses for most kinds of treatment (subject to maximum limits). The aim of this contract is to provide the settlement offices of the RCAM in Brussels, Luxembourg and Ispra with individual service providers or groupings of individual service providers specialised in the field of expert medical and dental officer services.
The contract is divided into 6 lots:
lot 1: medical officer in Brussels;
lot 2: medical officer in Luxembourg;
lot 3: medical officer in Ispra;
lot 4: dental officer in Brussels;
lot 5: dental officer in Luxembourg;
lot 6: dental officer in Ispra.
This lot aims to provide the settlement office in Brussels with medical officers who can place their expertise at the RCAM's disposal in order to give medical advice. The advice of the medical officer is sought as part of prior authorisation requests, in all cases provided for under the regulatory framework and upon the request of the settlement offices regarding specific issues. The medical officer's advice is based on medical information relating to the beneficiary which he has in his possession, information provided by the attending doctor, medical and scientific research findings, regulations governing the European Union's joint sickness insurance scheme and, if necessary, after consulting the medical council.
This lot aims to provide the settlement office in Luxembourg with medical officers who can place their expertise at the RCAM's disposal in order to give medical advice. The advice of the medical officer is sought as part of prior authorisation requests, in all cases provided for under the regulatory framework and upon the request of the settlement offices regarding specific issues. The medical officer's advice is based on medical information relating to the beneficiary which he has in his possession, information provided by the attending doctor, medical and scientific research findings, regulations governing the European Union's joint sickness insurance scheme and, if necessary, after consulting the medical council.
This lot aims to provide the settlement office in Ispra with medical officers who can place their expertise at the RCAM's disposal in order to give medical advice. The advice of the medical officer is sought as part of prior authorisation requests, in all cases provided for under the regulatory framework and upon the request of the settlement offices regarding specific issues. The medical officer's advice is based on medical information relating to the beneficiary which he has in his possession, information provided by the attending doctor, medical and scientific research findings, regulations governing the European Union's joint sickness insurance scheme and, if necessary, after consulting the medical council.
This lot aims to provide the settlement office in Brussels with dental officers who can place their expertise at the RCAM's disposal in order to give medical advice. The advice of the dental officer is sought as part of prior authorisation requests, in all cases provided for under the regulatory framework and upon the request of the settlement offices regarding specific issues. The dental officer's advice is based on medical information relating to the beneficiary which he has in his possession, information provided by the attending dentist, medical and scientific research findings, regulations governing the European Union's joint sickness insurance scheme and, if necessary, after consulting the medical council.
This lot aims to provide the settlement office in Luxembourg with dental officers who can place their expertise at the RCAM's disposal in order to give medical advice. The advice of the dental officer is sought as part of prior authorisation requests, in all cases provided for under the regulatory framework and upon the request of the settlement offices regarding specific issues. The dental officer's advice is based on medical information relating to the beneficiary which he has in his possession, information provided by the attending dentist, medical and scientific research findings, regulations governing the European Union's joint sickness insurance scheme and, if necessary, after consulting the medical council.
This lot aims to provide the settlement office in Ispra with dental officers who can place their expertise at the RCAM's disposal in order to give medical advice. The advice of the dental officer is sought as part of prior authorisation requests, in all cases provided for under the regulatory framework and upon the request of the settlement offices regarding specific issues. The dental officer's advice is based on medical information relating to the beneficiary which he has in his possession, information provided by the attending dentist, medical and scientific research findings and, if necessary, after consulting the medical council.