




DKV, CMCM, AXA and Foyer compared on the cover that matters — hospitalisation, dental, optical, alternative medicine. Cover the CNS out-of-pocket. Analysis from the official IPID documents · Updated 10 September 2026




In Luxembourg, every resident and worker is affiliated to the CNS (National Health Fund), which reimburses most everyday care — often at an excellent level. But it leaves an out-of-pocket on several items: in hospital, a personal contribution of €26.14 per day (2025 rate, excluding under-18s, capped at 30 days per year), and above all the private room and fee supplements, which are not covered. Advanced dental (prostheses, implants), optical, refractive surgery and alternative medicine are only partially covered. There is, however, a safety net: once your accumulated out-of-pocket for the year exceeds a set amount, the CNS reimburses the excess on request — this personal-contribution ceiling is set at €518.18 in 2026 (versus €509.68 in 2025 and €497.38 in 2024). Note too an indexation of the agreed tariffs on 1 June 2026 (the sliding-scale index raised to 992.24, source CNS).
The supplementary health insurance covers precisely this out-of-pocket. Four major players shape the market: DKV (the health entity of the LALUX Group), the CMCM mutual, AXA (OptiSoins) and Foyer (Medicis). They differ in their logic (private insurer vs mutual), their ceilings (optical, dental, laser), their cover abroad and their services (second medical opinion, assistance).
Covers the hospital stay, the private room, fee supplements and free choice of doctor. The essential to avoid a nasty surprise during an operation.
Adds consultations, medicines, physio, alternative medicine (osteopathy, acupuncture) and prevention. For regular medical follow-up outside hospital.
Adds dental (prostheses, implants, orthodontics), optical (lenses, frames, contacts) and laser surgery. The broadest cover, ideal for families.
Beyond the classic items, compare: the second medical opinion (DKV BEST CARE⁺, Foyer Best Doctors), the fast specialist appointment (DKV: within 5 working days), the dental and optical ceilings (CMCM: dental prostheses up to €3,500/year with DENTA & OPTIPLUS), refractive surgery (DKV EASY up to €3,000 from month 49, Foyer up to €1,000, CMCM D&O up to €1,000 per eye), and cover abroad (CMCM worldwide 24/7 assistance). These differences matter far more than price alone.
A comparative reading of the IPIDs and brochures — strengths and differentiation.
DKV (Groupe LALUX)The health entity of the LALUX Group, present in Luxembourg since 1981. The retail range is built on three cumulative covers: COMPACT (hospital and dental, offered with no age restriction), PLUS, which adds the whole outpatient side, and EASY HEALTH, the premium tier. Alongside them sit COMPLETE HEALTH, a comprehensive policy carrying an annual deductible, and HOSPITAL HEALTH, purely inpatient. The product leaflets place the gaps precisely: the daily allowance drops on EASY, but visual aids double from PLUS onwards and, above all, laser eye surgery becomes a benefit in its own right, up to €3,000 after four years on the books, where the other two tiers count it against the optical allowance. On dental, orthodontics runs up to €4,000 per insured where treatment starts before age 17. The service that makes the difference remains BEST CARE: a second medical opinion and surgery arranged with an expert within 5 working days, included from PLUS as is TRAVEL⁺. A rare detail on this market, EASY HEALTH carries the “Made in Luxembourg” label. Note: although the DKV brand is being integrated into its parent company ERGO in Germany, DKV Luxembourg continues its activities independently, with no consequences for its clients.
CMCMThe country's large mutual (since 1956, around 280,000 members). Its logic is unique: no medical questionnaire, no exclusion based on age or health, and co-affiliated family members are covered at no extra contribution, with a 10% discount for single under-30s. Three cumulative levels: Régime Commun, then PRESTAPLUS, then DENTA & OPTIPLUS, which pushes dental and optical to the top of the market — dental prostheses up to €3,500/year. The CMCM worldwide 24/7 assistance is included from the base, with hospitalisation abroad covered up to €100,000 per incident and unlimited repatriation. The July 2026 brochure confirms the announced increases and adds long-awaited items to PRESTAPLUS: psychological follow-up for minors, adult psychotherapy, orthopaedic insoles and lipoedema cover. Where the CMCM really stands apart is prevention, an area private insurers most often exclude: screenings, cardiovascular markers, vaccinations and dietetic follow-up are reimbursed from the Régime Commun, alongside the new Odyssée programme at Domaine Thermal de Mondorf. Note: benefits are provided pro rata within the mutual's available resources.
AXA OptiSoinsThe supplementary health cover of the international AXA group. The base covers hospitalisation-related medical costs, pre- and post-hospital care, and assistance abroad (rescue costs up to €10,000, medical assistance, repatriation or transport). A valuable feature: practical day-to-day services (home help, pet care, school support) during and after hospitalisation, granted on Luxembourg territory for insureds resident in Luxembourg. Depending on the chosen plan, the contract extends to outpatient care (consultations, medicines, spa cures, imaging, alternative care), prevention and screening, dental and eye care. Cover in Europe, and worldwide for temporary stays of up to 60 days. The contract runs for two years, renewable annually, with hospitalisation reported within 10 days.
Foyer MedicisThe supplementary cover of one of the country's main insurers, in two plans: medicis hospi+ (hospitalisation, private room, free choice of hospital across Europe, care 30 days before / 90 days after) and medicis confort (which adds outpatient care, optical and refractive surgery, dental with orthodontics up to €3,200 and alternative therapies at 80%, up to €1,000/year). Distinctive service: Best Doctors (second opinion from a global network) included in both plans, with 24/7 assistance and the MyFoyer app. Geographic scope: Europe for curative treatment, and worldwide during a temporary leisure or business trip, for a maximum of 8 consecutive weeks.
Solidarity principle: no medical questionnaire, no exclusion based on age or health, family covered at no extra cost. In return, benefits are provided within the limits of available resources (they are not firm contractual guarantees as with an insurer). Ideal for families and profiles that private insurers price highly.
Firm contractual cover and high ceilings (dental, optical, laser), premium services (second opinion, fast appointment). In return, a medical questionnaire, waiting periods and often an initial 2-year commitment. Ideal if you want precise ceilings and high-end services.
Family. The decisive factor is cost per person: CMCM covers co-members (spouse, children) at no extra cost — unique in Luxembourg — while private insurers (DKV, AXA, Foyer) price each insured person. For children, look at orthodontics: CMCM D&O reimburses €500/child before 17, DKV covers the diagnosis before 17. Singles under 30 also get a 10% CMCM discount.
Senior. The hard point is access to the contract: CMCM applies no medical questionnaire, no exam, and no age or health exclusion — you can join at any age, even with a medical history. At private insurers, the questionnaire conditions acceptance and premiums rise with age; DKV COMPACT remains accessible "without age reservation". Self-employed. The CNS covers the basics as for an employee, but hospital out-of-pocket costs weigh directly on your business: hospital cover (private room, €30/day allowance with DKV COMPACT) is the priority foundation — cover levels in the plans section.
Private room and stay. The most affordable level.
+ outpatient, medicines, alternative medicine.
+ dental, optical, laser. Ideal for families (or CMCM, family included).
The rate depends heavily on age at joining, the plan and the insurer. Because health spending rises roughly twice as fast as inflation and private insurers' premiums are age-based, joining young locks in a lower rate. The CMCM applies a solidarity-based contribution and covers the family at no extra cost, which changes the equation for a household. On tax, good news: supplementary health premiums are deductible as special expenses, up to €672 per person per year (article 111 LIR), a ceiling shared with other insurance. Each provider issues an annual tax certificate.
Hospitalisation only, or full cover with dental and optical.
Dental, optical, laser, cover abroad, second medical opinion.
Medical questionnaire at private insurers; none at the CMCM.
The rate depends on age; request a personalised quote and join.
CMCM (mutual): no medical questionnaire, no exam. Membership is open to everyone regardless of age or health — the trade-off is a 3-month waiting period (12 months on re-joining) before benefits are paid. DKV, AXA and Foyer (private insurers): mandatory medical questionnaire, with contractual waiting periods; your medical history can lead to exclusions or a surcharge. Never downplay a condition in the questionnaire: an inaccurate declaration can void cover exactly when you claim.
Commitment and geographic cover: DKV applies an initial 2-year commitment (30 days' notice), Foyer a 2-year term with tacit renewal. Geographically: DKV covers Europe (+ worldwide for the first month of a stay), Foyer covers Europe (stays ≤ 60 days outside Europe), while CMCM includes worldwide 24/7 assistance from the base level (hospitalisation abroad up to €100,000/incident, unlimited repatriation). Practical advice: sign up before you need it — after 50 or after a diagnosis, the mutual is often the only door left wide open.
Cross-border workers affiliated to the CNS can subscribe to supplementary cover with all four players. Their specific issue is cover on both sides of the border (Luxembourg and country of residence). On this point: the CMCM offers worldwide 24/7 assistance from the base; Foyer guarantees free choice of hospital across Europe; DKV offers the TRAVEL⁺ option. Note: DKV and AXA contracts cover Europe (outside limited temporary stays), a point to check if you get care outside Europe. Tax deductibility only applies to taxpayers filing a return in Luxembourg.
| Criterion | DKV | CMCM | AXA | Foyer |
|---|---|---|---|---|
| Type | Insurer (LALUX Group) | Mutual | Insurer | Insurer |
| Medical questionnaire | Yes | No | Yes | Yes |
| Family | Per contract | Included at no extra cost | Per contract | Per contract |
| Private room | ✓ | Per plan | ✓ | ✓ |
| Dental / optical | Broad | Extensive D&O | Per plan | confort |
| Refractive (laser) surgery | Up to €3,000 (EASY, from month 49) | €1,000/eye | Per GC | Up to €1,000 |
| Visual aids (glasses, lenses) | €250/2 yrs (COMPACT) · €500/2 yrs (PLUS, EASY) | €150/yr lenses · €150/yr contacts · €30/yr frames | Per plan | €200/2 yrs (lenses, confort) |
| Orthodontics | Up to €4,000 (COMPACT, PLUS; starting before 17) | €2,000 adult · up to ~€3,117 per child | Per plan | Up to €3,200 (48 months) |
| Daily hospital allowance | €30/day (COMPACT, PLUS) · €20/day (EASY) | — | Per plan | ✓ (alternative to the private room) |
| 2nd medical opinion | BEST CARE⁺ | — | — | Best Doctors |
| Prevention & screening | Preventive treatments excluded (IPID) | ✓ tests, vaccines, dietetics | Per plan | — |
| Assistance abroad | TRAVEL⁺ · Europe + 1st month outside Europe | Worldwide 24/7 · hospital €100,000 | Rescue €10,000 · worldwide ≤ 60 days | Europe · trips ≤ 8 weeks |
| Online subscription | ✓ Online | CMCM membership | Agency | Agency |
