Five times the European average, 5%, of residents in Luxembourg prefer to receive medical treatment across the border. After the Decker-Kohll case pronounced by the European Court of Justice in April 1998, patients' assurances for better and cheaper healthcare abroad have been raised.

By 2013, it is predicted that some 25,000 Grand Duchy residents who are regularly treated abroad will have an "easier life". It is on that date that the European directive on the application of patients' rights in cross border health care must be transposed into national law.

If prior authorisation from a Luxembourgish medical professional remains mandatory, the state's insurance is obliged to reimburse medical costs, but only for acts specified in the destination country's regulations and to the pre-determined maximum amount.