EOPPY is the National Organization for the Provision of Health Services
- What is EOPYY?
- Which insured individuals are eligible?
Individuals registered with the following social insurance funds:
IKA-ETAM (Social Insurance Institute)
OAEE (Social Security Organisation for the Self-Employed)
OGA (Agricultural Insurance Organization)
TEAPASA (Auxiliary Insurance Fund for Security Forces Employees)
ETYAP/PPC (Urban police employees/PPC employees)
TAPAE-ETHNIKI ASFALISTIKI (Insurance Fund for ETHNIKI ASFALISTIKI Employees)
ISAP (Athens-Piraeus Electric Railway Employees’ Pension Fund)
the insurance funds of ILPAP (Athens-Piraeus Electric Buses)
OTE (Hellenic Telecommunications Organization)
ETAA (Unified Fund for Independent Employees)
TAYTEKO (Insurance Fund for Employees in Banks and Public Utilities).
- Is there a Health Care Regulation?
There is an Integrated Health Care Regulation (EKPY) Government Gazette Issue 3054/Β/18-11-2012
- Which medical Services and physicians provide services to EOPYY beneficiaries?
EOPYY beneficiaries may visit:
– Non EOPYY-contracted physicians authorized to issue prescriptions (only to obtain medicine prescriptions and diagnostic test referrals)
– Multiclinics and PEDY units (formerly EOPYY Health Units)
– Health Care Centres, Regional and Rural Health Clinics
– Outpatient clinics of ESY (National Health Service) hospitals
– EOPYY-contracted private physicians http:/www.eopyy.gov.gr/MedSupplier/Index
- How can I obtain a list of EOPYY-contracted private physicians (including addresses and phone numbers) or the address of the nearest EOPYY multiclinic/clinic?
The list of EOPYY-contracted private physicians is available on the EOPYY website (www.eopyy.gov.gr), on the websites of the insurance funds merged into EOPYY (IKA-ETAM [www.ika.gr], OAEE [www.oaee.gr], OPAD[www.opad.gr], OGA [www.oga.gr], as well as on the website of the e-Governance in Social Insurance (www.e-syntagografisi.gr).
- In case I visit an EOPYY-contracted physician, will I have to pay for the visit?
Visits to EOPYY-contracted private physicians are free of charge for EOPYY beneficiaries.
- Which rules apply to children’s vaccinations?
The 4 vaccines for children and adults included in the Approved National Immunization Program are provided free of charge; vaccinations are performed either by EOPYY-contracted physicians or by private physicians or by physicians at the Centres for the Protection of Mother and Child (which fall under the responsibility of PEDY)
- In case of admission to a non-contracted private clinic, will I be reimbursed?;
No, expenses for hospitalisation at a non-contracted clinic cannot be reimbursed.
- Where can I find a Medical Inspector?
– In public hospitals and health care centres
– In the EOPYY headquarters – 39, Kifissias Avenue, Maroussi
– In EOPYY Regional Directorates in Attica and Thessaloniki
– In PEDY units
- If medicine prescriptions and paraclinical test referrals are issued after a physical exam performed by a non-contracted physician, will EOPYY reimburse all ensuing costs?
Only if said medicines and tests are prescribed via the electronic prescribing application.
- Can EOPYY-contracted doctors issue sick leave prescriptions?
Yes, they can.
- What is included in the pharmaceutical coverage provided by EOPYY?
The pharmaceutical coverage includes necessary medicines, special nutrition products and medical consumables.
- What rules apply to the provision of medicines?
Medicines are provided on condition that they are lawfully marketed, they are designated as Prescription-Only regardless of brand name and pharmaceutical form, and are included in the Positive Reimbursement List.
Medicines included in the Negative list currently in effect are not reimbursed
- What rules apply to medicines that are not available in the Greek market?
The reimbursement of medicines not available in the Greek market is only possible in exceptional cases. It falls upon EOPYY Committees to decide whether treatment with medicines not available in the Greek market is necessary. Such medicines are only provided by EOPYY pharmacies or public hospitals.
- Does EOPYY have its own pharmacies?
Yes. These pharmacies provide high-cost medicines. Attending physicians are informed about provided medicines and offer relevant guidance to insured individuals (see relevant table below).
- Is there any differentiation in patient contribution rates regarding the supply of medicines?
The common patient contribution rate for insured individuals registered with all insurance funds is set at 25% of the cost of medicines. There are special disease categories for which the patient contribution rate is set at 10% and 0% of the cost. Physicians receive notifications about these categories.
- What is the maximum quantity of a medicine a physician is allowed to prescribe?
Each prescription can only include the quantity of medicine which corresponds to one month’s treatment. For chronic diseases, physicians can issue repeat prescriptions to be dispensed within two or three months, according to the applicable legislation.
- Where are the offices of the Committee for high-cost medicines and medicines not available in Greece?
There are two committees:
- Athens Committee: 12 Apostolou Pavlou Street, Maroussi (former TAP-OTE building)
This committee is responsible for the following prefectures: Attiki, Evvoia, Evritania, Fokida, Fthiotida, Voiotia, Chania, Heraklion, Lassithi, Rethymno, Arta, Kefalonia, Lefkada, Zakynthos, Chios, Lesbos, Samos, Arkadia, Argolida, Korinthia, Lakonia, Messinia, Kyklades, Dodekanisos, Magnisia, Achaia, Aitoloakarnania, Ileia.
- Thessaloniki Committee:17-19 Aristotelous Street, Thessaloniki.
This committee is responsible for the following prefectures: Chalkidiki, Imathia, Kilkis, Pella, Pieria, Serres, Thessaloniki, Drama, Evros, Kavala, Rodopi, Xanthi, Karditsa, Larissa, Trikala, Florina, Grevena, Kastoria, Kozani, Ioannina, Preveza, Thesprotia, Kerkyra.
- Where is the Supreme Health Council located?
It is located at 12 Apostolou Pavlou Street, Maroussi (former TAP-OTE building).
- Which Service should I visit if I wish to have access to further info about EOPYY or submit a complaint against EOPYY health care providers?
You should address the EOPYY headquarters, 39 Kifissias Avenue, 15123, fax: 210 6871789
- Does EOPYY have its own pharmacies?
EOPYY has its own pharmacies which provide insured individuals with high-cost medicines free of charge. (FIND ATTACHED THE RELEVANT LIST)
Insured individuals residing in rural areas without access to EOPYY pharmacies can find the medicines included in the above list in the regional PEDY units, upon order
- What is the Integrated Health Care Regulation (EKPY)?
EKPY determines the citizens’ access to the Health System and the Health Benefits they may receive (in kind and in money).
FIND ATTACHED THE RELEVANT LAW, Government Gazette Issue 3054/18-11-2012