Greece

In Greece, EHFCN has several members:

  • National Organization for Healthcare Services Provision – EOPYY
  • National Centralized Health Procurement Authority – EKAPI

National Organization for Healthcare Services Provision - EOPYY

As of 01.01.2012 and according to the Law 3918/02.03.2011)“Structural Changes to the health system and other provisions” a reform has been brought about regarding healthcare benefits in kind for the insured persons in Greece, due to the establishment and functioning of EOPYY, the National Organization for Healthcare Services Provision.

EOPYY is the Hellenic Organization which has already merged the largest Greek insurance institutions regarding healthcare benefits in kind such as: IKA ETAM (Social Insurance Institute, Unified Insurance Fund for Employees), OPAD & TYDKY (Civil Servants’ Insurance Funds), OAEE (Insurance Organization for Freelancers), OGA (Agricultural Insurance Organization), OIKOS NAFTOU (Seaman’s Home), TAYTEKO (Insurance  Fund for  Banks & Public Benefit Companies Employees), ETAA (Unified Insurance Fund of Independently Employed), & ETAP MME (Institution for insured persons who work for the media) while other Institutions will join EOPYY gradually.

Implementing the ‘Integrated Regulation for Health Services’ – EKPY, EOPYY aims to ensure equal access of all its insured persons, to a single system for the provision of health services, prevention, maintenance, promotion, improvement, rehabilitation and protection of health.

More specifically such healthcare benefits concern:

  • prevention and promotion of health
  • primary health care – medical care – diagnostic medical acts
  • paraclinical examinations
  • physical therapy – occupational therapy – speech therapy – psychotherapy
  • pharmaceutical care
  • dental – stomatological care
  • special treatment
  • secondary healthcare -hospital care
  • obstetric care – childbirth allowance
  • hospitalization abroad
  • health rehabilitation
  • provision of treatment aids and prostheses – additional care
  • other allowances etc.

For the aforementioned provisions, EOPYY has been contracted with a large number of doctors/physicians of various specializations as well as private clinics and diagnostic centers to ensure the entitlement in benefits in kind to all its beneficiaries. A list of the contracted health providers can be found to the following link: http://www.eopyy.gov.gr/MedSupplier.

Furthermore, on 05.08.2013, EOPYY was also designated as the Hellenic Liaison Body for the reimbursement of healthcare benefits in kind according to EC Regulations and Competent Institution of the place of stay or residence for sickness benefits in kind (A.C. 351/13/05.08.2013) for the insured persons from EU member-states, EEA countries and Switzerland, who are on a temporary stay in Greece and they are European Health Insurance Card (EHIC) or Provisional Replacement Certificate (PRC) and IKA-ETAM healthcare booklet holders. Healthcare benefits in kind are also entitled to portable documents’ holders (such as S1 and S2) as indicated in the respective forms.

On 9.12.2013 EOPYY was also designated as the Hellenic National Contact Point implementing the Directive 2011/24/EU of the European Parliament and of the council of 9 March 2011 on the application of patients’ rights in cross-border healthcare as it was aligned with the Greek Law (Law 4213/09.12.2013) which concerns information regarding medical treatment in another EU member-state and the right to have some or all of the costs in the home country.

Moreover, Law 4238/17.02.2014 brought about a crucial reform regarding the role of EOPYY from ‘provider’ to ‘purchaser’ of Healthcare Services.

That means that in order to purchase hospital, medical and pharmaceutical care services, as well as other kinds and means of healthcare, EOPYY is able to make contracts/agreements with health providers, specifying the terms and conditions governing the obligations of the contracting parties.

Last but not least EOPYY is eager to initiate bilateral agreements not only as an international instrument to coordinate national social security systems -so as to solve problems which patients may face- but also as a ratification process based on the general principle of reciprocity and especially with States, which although they are not EU members, are variously related with Greece and its social security orientation.

More information: www.eopyy.gov.gr.

National Centralized Health Procurement Authority - EKAPI

National Centralized Health Procurement Authority (N.C.H.P.A.)  is a body governed by private law under the supervision of the Ministry of Health. It is a Central Purchasing Body (CPB) which initiates central tendering processes for the procurement of medicines, medical equipment, disposables etc. on behalf of all the public hospitals of Greece.

 N.C.H.P.A.  is an organization of public interest and its mission is ensuring the implementation of centralized procurement, as well as the control of consumption and pricing of the entire logistics of the supply chain of products and services of the public health system.

 According to the law 4865/2021,  the mission and role of N.C.H.P.A. is:

  • The central strategic and operational planning of the economic and logistical supply chain of products and service of the health system, as well as the monitoring and control of consumption in the field of Public Health.,
  • The creation, maintenance and continuous updating of the Electronic Health Procurement Platform, and the related data, which includes the following e-registers: a) Register of Products, Services and Suppliers, b) Register of Central Procurement, c) Register of Costs and Expenses and d)Register of Technical Specifications,
  • The planning of the procurement of products and services required to cover the bodies subject to the law, in accordance with the Strategy of Centralized Procurement (SCP) of Products and Services and the individual Operational Plans of Central Procurement (ESCP), which are drafted for this purpose by N.C.H.P.A.
  • The preparation of the terms of the tender announcements, which it conducts, the monitoring of the process of awarding health products and services, the conduct and awarding of all tendering procedures, in accordance with the provisions of the Law 4412/2016 (A ‘ 147), the monitoring of the execution of the contracts and the supply of the entities subject to the law.
  • The maintenance of an electronic monitoring file of all the contracts being executed in the health sector, through NCHPA’s platform, the “Central Electronic Register of Monitoring of Contracts (C.E.R.M.C.)” and the “National System of Electronic Public Contracts (N.S.E.P.C.)”, where the bodies subject to the law will enter all the necessary information regarding the course of execution of the contracts.
  • The creation of a mechanism for the internal circulation of products and services between the bodies subject to the law, to support exceptional and urgent needs arising from extraordinary and unforeseeable events”.

More information: https://ekapy.gov.gr/