Planned Healthcare in Greece

If you are insured in one EU member state, you have the right to access planned healthcare in Greece through:

The S2/E112 route.

In the case of planned treatment, this is a funding arrangement between your national health insurance fund and the state or EOPYY-contracted private healthcare provider in Greece. Please note that even with the S2/E112 route you may be required to pay part of the healthcare costs depending on national law. If you wish to use this route, you must get prior authorisation from your national health insurance fund before receiving treatment.

In this case, your entitlement to treatment derives from the European Regulations (EC) for the coordination of social security systems 883/2004 & 987/2009.

Your entitlement to planned treatment in Greece is limited to the benefits provided by the national law as prescribed in the Health Benefits Regulation (Greek acronym EKPY) and you have access to healthcare professionals that are public or EOPYY-contracted with the public healthcare system in Greece.

You should be informed that when receiving the services of a contracted private provider, you will be required to pay privately for doctors’ fees and part (30%) of the DRG (classification of medical treatments for the purpose of reimbursing hospitals for each case in a given category with a fixed fee) charged as these are costs that are not covered by the Greek national health system.

There is no patients’ co-payment when receiving healthcare at public/state hospitals under the Greek health benefits basket.

Important Information
In the event that you are a S2/E112 holder, you first need to visit the local EFKA (Greek acronym for the Unified Social Security Fund) branch in order to register and receive necessary documentation to be submitted to the healthcare provider.

The EU Directive 2011/24/EU route on cross-border healthcare.

This is a funding arrangement between you and your national health insurance fund. Using this route means you will have to pay the costs of your treatment abroad upfront and then claim the reimbursement of costs from the national health insurance fund when you return. If you are entitled to that healthcare at home, then you will be reimbursed by your home country. The reimbursement will be up to the cost of that treatment at home.

For some treatments you'll need to get prior authorization.

In this case, your entitlement to treatment derives from the Directive 2011/24/EU on the rights of patients in cross-border healthcare.

  • Research your treatment options with your doctor and get a copy of your medical record complete with information on diagnoses, medical test results, evaluations of attending doctors and any treatment or surgical operation you have already undergone.

  • Make sure you have contacted your national healthcare insurer or the national contact point for cross-border healthcare at home in order to assess the best route of treatment abroad for your particular case.

  • Ask your national health insurer whether you will need authorization.

  • Request information about the funding arrangement, any out-of-pocket costs or upfront payment on your part with reimbursement right at home.

  • Clarify whether travel and accommodation expenses are covered.

  • Contact the provider in order to make an appointment at the hospital and clarify when and how the treatment is to be paid for.

  • You should be informed that you will have to pay privately for any translation/interpretation costs unless you have a private agreement with the health provider stating otherwise or your national health insurance fund covers such expenses.

  • When paying upfront and anticipating the reimbursement of costs at home (under the Directive 2011/24/EU), you may also enquire about your rights as a patient, the quality of care in the hospital or even the doctors’ right to practice. This kind of information will be made available to you, upon request. You may also contact the Greek national contact point for cross-border healthcare.

  • Discuss your treatment and possible follow-up with your doctors.

  • Make sure you get a complete copy of the treatment your received.

  • If you use cross-border prescriptions issued in Greece and dispensed in another EU country, make sure all the necessary information is included. You are best advised to contact the national contact point for cross-border healthcare of your country on this matter.

  • In case you are going to claim reimbursement of the costs at home, make sure you keep itemized invoices issued by the healthcare provider and submit all the required documentation to your national health insurer.