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Health: Rules, sources and check dates

EOPYY reimbursement rules for hearing aids and psychotherapy, with amounts, conditions and official sources.

No rule has been verified by a human yet. The status stays "unverified" until it is checked against the official source.

Unverified rules in this version: 9

eopyy-hearing-aids

EOPYY hearing-aid reimbursement

Unverified

Indicative estimate of patient contribution, reimbursement cap and usual replacement interval.

Status: unverifiedLast checked: v1.0.0

Rule

  • HA-01

    Article 46 annex, hearing aids table

    The maximum reimbursable price is €600 per hearing aid. Patient participation is 25%, or 10% for children up to age 16.

    SourceLast checked:

  • HA-02

    Article 46 annex, hearing aids table

    Usual replacement is every four years for adults and yearly for children up to age 16. A second aid requires bilateral hearing loss above 80 dB. Annual replacement for a child requires documented deterioration and hearing loss above 50 dB.

    SourceLast checked:

Sources

Known conflicts

No conflicts have been recorded for this rule set.

eopyy-psychotherapy

EOPYY psychotherapy coverage check

Unverified

Collect the details needed for a manual check of coverage and referral requirements.

Status: unverifiedLast checked: v1.0.0

Rule

  • PSY-01

    EOPYY psychotherapy clarification, Article 42 (2023 clarification)

    EOPYY states that psychotherapy is provided without patient participation after a psychiatrist’s medical opinion, when the beneficiary is not covered by the specified parallel EOPYY provision.

    SourceLast checked:

  • PSY-02

    EOPYY current benefits regulation and annexes

    Sessions depend on the ICD-10 diagnosis, therapy type and provider; relevant tables and regulation articles have changed. The current referral and annex must be checked.

    SourceLast checked:

Sources

Known conflicts

No conflicts have been recorded for this rule set.

round-33-family-health-education

Health, family and education

Unverified

Patient travel, KEPA renewal, school attendance, transport and EPAS pay, with explicit scope limits.

Status: unverifiedLast checked: v2026-10-26

Rule

  • r33-travel-ordinary

    EKPY article 47; circular 22.05.2025

    Ordinary travel uses official route distance and separate companion evidence.

    SourceLast checked:

  • r33-kepa-renewal

    Digital KEPA FAQs; OPEKA extension

    Certification renewal and benefit extension are separate steps; the paying agency determines the handover.

    SourceLast checked:

  • r33-absence-limits

    Gazette B 5130/2024, articles 25–26

    Ordinary screening covers daytime gymnasium/general lyceum without special exceptions; the school confirms attendance.

    SourceLast checked:

  • r33-transport-distance

    KYA 32239/2024, article 1

    Distance thresholds depend on school level and transport mode. The region determines the route.

    SourceLast checked:

  • r33-epas-ratio

    DYPA EPAS; invitation 2026–27

    The EPAS proportion applies to a confirmed daily wage; contributions and subsidy are entered separately.

    SourceLast checked:

Sources

Known conflicts

EOPYY and Mitos kilometre-rate discrepancy

r33-travel-kilometre-rate

  • Value: €0.20/kmeopyy.gov.gr

    Signed EOPYY circular of 22 May 2025: euros per kilometre.

  • Value: €0.15/kmmitos.gov.gr

    The Mitos procedure still displays a lower rate per kilometre.

Choice: €0.20/km

The scenario explicitly follows the signed €0.20/km circular, rather than the lower Mitos amount. The discrepancy is not marked resolved; confirm the applicable instruction with EOPYY before filing.

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