The changes in the health benefits of e-EFKA

of Dimitris Katsaganis

The path of reform is expected to take the “status” of e-EFKA health benefits, the reason for the benefits that e-EFKA gives to policyholders for various reasons, such as illness, maternity, etc.

Secure information of Capital.gr from high-ranking executives in the Ministry. Labor reports that the main axes of the relevant reform in the direction of the establishment of uniform rules in the provision of health insurance benefits of e-EFKA have been locked.

This is because such a thing is a pending issue, which should have been closed in 2017, when the rules of contributions and pensions became unified with the Katrougalos insurance law. The same, that is, to become uniform rules, should have happened, based on the same law, for non-pension benefits – that is, benefits.

According to the same sources, the time has come to close this backlog and the axes of the forthcoming reform will be the following two:

* The reform will be fiscally neutral. This means that there will be no increase, but also no decrease in the total amount of e-EFKA for its benefits.

* The reform will provide for a fluctuation in the benefits of the insured funds that concern the same reason. The general line is to reduce the higher benefits and increase the lower benefits to a new common level, which will be lower for the current high benefits and higher for the lower ones. For example, even an allowance for the insured of one fund relating to a ratio of “x” amounts to 200 euros, while the allowance for the same reason (“x”) for the insured of another fund amounts to 100 euros. The logic of the planned reform is the following: the allowance of 100 euros (for the first fund) to rise to 150 euros, while at the same level (150 euros) to rise the allowance of 200 euros.

The same sources state that the goal of this reform is to be voted and implemented within the current year.

It is noted that the e-EFKA allowances, which will be reformed, have nothing to do with the medical-pharmaceutical coverage provided by EOPYY (to insured persons), but also to the OPECA social allowances which are provided on the basis of income criteria (to insured persons). and not)