What We Do
OGS Appeals helps patients get insurance approval for orthognathic (jaw) surgery in Europe. We guide you through the appeals process, review denial letters, and write strong appeal documents to secure you payment.
Frequently Asked Questions
At OGS Appeals, we understand that navigating the insurance appeals process can be challenging. Below are some common questions we receive from patients seeking coverage for orthognathic surgery. We hope this information helps clarify the process and supports you in your journey to obtaining the necessary care.
Where does OGS Appeals operate?
OGS Appeals only operates in Europe. We work within EU and EEA healthcare systems, including cross-border care rules like the S2 route and national health insurance schemes.
What types of treatments do you handle?
We assist with funding applications and appeals for orthognathic (jaw) surgery. This includes surgery for medical needs such as malocclusion, airway issues, and facial pain.
How can people get funding for jaw surgery in Europe?
There are several possible routes:
S2 Funding (EU Regulation 883/2004): This allows patients to get pre-authorised treatment in another EU/EEA country, paid for by their home country’s health service.
National Insurance Systems: Many European countries fund orthognathic surgery through public healthcare, but patients may face delays or denials.
Private Health Insurance: Some policies cover surgery, though pre-authorisation and appeal may be needed.
Cross-Border Healthcare Directive: In some cases, you may pay for surgery abroad and claim reimbursement afterward.
Can’t my surgeon’s office or insurer help with this?
Surgeons and clinics focus on medical care. Insurers focus on limiting costs. Neither is focused on helping you navigate legal and bureaucratic systems across borders. We are. That’s our job.
Are you lawyers?
No. We are not a law firm and do not offer legal advice. We are a specialist consultancy with experience in medical appeals and cross-border funding under EU law.
Can I just handle all this myself?
Yes, in theory. But the rules are complex, especially when dealing with cross-border care, EU regulations, or insurance rejections. We know what evidence funders look for and how to present it clearly.
What is your success rate?
We aim for a high success rate, and most of our cases are approved. We’ll give you an honest assessment of your case before starting. We don’t take on cases we don’t believe in.
How long does it take to prepare an appeal?
It varies by country and funding route:
S2 applications can take 4–12 weeks.
Insurance claims depend on the insurer’s process but may take several months. We guide you through each step and help minimise delays.
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