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Nose and sinus surgery abroad for public patients in the EU
Covered by your country's public health service under the Cross Border Directive.
A nose that is always blocked, or sinuses that stay inflamed, can disturb your breathing and your sleep month after month while you wait.
Your nose or sinus operation without the public wait: a fixed price in a private hospital in another EU country, paid back by your public health service. The hospital, the surgeon, the price and your stay are in writing before you decide.
Free · no commitment · no documents · by video or phone, at a time you pick
Your right under EU law since 2011
290,000claims paid back to patients across Europe in 2024
Your rights under the schemeHow long you wait for a nose or sinus operation depends on where you live: waiting times differ widely between EU countries, and between regions within a country. We look at your own wait with you.
Your own public health service's published waiting times; no single European figure is quoted here
Your nose or sinus operation in another EU country, step by step.
Eight steps from the first conversation to your refund. You commit at step 4, not before.
Before you commit
Stop at any time, at no cost
Talk to us
You
Schedule a free call, by video or phone, at a time you pick. We check your country's rules with you and tell you how the route works for a nose or sinus operation.
Fill in the Consent Form
You · about 15 minutes
Your details and documents, uploaded securely. You usually need a referral for a nose or sinus operation from your own doctor, or a letter showing you are on a public waiting list for it; we tell you what your country asks for.
We determine your eligibility
Ablement · within 1 to 2 working days
You get a clear yes or no on whether you are eligible for a nose or sinus operation in another EU country, checked against your country's rules.
We find a private hospital
Ablement · within 5 working days of a complete file
We ask the hospitals and send you one written proposal: the hospital, the surgeon, the price of your nose or sinus operation, the dates and your expected refund.
After you commit
We stay with you to the refund
Your date is confirmed
The hospital
The hospital confirms your date in writing within 10 working days of your acceptance, and then you book your travel. Whether you stay a night in hospital depends on your operation and your surgeon; the hospital's written plan says how long you will be away.
Your treatment abroad
The hospital
You meet your surgeon before the operation, by video before you travel or in person at the hospital, as your country's rules and the hospital allow. You have your operation and fly home when the surgeon says you are fit to fly. You pay the hospital directly and send us the documents for your claim.
We claim your refund
Ablement · within 5 working days of your return
We send your signed claim to your public health service and follow it until you are paid. How long the decision takes depends on your country; we tell you before you decide.
Your aftercare at home
Your own doctor
Your own doctor and the public system take over, as if you had the operation at home. These operations often need a check-up some weeks later; your own doctor can refer you for it in the public system.
One contact person, from the first conversation to the refund.
Easy to reach at every step. A family member can join every call.
What a nose or sinus operation costs you
Our service
Nothing. The hospital that treats you pays us a referral fee.
The hospital
One fixed price for your nose or sinus operation, in writing before you commit. You pay the hospital directly, before your public health service pays you back.
Your public health service
Pays you back up to what a nose or sinus operation costs in the public system at home, under your country's own rules.
The detail for a nose or sinus operation
Your country's public health service pays back the cost up to what your nose or sinus operation costs in a public hospital at home, under your country's own rules; your proposal shows the expected refund. You receive the refund after the treatment, paid into your own account; travel, accommodation and a companion's costs stay with you. Whether your country asks for permission in advance, called prior authorisation, we check with you on the call. The price is set in writing before you accept, and when no hospital can offer one that the refund covers, we put the gap in writing and you choose whether to go ahead.
What is paid back, and when
Find out in one free call if a nose or sinus operation in another EU country can work for you
Kaare Beck-Fischer, Chief Executive Officer
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What a nose or sinus operation involves
Nose and sinus surgery treats a nose that stays blocked or sinuses that stay inflamed when sprays and medicines have not helped. The surgeon may straighten the wall between the nostrils (a septoplasty), shrink the swollen ridges of tissue inside the nose, or open the narrow channels that drain the sinuses, using a thin camera and fine instruments passed through the nostrils. There is no cut on the face and the shape of the nose does not change. It is usually done under a general anaesthetic.
The nose feels blocked and drips for a week or two while it heals, and the surgeon may fit soft splints for a few days. Breathing then opens up over the following weeks. The aim is a nose that breathes freely, better sleep and fewer sinus infections.
Questions about a nose or sinus operation
Short answers to what people ask us most. Open a question to read the answer.
All frequently asked questionsYour question isn't here?
Ask us in the chat Or send us a message from the Contact pageWhich operations does this cover?
Operations such as straightening the wall between the nostrils, sinus surgery, and surgery to reduce the swollen lining inside the nose. Surgery to change the look of the nose is not paid back: public health services pay only for treatment they provide for medical reasons.
What must my referral letter say?
It should name the operation your specialist recommends and the problem it treats. Because only treatment for a medical reason is paid back, a letter that makes the medical reason clear helps your claim. If your letter is unclear, we tell you what to ask your own doctor for.
What about the check-up afterwards?
Nose and sinus operations often need a check-up some weeks later. We ask the hospital how it handles this for patients who live abroad and put its answer in the written proposal. Your own doctor can also refer you for follow-up in the public system at home.
Will I lose my place on the waiting list at home?
No. The Cross Border Directive does not ask you to leave a waiting list to use it, and you stay on it until you have been treated. Once your operation is done abroad, you let your hospital at home know, so it can take you off the list. If you change your mind before then, nothing has changed at home.
Do I have to pay up front?
Yes. You pay the hospital directly, and your public health service pays you back afterwards; how long that takes depends on your country, and we tell you before you decide. Some people use savings or help from their family. We do not lend money or arrange loans, and no money of yours passes through us.
Is it safe, and what if something goes wrong?
You see the hospital and the surgeon's name in writing before you decide anything, and you have a consultation with the surgeon before the operation. Every hospital we work with must be registered with its country's health authorities, use surgeons who specialise in the operation, give its price and its terms on complications in writing, and give you an English-speaking contact person. The hospital that treats you is responsible for your care, and it must have a complaints procedure. We help you deal with the hospital, and at home your own doctor takes over as after any operation.
Why is your help free? What's the catch?
There is no catch. The hospital that treats you pays us a referral fee; you never pay us anything, and the hospital's price is fixed in writing before you accept. You can stop at any time before you sign with the hospital.
Will my health service really pay me back?
The Cross Border Directive is EU law, and 290,000 claims were paid back across Europe in 2024 alone. The refund is yours when your country's rules are met: usually a referral, any permission your country asks for in advance, the itemised invoice and your receipt. We check your country's rules with you before you pay anything, and we prepare the claim with you.
Can a family member come with me, or join the calls?
Yes. A family member can join every call and meeting, be named on your Consent Form and travel with you. Their travel and hotel are your own cost.
Find out if this route can work for you
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