Im from Germany. In general the health insurance doesnt do, because they only take over costs for domestic clinics who bill according to the german scale of fees for doctors (GOÄ). And you need a opinion of a psychologist who states that a pathalogical suffering exist which cannot be resolved by the psychotherpy which you had to do before. I did this therapy, recieved this statement and requested the take over of costs for a german hospital in the first step. The insurance agreed on that which means, they accepted in general, that a surgery is necessary. After this step i wrote a detailled paper about the clinic in Bangkok, which included the advantages for the insurance (e.g. higher operating experience, lower rate of complications, only on surgery indtead of 2, excellent international reputation of the doctor, very advanced and proven techniqie, cost advantage). I applied to takevover the costs for Kamol instead of the german hospital. That worked and my insurance stepped in. I have to mention that my insurance is a private one and their commitment was finally voluntary ( because theres no contractual obligation to finance offshore) but it shows at least that it can work, because the insurance sees an advantage for herself. It might also work for statutory insurances, as the case is judged by the same specialists (Medizinischer Dienst der Krankenversicherung MDK). At least thats a try and i could imagine that it also works with other insurances because there is an economical rationale. This was for my SRS. I didnt do this procedure for my FFS and breast, as i did not get an assumtion of costs in my country.Hope that helps. Emi

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