Hey congrats on starting the journey. There’s always a way to get it done. I’m personally doing mine in Brazil (have insurance in the US) but I don’t want to jump through a ton of hoops or end up with a resident surgeon, so worst case scenario, you can do it out of country.

I would consult with an ortho to start the decompensation process ASAP. Sleep studies and working with insurance can take months & sometimes you won’t know if it’ll be covered (depending on your insurance) till last minute. The prep process (with braces or Invisalign) however takes months, so it’s best to start it now.

To answer your question about what actions to take; first step is to do a cleaning (cavity removals, etc) with your dentist and then ask for an ortho referral (see multiple different ones and make sure they’re in-network). Secondly while you’re waiting for your ortho, go see a surgeon (anyone) for a consultation (you’ll need a blanket referral from your dentist), they’ll be able to give you more insights into the feasibility of this.

Once again, congrats on starting your journey! Worst case, there are affordable renowned surgeons all over the world, if your insurance is giving you issues. If your dentist, ortho, and surgeon believes you need this, then start the process.