Medical Insurance Wigs

Posted by Karen Houghton on

Medical Insurance for your Wig
How to get your Medical Insurance
to pay for your Wig

Did you know that many insurance companies will pay towards your synthetic or human hair wig or topper purchase? Most insurance companies cover between 80 to 100% of a cranial prosthesis. Depending on your policy, if you are wearing a wig for medical reasons and experiencing medical hair loss. Follow these steps to see how you may be eligible to be reimbursed on your next wig by going through your insurance.

Confirmed Insurance Companies Offering Cranial Prosthesis Benefits:

Inquiry: Call Your Insurance

Determine what types of benefits you have within your network for a “Cranial Hair Prosthesis” Terminology is very important during this inquiry, do not call the unit a wig. You may also refer to it as a “hair replacement unit” depending on your insurance.

Ask your insurance the following questions:

  1. “Do you cover a cranial prosthesis?”
  2. “How much of the cost will my plan cover?”
  3. “What terminology is needed on the prescription?”
  4. “What insurance HCPSC code is needed on the sales receipt?”

Diagnosis: Obtain A Prescription

Visit your doctor if you are experiencing any form of medical hair loss. Make sure to receive a diagnosis from your doctor for a medical condition that causes your medical hair loss. Make sure your doctor writes you a prescription for a cranial prosthesis. When the wig is purchased it is important for the invoice to list the wig as a cranial prosthesis with the proper medical code. The invoice should be submitted to the insurance company for reimbursement.

Most Types of Medical Hair Loss Covered By Insurance

  • Alopecia Areata
  • Alopecia Areata Totalis a
  • Alopecia Areata Universalis
  • Trickle-Cell Anemia
  • Postpartum Hair Loss
  • Chemotherapy Related Hair Loss
  • Radiation Related Hair Loss
  • Thyroid Related Hair Loss
  • Kidney Related Hair Loss
  • Cancer Related Hair Loss
  • Medical Hair Loss Due to Genetics, Stress, Reaction to Medical Illness, Life and Environmental Changes, Aging, Thinning, and/or Balding

File: Submit Your Insurance Claim

Many medical insurance plans will cover partially or in full for your next wig even if it is not listed on your policy of benefits. It is important to call your insurance provider for pre-approval before purchasing your next wig online so you will be clear on your coverage. Make sure you call a wig by the official medical term which is cranial prosthesis. The term “wig” is viewed as cosmetic, so it is very important to use the medical term when inquiring about coverage.

Documents You Need:

  1. Your doctor’s prescription
  2. The Wig Shop sales receipt for a cranial prosthesis with HCPCS billing code and Tax ID
  3. Completed insurance claim
  4. A DME claim if required by your insurance

Keep copies of your sales or invoices for your cranial prosthesis. Portions of unpaid items by insurance are tax deductible.

Advice: How To Buy The Perfect Medical Wig

The Wig Shop is a provider of medical wigs and is in the forefront of providing hair solutions for women experiencing all different forms of medical hair loss. Our innovative wig cap designs and secure method allow the perfect solutions. We offer a wide variety of customizable options for your wig’s cap, hair type, color, cut, and style. With our showroom options we are here for you through every step of your wig wearing journey. Regain your self confidence let us help you find the perfect wig for your lifestyle!

Denied?You can file an appeal with your insurance company and/or apply for a grant or voucher

American Cancer Society - You can apply for a Grant up to $75 to cover your Cranial Hair Prosthesis (must apply before purchasing a wig). You must meet certain financial guidelines and apply for this voucher before you purchase a hair system.

National Alopecia Areata Foundation (NAAF)This foundation offers the Ascot fund, which is a special pre-purchase program that provides financial assistance for individuals who have alopecia areata.

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