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Wig Insurance Claims Cranial Prosthesis

Insurance Coverage For Clients With Medically Related Hair Loss.

If you need to wear a wig because of medical reasons such as Alopecia, Trich, or Cancer related therapy the “wig” should be called a “cranial hair prosthesis” for insurance purposes. If a person requires a cranial prosthesis due to Medical related hair loss they may be eligible for reimbursement under their health insurance. Most insurance companies will cover from 80% to 100 % of a cranial prosthesis.

Follow these guidelines to file your claim to the insurance company:

  • You will need to get a prescription from your physician for a cranial prosthesis.
  • Check the benefits of your insurance. There should be a section under covered expenses related to prosthesis, prosthetic devices or medical durable equipment.
  • Request that your physician write a "PRESCRIPTION" for a "CRANIAL PROSTHESIS".
  • Notify us about your medical need for alternative hair and we will also send you a receipt for a cranial prosthesis.
  • Send your sales receipts for your cranial prosthesis.
  • Enclose a letter to the insurance company stating the necessity of a prosthesis.
  • If your insurance company denies insurance coverage, you can appeal.
  • Never file an insurance claim for a wig. Always call it a CRANIAL PROSTHESIS.
  • Cranial prosthesis’s are different from budget or department store wigs in quality, performance, and service. Prosthesis’s are made of specialized material, for individuals with severe hair loss.
  • If you don’t have insurance contact your state or county agencies. The county department of social services usually offers medical assistance
  • in most states for individuals who meet certain income guidelines.
These are guidelines only. Always follow the procedures stated by your insurance company so you can obtain the fullest benefits possible. Individual insurance companies may have other or additional steps to complete.

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