April 17

Insurance Coverage For Wigs As “Cranial Hair Prosthesis”

If you’re suffering from hair loss after chemotherapy, other cancer treatment, or illnesses that cause hair loss like alopecia, you might feel like losing your hair is kicking you while you’re down. You’ve lost so much, and now this too!?! A “Cranial Hair Prosthesis” might just be the answer for you.

We understand what you are going through, and we want to help. Wigs are a simple way to give yourself a piece of your life back. Wigs give you a simple way to look and feel like yourself again.

Should I Get A Wig?

With all the other things to worry about, it may feel like this isn’t worth the time and effort, especially the money. “It’s just hair.” Also, you may even feel silly for taking the time to read this article.

But our hair is an emotionally charged part of us and when it’s taken away by illness, it can leave us feeling lost and adrift. Therefore, there’s nothing wrong with wanting that piece of yourself back.

Can Insurance Cover A Wig?

Suppose you’re one of the many who suffers from hair loss from chemotherapy or one of many other medical reasons. In that case, you may be covered by your medical insurance for up to 100% of the costs of buying a wig for medical purposes with a prescription for Cranial Hair Prosthesis.

That’s right, up to 100%. It’s not something most insurance companies advertise, but many insurance coverages have this included in most policies.

How To Ensure Insurance Covers The Cost Of Wig

A Cranial Prosthesis is a medical term that means “wig designed specifically for those suffering from hair loss due to medical conditions.”

  1. Will Insurance Cover The Cranial Hair Prosthesis?

The first question is whether your insurance will cover your wig. Insurance companies that are confirmed to cover cranial prosthesis include:

  • Aetna
  • TriCare
  • Humana
  • Blue Shield
  • United HealthCare

While these insurance companies have been shown to cover the cost of cranial prosthesis, your individual coverage depends on your specific policy. Please confirm your coverage with your specific insurance. Is your Insurance company not on the list? Give them a call to check.

  1. Call Your Insurance Company

Our next step is to call them and ask questions. Also, a good rule of thumb is to have them explain the process of having your prosthesis covered to you.  Some good questions to ask include:

  • Do you cover cranial prosthesis?
  • How much of the cost will my plan cover?
  • The prescription needs to say what?
  • What insurance HCPSC code is required on the sales receipt?
  • What do I need to present to claim this?
  • Once you get those answers, you’ll need to get a prescription from your doctor.
  1. Get a Prescription for Cranial Hair Prosthesis

At this point, you might already be in touch with your doctor. They’re probably already aware of what’s going on. So for insurance purposes, you’ll want to ask for two things:

  • A diagnosis for the medical condition causing your hair loss.
  • A prescription
  • With these things in hand, you can choose and buy your wig.

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