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medical wig insurance program

Did you know that many health insurance companies might cover the full cost of your custom made medical human hair wig? That’s right! If you have valid medical conditions like Alopecia or Cancer, you could be eligible for reimbursement. There’s hope to look fabulous and feel amazing again with a beautiful hum. Let us help you discover the perfect solution for your hair loss journey!

INSURANCE COVERAGE

When navigating the world of insurance, remember: always use the term “Cranial Hair Prosthesis” instead of “wig.” Why? Because “wig” is seen as purely cosmetic and can lead to a quick denial. By referring to it as a “Cranial Hair Prosthesis,” you highlight its importance for medically-related hair loss, making it a claim for medical necessity—and that’s a ticket to approval!

So, before you dive in, double-check your insurance benefits to ensure that “Cranial Hair Prosthesis” is covered. Let’s get you the support you need!

HOW TO FILE A CLAIM

HOW TO FILE A CLAIM FOR YOUR CRANIAL HAIR PROSTHESIS 

  1. Get the Essentials from Your Doctor 

    • Ask your physician for a prescription and a heartfelt letter explaining your hair loss and its emotional impact. Remember, this isn’t just about looks—it’s about feeling your best!

    • Make sure they include a specific diagnosis (like Alopecia Totalis or Alopecia Areata) along with the HCPCS codes: S8095 and A9282.

    • It’s also important that your doctor states why your cranial prosthesis is considered Durable Medical Equipment (DME).

  2. Fill Out Those Insurance Forms 

    • Grab the necessary forms from your insurance company and don’t forget to use those HCPCS codes!

    • Your doctor’s NPI Code is a must-have. Find it by searching the NPI Registry.

    • Have your doctor sign off on your claim form—teamwork makes the dream work!

  3. Submit the Custom Invoice 

    • We’ll provide an invoice that clearly states “cranial hair prosthesis” (never “wig”) and includes all the necessary codes and our Tax ID #. Easy peasy!

  4. Write a Personal Touch Letter 

    • Share your story! Explain how your condition affects your daily life, self-esteem, and relationships.

    • Include photos of yourself without hair or makeup to emphasize that this is about more than just appearance.

    • If you can, add a letter from your employer about how having hair affects your work life—or ask a supportive friend or family member to help!

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​ IF YOUR CLAIM IS DENIED, HERE’S HOW TO APPEAL:

  1. Double-Check Your Coverage 🔍

    • Make sure “Cranial Hair Prosthesis” is covered in your policy. Sometimes it helps to check if they refer to it differently!

  2. Request a Review by a Medical Board 

    • Ask them to review your case and include your original claim.

  3. Get the Lowdown on Denials 

    • Request a written explanation for the denial. Knowledge is power!

  4. Contact the Claims Supervisor 

    • Send a friendly letter to the claims department supervisor to discuss your situation.

DENIED? FILE AN APPEAL

A Little Reminder: This guide is here to help! Review your insurance benefits carefully, keep copies of all your paperwork, and don’t hesitate to reach out if you have any questions. We’re excited to support you on this journey!

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