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Getting Your Health Insurance to Cover the Cost

Note: We are not a Medical or Health Provider. We DO NOT process medical claims, nor do we accept prescriptions. If you lost your hair due to medical reasons such as chemotherapy, alopecia, or other medical conditions, when requesting a prescription from your physician, the full lace wig should then be referred to as a "full cranial prosthesis" which will then enable it to be covered under most medical insurance policies. Most insurance companies will cover between 60-100% cost for your full cranial prosthesis. However, if you request coverage for a wig, chances are your claim will be denied. So please, make sure you request a "full cranial prosthesis".

If you require a cranial prosthesis wig due to permanent hair loss or hair loss during chemotherapy or alopecia treatment, you may be eligible to receive full or partial coverage to purchase the full cranial prosthesis by your health insurance company. You must contact your insurance company directly to see what the procedure is to obtain full or partial coverage for the full cranial prosthesis.
Cancer patient's insurance may cover a full cranial prosthesis under the medical coding code: S8095 (For more information, please ask your health and your medical insurance provider.) Your hair prosthesis may also be a tax deductible medical expense.


Steps to Follow:
a) Call Your Health Insurance Provider and ask if the coverage on your policy covers a "full cranial prosthesis" for medical hair loss reasons.

b) If it is covered, ask them to explain you their specific procedure for obtaining payment for a full cranial prosthesis.

c) Some insurance companies will require you to pay upfront and then will reimburse you, others will pay for your prosthesis upfront.

d) Select your wig listed under Full Cranial Prosthesis to ensure that your invoice will read correctly (A rep will assist with this process).

e) Complete every insurance related forms and make sure they are signed by your physician.

f) Make sure to request from your physician that he writes you a prescription for a "full cranial prosthesis" NOT a wig.

g) Also ask your physician to write a letter explaining your hair loss problem and its effects on your day to day life, and have him state that the full cranial prosthesis is NOT simply for cosmetic reasons but for emotional well being as well.

NOTE: Keep copies of all of your documentation (s) and invoice(s) for tax exempt purposes. Follow the instructions that you were given by your health insurance provider to submit the prescription so that you can obtain payment.


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