Cranial Prosthesis
If you are experiencing hair loss whether temporary or permanent. Unfortunately, not many people know this. But needing a wig due to hair loss caused by alopecia, chemotherapy, or other medical conditions, is covered by many insurances. And you can file an insurance claim for the full or partial cost of your cranial prosthetic.Â
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Types of Hair Loss CoveredÂ
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 By Insurance |
- Hair Due to Chemotherapy
- Kidney Related Hair lLoss
- Hair Loss Caused by Cancer
- Alopecia
- Radiation Related Hair Loss
- Hair Loss Due to Thyroid Problems
- Medical Hair Loss Due to Life and Environmental Changes, Thinning and/or Balding, Genetics, Stress, Aging, Reaction to Medical Illness
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The Steps You Should Take
Contact the benefits department for your health insurance and ask:
- Does your policy cover a cranial prosthesis?
- If it does, what type of prosthesis is covered (I.e. human hair wigs, synthetic wigs, etc.)
- How much of the cost do they cover?
- What specific terminology for a wig should the prescription contain?
- Is there required documentation they need to submit your claim? What is it?
Note: When reviewing your insurance policy and you donât see cranial prosthesis listed, it doesnât necessarily mean you donât have coverage. We strongly recommend that you call your health insurance company and get pre-authorization.
NEXT:
- Get a prescription for a âcranial prosthesisâ from your doctor. Make sure thatâs the correct terminology required by your health insurance provider. Also, include procedure code A9282. Itâs important that the prescription does not say âwigâ. Because a wig is considered a fashion item, it is not medically necessary. The procedure code/number on your cranial prosthesis prescription is used to submit your insurance claim.