How To Have Your Wig Covered By Medical Insurance
Contact your Health Insurance Provider's Benefits Services and ask:
- If your policy covers a cranial prosthesis
- If yes, what type of cranial prosthesis is covered (i.e. synthetic wigs, human hair wigs, etc.)
- How much of the cost will they cover
- What specific terminology they need to have on the prescription for a wig
- What specific documentation they need to submit your claim.
Note: If you are reviewing your insurance policy and do not see cranial prosthesis listed, this does not automatically mean that you don’t have coverage. We highly recommend calling your Health Insurance Provider and getting pre-authorization.
Next:
- Request and obtain a prescription for a “cranial prosthesis” (or the specific terminology required by your Health Insurance Provider) from your doctor or physician - Make sure the prescription does not say “wig.” A wig is a fashion item and is therefore not medically necessary. Your prescription will include a procedure number/code for your cranial prosthesis that will be used to submit your insurance claim.
- Add an extra touch: Ask your physician to also write a letter explaining hair loss and its effects and have her/him state that it is not simply for cosmetic reasons but for emotional well being.
- Keep copies of all of your documentation and invoices from your physician for tax exemption purposes.
- If you are planning on paying upfront or out of pocket initially, buy the product from our store.
- Let us know that you need a copy of your invoice for your cranial prosthesis prescription.
- We will provide you with a copy of your invoice with a notation on the bottom that states Cranial Prosthesis and Medwigs’ Tax ID number.
- Send all documentation (your doctor’s prescription, copy of your invoice from Wigs.com, completed insurance claim form, and any other necessary forms) to your Health Insurance Provider.