Determine what types of benefits you have within your network for a “Cranial Hair Prosthesis” Terminology is very important during this inquiry, do not call the unit a wig. You may also refer to it as a “hair replacement unit” depending on your insurance.

1. “Do you cover a cranial prosthesis?”
2. “How much of the cost will my plan cover?”
3. “What terminology is needed on the prescription?”
4. “What insurance HCPSC code is needed on the sales receipt?”

Visit your doctor if you are experiencing any form of medical hair loss. Make sure to receive a diagnosis from your doctor for a medical condition that causes your medical hair loss. Make sure your doctor writes you a prescription for a cranial prosthesis. When the wig is purchased, it is important for the invoice to list the wig as a cranial prosthesis with the proper medical code. The invoice should be submitted to the insurance company for reimbursement.

1. Your doctor’s prescription
2. Milano Collection sales receipt for a cranial prosthesis with HCPCS billing code and Tax ID
3. Completed insurance claim
4. A DME claim if required by your insurance
Keep copies of your sales or invoices for your cranial prosthesis. Portions of unpaid items by insurance are tax deductible.

Many medical insurance plans will cover partially or in full for your next human hair wig even if it is not listed on your policy of benefits. It is important to call your insurance provider for pre-approval before purchasing your next wig online so you will be clear on your coverage. Make sure you call a wig by the official medical term which is cranial prosthesis. The term “wig” is viewed as cosmetic so it is very important to use the medical term when inquiring about coverage.

Denied?

You can file an appeal with your insurance company and/or apply for a grant or voucher

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American Cancer Society

You can apply for a Grant up to $75 to cover your Cranial Hair Prosthesis (must apply before purchasing a wig)/ You must meet certain financial guidelines and apply for this voucher before you purchase a hair system.

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National Alopecia Areata Foundation (NAAF)

This foundation offers the Ascot fund, which is a special pre-purchase program that provides financial assistance for individuals who have alopecia areata.