How to File an Insurance Claim for a wig

How to File an Insurance Claim for a Wig (Cranial Prosthesis)

Filing an insurance claim for a medical wig can seem a bit overwhelming, but we’re here to help you through the process! Here are the general steps you’ll need to follow:

1. Contact Your Insurance Provider:

   • Does your policy have coverage for a cranial prosthesis?

   • If yes, ask them to confirm coverage for these codes (synthetic Hair A9282 or Human Hair L8499) or if you have your prescription, give them that code.

   • How much is applied to your deductible?

   • Are you required to see an in-network provider? If yes, ask for an exception due to having no in-network providers close to home.

   • Request a claim form and submission details, i.e., address to mail the claim to.

   • Request that they send you an email with all the details discussed today.

2. Get a Prescription:

   • Obtain a written prescription from your doctor for a “cranial prosthesis,” including your diagnosis code.

3. Call Us to Schedule Your 1-Hour Consultation:

   • Bring your insurance information with you to your consultation.

   • Purchase a wig or special order one.

4. Submit and Follow Up:

   • Submit the claim form, include the prescription, and the receipt from us (indicating full payment and purchase details). We can assist you with this process.

   • Follow up with your insurance provider to track your claim.

Remember to keep detailed records and always ask for written confirmation from your insurance provider. If you need any specific help or have questions along the way, feel free to ask!