Medical Insurance Claim

Medical Insurance Claim

When you lose your hair due to medical reasons such as chemotherapy, alopecia, trichotillomania, or other medical conditions, you can file an insurance claim.

Depending on your coverage, you may be eligible to have some or all of your wig reimbursed by your insurance provider.

House of Wigs creates custom wigs that are considered a cranial prosthesis and thus fall under the durable medical equipment category.

These steps may help you in receiving insurance reimbursement.

  1. Consider calling your insurance provider to ask if they provide coverage for cranial prosthesis. It is best to mention you have a prescription for a cranial prosthesis.
    • If it is covered, find out How much your insurance plan covers and;
    • the documentation needed to support an insurance claim.
    2. Get a prescription from your doctor.
      • Prescription should read "Cranial/Hair Prosthesis for medical purposes (Alopecia chemotherapy or radiation therapy).
      • Include the terms that your insurance requested.
      • Include the medical procedure number or code (Healthcare Common Procedure Coding System, HCPCS), such as A9282, and S8095.
       3. Purchase your wig from House of Wigs.
      • We are not currently listed as providers so we cannot bill your insurance company directly.
      • However, our wigs will qualify for out of network providers.
      • If there are no providers in-network, some insurance companies allow you to use your out-of-network benefits as in-network benefits. Contact your provider and ask them if this is an option under your plan.
      • After payment is completed for the purchase of your wig, we will give you a sales receipt that you can then submit to your insurance company so you can get reimbursed for your purchase.

         4. Submit a claim for reimbursement to your health insurance.

      • If you don't know how to submit a claim, look on your insurance company's website or call their customer service to ask how to submit a claim for reimbursement. 

    If Your Insurance Won't Help Cover the Cost of Your Wig 

    When paying for your wig out of pocket, save the receipt just in case your purchase qualifies as a tax deduction. If a person's medical bills are over 7.5% of their income, then the wig would become tax deductible.

    Chemotherapy and Alopecia Wig Cap  

    This is for those with total or partial hair loss such as alopecia or cancer related hair loss due to chemo. This comfortable wig features a handmade cap that is breathable and soft on the skin, making this wig great for sensitive scalps. The cap construction provides a multidirectional parting with a natural hairline. Medical grade silicone panels are placed throughout the cap, at the front, sides and back to enable a secure hold without any glue or tape needed.