Will Insurance Cover the Cost of a Medical Wig?
If you have a medical condition such as Alopecia, Trichotillomania or you’re a cancer patient looking for a chemotherapy wig for hair loss, you may have insurance coverage to offset the cost of your medical wig.
Because wigs for cancer patients and other health conditions, are not for cosmetic purposes, they may qualify for reimbursement covered by your health insurance. Many private insurance companies now cover all or some of the cost of a medical wig as long as you have a prescription. It’s not uncommon to receive reimbursement of 80-100% of the cost of a medical wig.
It’s important to know that in order to qualify, most insurance companies, require a qualifying medical diagnosis given by your treating physician which could make you eligible for reimbursement for your medical wig also called Cranial Prosthesis.
When looking over your insurance policy to verify your coverage the information will likely be listed under the section called: Durable Medical Equipment.
Note: Just because you don’t see cranial hair prosthesis listed, it does not automatically mean you don’t have coverage. Approval can be obtained by calling your insurance company and getting a pre-authorization.
When filing your claim for insurance coverage for your medical wig, it’s vital that you use the correct terminology and diagnosis codes assigned by your prescribing physician when submitting your reimbursement claim.
Some common terms for medical wigs include:
- cranial prosthesis (CP)
- hair prosthesis
- cranial hair prosthesis
- extra-cranial prosthesis.
Grant Coverage for Medical Wigs:
Thanks to the NAAF (National Alopecia Areata Foundation) many people are receiving assistance with the purchase of lace wigs! NAAF developed and manages a special program called the Ascot Fund. This pre-purchase program provides financial assistance towards the purchase of custom made lace wigs. The program is open to individuals who suffer from alopecia or similar condition and are experiencing financial hardship. Since its start in 2004, hundreds of individuals have benefited from this fund.
You are eligible for the Ascot Fund if you meet the following requirements:
* have been diagnosed with alopecia areata by a dermatologist or doctor,
* are unable to purchase a hairpiece due to financial challenges,
* are not already in possession of the hairpiece shown on the application,
* have not already paid for the full balance of the cost of the hairpiece.
(The Ascot Fund is a pre-purchase program; reimbursements are not provided for any purchases paid in full either by credit card or other financial means).
The maximum amount awarded is $500. The applicant needs to be able to pay any balance beyond the award amount.
Follow the guidance below to find out if you qualify for a grant towards your custom lace wig.
To obtain the forms please call 415-472-3780 or E-mail: email@example.com and ask for the Ascot Fund Application form. Or Visit their site: Ascot Fund Select Ascot fund on the left menu for info.
Select the lace wig that you would like from our website. We will not require payment from you at this time.
Request your Dermatologist's signature on the DIAGNOSIS FORM
Take special care when completing your application ensuring that all the steps are complete. The more information you provide the quicker your application can be processed. Omitted or incomplete information can cause a delay in your application process.
Once your application is approved, you will be notified by the NAAF. It that time we will begin constructing your custom lace wig.