Can You Bill Wigs to Your Medical Insurance Company?

Yes, you can bill certain wigs to your insurance company if they are deemed medically necessary. These wigs are known as cranial prostheses and are designed for individuals experiencing hair loss due to medical conditions. Here are the steps to get a wig covered by insurance:

1. Obtain a prescription and referral from your doctor 

2. Contact your insurance provider to confirm if they cover cranial prostheses 

3. Get an estimate from a wig provider 

4. Submit the estimate to your insurance provider 

5. If approved, file a claim with your insurance company 

What to Expect:

- Coverage varies by insurance plan, with some insurers covering 80-100% of the cost

- The insurance coverage amount for cranial prosthesis varies significantly by policy, but common maximum limits range from $250 to $1,000 per year when covered

- You may need to pay for the wig upfront

- You might be required to submit additional documentation, such as before-and-after photos

- If your claim is denied, you can appeal the decision

As a registered medical supplier, we can help you through this process. Our NPI code is 1487459079