Can You Bill Wigs to Your Medical Insurance Company?

At Stylesome Wigs, we understand that hair loss due to chemotherapy, alopecia, or other medical conditions can be a challenging journey. Many health insurance plans cover full or partial costs for cranial prostheses (the medical term for wigs prescribed for hair loss). 

How Reimbursement Works at Stylesome Wigs

Stylesome Wigs is a recognized NPI-approved medical supplier (NPI: 1487459079).

• Direct Billing Note: We do not perform direct insurance billing at our location.

• Self-Pay & Reimbursement Model: Clients pay upfront for their cranial prosthesis, receive a detailed paid itemized invoice with proper medical coding, and submit the claim directly to their insurance provider for reimbursement.

Step-by-Step Instructions for Clients

1. Obtain a Doctor’s Prescription & Diagnosis Code:

   • Request a written prescription from your oncologist, dermatologist, or primary physician.

   • Ensure the prescription explicitly states “Cranial Prosthesis” (avoid using the word "wig").

   • Confirm your doctor includes an ICD-10 medical diagnosis code (e.g., L63.9 for Alopecia, Z51.11 for Chemotherapy).

2. Verify Coverage with Your Insurance Provider:

   • Call the member customer service number on the back of your insurance card.

   • Ask the representative the following key questions:

     • Does my policy cover a Cranial Prosthesis (HCPCS code A9282 or S8095)?

     • What is my out-of-network DME (Durable Medical Equipment) coverage percentage or maximum dollar limit per year?

     • What specific documents are required to process my reimbursement claim?

3. Select & Purchase Your Medical Wig:

   • Visit Stylesome Wigs to choose a high-quality, comfortable wig (cranial prosthesis) designed for sensitive scalps.

   • Pay for your purchase upfront.

   • We will issue a detailed sales receipt listing our NPI Number, proper billing codes, and itemized details required by insurance.

4. Submit Your Claim for Reimbursement:

   • Complete your insurer's Out-of-Network Member Claim Form (usually downloadable from your insurance member portal).

   • Attach the following required documentation:

     • Doctor's written prescription.

     • Itemized paid invoice/receipt from Stylesome Wigs.

   • Keep copies of all documents for your personal records before mailing or uploading.

Additional notes

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

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