What is a Cranial Prosthesis?
A cranial prosthesis is a wig for medical patients who have permanent hair loss (such as alopecia areata, alopecia totalis, trichotillomania), or temporary hair loss resulting from treatment for chemotherapy, radiation, or any other clinical disease.
The term, cranial prosthesis, is used when applying for medical insurance or tax deduction status. Other common terms for a wig used for medical purposes include full cranial prosthesis, hair prosthesis, cranial hair prosthesis, and extra-cranial prosthesis.
Note: Since the above processes are an ongoing condition, you may be eligible to receive full or partial coverage to purchase the full cranial prosthesis by your health insurance company.
Medical Wigs - Cranial Prosthesis
Medical Wig Insurance
Will My Insurance Pay for my Cranial Prosthesis (medical wig)?
Your Coverage Depends on Your medical Insurance Plan. For medical hair loss, you may obtain payment for the full cranial prosthesis. Depending on your policy, some insurance companies will require you to pay upfront and then be reimbursed, others will pay for your prosthesis upfront.
Most insurance companies will cover between 80-100% of the cost for your full cranial prosthesis and will allow you to receive one cranial prosthesis per year for medical hair loss. Depending on your insurance, your prosthesis may also be a tax-deductible medical expense. Through research, we discovered that in default policies there is no coverage for wigs as they are part of the Standard List of Exclusions. However, you can contact your employer's HR department or your insurance broker to renegotiate your insurance contract to include your cranial prosthesis coverage.
Can I apply for my Wig on my own?
Yes, Here's How To Apply For A Cranial Prostheses
Contact your health insurance provider and ask if your policy covers a “medical cranial prosthesis”(not a wig) for medical hair loss. If it is covered, ask them to explain their specific requirements and procedure to obtain a medical cranial prosthesis payment.Note: Some insurance companies will require you to pay for your cranial prosthesis upfront and then be reimbursed.
Ask your physician to write a prescription for a “medical cranial prosthesis” (not a wig) and your specific diagnosis. Please have your physician write the code (A9282) on your prescription.
Complete all insurance forms and make sure your physician signs them. Usually, you can find the claim forms on the website of your health insurance provider.
We will give you a “medical cranial prosthesis” receipt for your insurance company. Note: Keep copies of All documentation and invoices for your records.
**Beware that not all health insurance providers cover medical cranial prostheses however, most do. The reimbursement you receive will ultimately depend on your health insurance coverage.
Which Insurance companies will pay for a Medical Wig?
Most Types of Medical Hair Loss are Covered By Insurance
Alopecia Hair Loss
Chemotherapy-Related Hair Loss
Radiation Related Hair Loss
Thyroid Related Hair Loss
Kidney Related Hair Loss
Cancer Related Hair Loss
Medical Hair Loss Due to Genetics, Stress, Reaction to Medical Illness, Life and Environmental Changes, Aging, Thinning, and/or Balding