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How Insurance Coverage works for Medical Wigs

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.

At OGP Medical Wigs, we help you with the entire process from choosing a wig to directing you in the right direction so you can get your cranial prosthetic wig approval by your medical insurance.

Alopecia Areata on scalp
Alopecia Areata

Most Types of Medical Hair Loss 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

For many individuals, finding the right wig isn’t just about aesthetics; it’s about feeling confident and comfortable during a difficult time. Fortunately, insurance coverage often extends to medical wigs, offering financial assistance to those in need.

Why Medical Wigs Matters The impact of hair loss on an individual’s mental and emotional well-being cannot be overstated. Medical wigs provide more than just a cosmetic solution; they can significantly boost confidence and help individuals maintain a sense of normalcy during a trying period. Whether someone is undergoing chemotherapy, dealing with alopecia areata, or facing other medical conditions causing hair loss, a medical wig can make a world of difference. Understanding Insurance Coverage

Lady in pink shirt before & after wearing a medical wig
Medical Wig

Insurance coverage for medical wigs varies depending on the policy, the underlying medical condition, and the specific terms outlined in the insurance plan. While not all insurance policies cover wigs, many do recognize the significance of these items as a medical necessity.

Types of Insurance That May Cover Medical Wigs

  1. Health Insurance: Some health insurance plans, particularly those with comprehensive coverage, may include allowances for medical wigs. However, coverage may vary based on the type of policy and the specific medical condition necessitating the wig.

  2. Private Insurance Policies: Policies purchased independently or through employers may have provisions for medical wigs. It’s crucial to review the policy details or contact the insurance provider directly to understand coverage specifics.

Steps to Obtain Insurance Coverage for Medical Wigs

Hair Loss document
Hair Loss Application for Insurance

  1. Review Your Insurance Policy: Understand the details of your insurance coverage, including any clauses related to medical supplies or durable medical equipment. Look for specific mentions of coverage for wigs or hair prosthetics.

  2. Consult Your Healthcare Provider: Obtain a prescription or recommendation from your healthcare provider stating the necessity of a medical wig due to a diagnosed medical condition. This documentation is crucial for insurance claims.

  3. Contact Your Insurance Provider: Reach out to your insurance company to inquire about coverage for medical wigs. Be prepared to provide documentation, including the prescription and any other required forms.

  4. Keep Records and Documentation: Maintain copies of all correspondence, prescriptions, bills, and receipts related to the purchase of the medical wig. These records will be necessary for filing claims and reimbursement.

Tips for a Successful Insurance Claim

  • Be Persistent: Insurance processes can be complex, and coverage for medical wigs might require advocacy and persistence.

  • Follow Procedures Carefully: Adhere to all the guidelines and procedures outlined by your insurance provider for submitting claims.

  • Appeal if Necessary: If your initial claim is denied, consider appealing the decision. Sometimes, additional information or a different approach can result in approval.

For individuals dealing with medical conditions causing hair loss, obtaining a medical wig through insurance coverage can alleviate financial burdens and contribute significantly to your emotional well-being. Understanding your insurance policy, following the necessary steps, and maintaining detailed records are key to navigating the process smoothly. While the process may seem daunting, the potential benefits of securing insurance coverage for a medical wig can positively impact the quality of life if you are experiencing hair loss due to medical reasons. Always consult your healthcare provider and insurance company for personalized guidance and support throughout the process.

*Any further questions, please contact us by at email us at or contact us here.


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