Living with Alopecia can be very stressful as well. Feelings towards baldness have been devastatingly negative as most view hair loss as a sign of weakness. Most Alopecia patients are not frail. Alopecia is an autoimmune disease that causes a person to lose their hair as the immune system destroys the hair follicles.
Yet the medical industry doesn’t accept hair loss as a vital medical problem and disregards the real distresses endured by so many.
Most medical insurance providers do not cover custom cranial “scalp” prosthesis. They may reimburse a small portion of a stock wig. It is our mission to hopefully improve how medical insurance providers cover custom cranial “scalp” prosthesis.
We admire United Health Care for covering 100% of the cost of cranial “scalp” prosthesis for our customer. It is a start.
Contact us for more information.
Filing Medical Insurance Steps:
Contact your medical insurance provider and ask if cranial/scalp prosthesis is covered under your plan.
The following are popular cranial/scalp prosthesis HCPCS codes to mention to your medical insurance provider. Ask if they cover any of the following codes for prosthesis. Sometimes one will cover your prosthesis and/or services like maintenance repairs.
The following are popular cranial/scalp prosthesis HCPCS codes to mention to your medical insurance provider. Ask if they cover any of the following codes for prosthesis. Sometimes one will cover your prosthesis and/or services like maintenance repairs.
- A9282 (most popular)
- D5911
- D5960
- L9900
- L5000
Request that your physician write a "prescription" for a "full cranial prosthesis" (not a regular or lace wig) and a letter explaining hair loss and its effects. That it isn't just for cosmetic reasons but for emotional well-being as well. Also, include the insurance code on prescription accepted by your provider (see above HCPCS codes).
Click on the following link regarding medical insurance reimbursement:
Scroll down to 24>TIPS ON FILLING YOUR INSURANCE CLAIMS FOR CLIENTS WITH MEDICALLY RELATED HAIR LOSS. http://hairlineillusions.com/facts
Scroll down to 24>TIPS ON FILLING YOUR INSURANCE CLAIMS FOR CLIENTS WITH MEDICALLY RELATED HAIR LOSS. http://hairlineillusions.com/facts
Let us know if you have any questions.
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