Does insurance cover cranial prosthesis?

Asked By: Rochdi Schuren | Last Updated: 22nd May, 2020
Category: personal finance health insurance
4.5/5 (322 Views . 35 Votes)
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.

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People also ask, how do I get my cranial prosthesis covered by insurance?

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.

Furthermore, what is the CPT code for cranial prosthesis? The item “Cranial Hair Prosthesis” Diagnosis Code. NPI Code. The billing HCPCS codes: S8095 and A9282.

People also ask, how can I get my insurance to pay for a wig?

Call Your Health Insurance Provider First Most private health insurance policies will cover at least a percentage of a wig purchase. Before you start wig shopping, call your insurance company and ask about their requirements. The cost of wigs can vary tremendously.

Does Medicare pay for cranial prosthesis?

Original Medicare (Part A and Part B) does not usually cover cancer wigs or other hair prostheses. Original Medicare may cover some aspects of cancer treatment, such as certain screenings and chemotherapy. Medicare may also cover other prostheses (not including wigs).

30 Related Question Answers Found

What is a cranial prosthesis wig?

A hair prosthesis (or cranial prosthesis) is a custom-made wig specifically designed for patients who have lost their hair as a result of medical conditions or treatments, such as alopecia areata, alopecia totalis, trichotillomania, chemotherapy, or any other clinical disease or treatment resulting in hair loss.

What is a medical wig?

Wigs for cancer patients or medical wigs, are specifically made for those experiencing hair loss from chemotherapy, cancer treatment, alopecia, medications or other forms of illness. The variety of medical wig styles available can help one regain his or her unique style, personality, and confidence.

Are wigs tax deductible?

A doctor-prescribed wig is considered a medical expense, making it an itemized deduction. In 2017 and 2018, taxpayers were able to deduct unreimbursed medical expenses exceeding 7.5% of their annual gross income.

Will my insurance pay for a wig?

Many health insurance companies cover part or all of the cost of the wig if your doctor writes a prescription. Before purchasing a wig, call your health insurance company and ask if they will cover a “cranial prosthesis” for hair loss related to chemotherapy or radiation therapy.

Is a wigs considered durable medical equipment?


Wigs (Cranial Prothesis') are covered or partially covered under most insurance plans if your wig is needed for medical reasons. Insurance companies generally agree to cover a set amount or a percentage of the purchase. Your coverage is detailed under the DME (Durable Medical Equipment) part of your health plan policy.

Does BCBS cover cancer?

Blue Cross Health Insurance Allows You to Focus on Recovery, Not Finances. A Blue Cross health insurance plan will help ensure you have the coverage and support you need to focus on beating cancer and living a long, healthy life with your friends and family.

Does Medicaid pay for wigs?

Medicare, Medicare Replacement Plans, Medicare Supplements and Medicaid do not cover wigs. You should check your benefits beforehand to determine your coverage, as well as deductible and co-insurance information, whether you need pre-authorization, and whether you are need to go to an in-network provider.

Does Medicare pay for chemo wigs?

Unfortunately, Medicare Parts A and B do not cover the cost of wigs for people going through cancer treatment, but they may be a tax-deductible expenses.

Do insurance companies pay for wigs for cancer patients?

Because wigs for cancer patients and other health conditions, are not for cosmetic purposes, they may qualify for reimbursement covered by your health insurance. Many private insurance companies now cover all or some of the cost of a medical wig as long as you have a prescription.

What Does Medicare pay for chemotherapy?


Medicare Part A (Hospital Insurance) covers chemotherapy if you have cancer, and you're a hospital inpatient. Medicare Part B (Medical Insurance) covers chemotherapy if you're a hospital outpatient or a patient in a doctor's office or freestanding clinic.

Does Medicare cover hair loss treatment?

Medicare does not usually cover hair loss unless it's treating an underlying illness. However, it will cover a doctor's visit that is necessary to diagnose a medical condition.

Does Cigna cover wigs?

Lifestyle improvements, nutritional counseling or food supplements, except as stated in this Policy, physical fitness programs. Wigs or cranial prosthetics, except as specifically stated in this Policy. Weekend admission charges, except for emergencies and maternity, unless authorized by Cigna.

Does MassHealth cover wigs for cancer patients?

In order to be covered under MassHealth, cancer patients must travel to its contracted wig provider located in Worcester.

Does Kaiser cover wigs for cancer patients?

Try to buy a wig or hairpiece at a specialty shop just for cancer patients. You also can buy a wig or hairpiece through the American Cancer Society's catalog "Tender Loving Care" at www.tlcdirect.org, or call 1-800-850-9445 to have a print copy sent to you. Borrow a wig or hairpiece.

Does Tricare cover wigs for cancer patients?


TRICARE covers one wig per beneficiary per lifetime, when the: Attending physician certifies that the hair loss results from the treatment of a malignant disease (i.e., cancer), and. Beneficiary certifies that he or she has not previously obtained a wig or hairpiece through the U.S. Government.

What is the ICD 10 code for alopecia?

Alopecia (capitis) totalis. L63. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM L63.

Does Medicare cover wigs?

Medicare does not directly pay for wigs, even with a prescription or when the hair loss is due to a medical condition. However, you may have some other options.