Medical Coverage for Cranial Prosthesis

Medical coverage for cranial prosthesis can vary depending on your insurance policy and provider. Some insurance plans cover the cost of a cranial prosthesis, while others may not. It's important to review your policy and contact your insurance provider to determine if you have coverage.

If your insurance plan does cover cranial prosthesis, there may be certain requirements you must meet in order to qualify for coverage. For example, you may need a prescription from a doctor or medical professional stating that a cranial prosthesis is medically necessary for you. You may also need to meet certain criteria related to your hair loss, such as having total hair loss due to a medical condition or treatment.



Step-by-Step Process for Filing:

Get a Prescription from Your Doctor: The first step in filing for coverage for a cranial prosthesis is to obtain a prescription from your doctor or medical professional. Your prescription should state that a cranial prosthesis is medically necessary for you and include information about your hair loss.

Get an itemized invoice: Once you have a prescription, you'll need to request an itemized invoice from The Wig Fairy that mentions cranial prosthesis.


Submit a Claim to Your Insurance Provider: With the prescription and quote in hand, you can submit a claim to your insurance provider for coverage. Be sure to include all necessary information and documentation, such as the prescription, the quote, and any other information required by your insurance provider.

Wait for Approval: Once you've submitted your claim, you'll need to wait for approval from your insurance provider. The amount of time this takes can vary depending on the provider and the specifics of your policy.

Pay Your Portion (if Required): If your insurance plan requires you to pay a deductible or co-pay, you'll need to do so before the cranial prosthesis can be ordered and fitted.

Order and Fit the Cranial Prosthesis: Once your claim has been approved and you've paid your portion (if required), the hair replacement specialist will order and fit the cranial prosthesis for you. They will also provide instructions on how to care for and maintain the prosthesis.

In summary, filing for coverage for a cranial prosthesis involves obtaining a prescription, finding a hair replacement specialist, getting a quote, submitting a claim to your insurance provider, waiting for approval, paying your portion (if required), and ordering and fitting the cranial prosthesis. It's important to review your insurance policy and communicate with your insurance provider to understand the coverage and requirements for cranial prosthesis.