Depending on your coverage, you may be eligible to have some or all of your wig reimbursed by your insurance provider. A custom wig is considered a cranial prosthesis which falls under the durable medical equipment category.

A cranial prosthesis is different from a traditional wig in regards to quality, performance, and service. These prostheses are intended for people with severe hair loss and consist of specialized materials. Contact your provider to find out what your coverage is concerning durable medical equipment and the process you must take to file a reimbursement claim for the cost of your wig. We would also assist you in that process during your consultation and provide you with detailed documentation for your insurance provider.

We are currently in the process of being listed as in-network providers for multiple insurance companies but can still bill out of network with all insurance companies. Until then, In order for construction to begin on any new custom wig order, payment has to be completed first up front or after the super bill is turned in and reimbursed. We can list any address or CPT Code you would like us to on your superbill (sales receipt). If there are no providers in-network, some insurance companies allow you to use your out-of-network benefits as in-network benefits. Contact your provider and ask them if this is an option under your plan. 

YOU SHOULD KNOW: 

With a healthcare HSA or FSA, you can cover a range of common medical expenses including buying a medical wig. You can use these cards to pay for health care expenses, dependent care, and dental for which you can get reimbursed.

You may be surprised which products and services qualify as a HSA or FSA eligible expense like medical wigs and more. However, there are rules for reimbursement which you should be aware of.

These accounts as well as others are used to pay for qualified dental, vision, medical and prescription expenses. Since there’s are notable differences between them, in this article we’ll focus on medical wigs as the main expense.