Once you’ve determined whether your health insurance may cover the cost, ask your doctor to write a prescription for a cranial prosthesis, or the specific terminology required by your health insurance provider.
How do I get my cranial prosthesis covered by insurance?
You will need a prescription from your physician with the diagnosis code A9282 for a cranial prosthesis to qualify for a medical wig. Because Medicare considers wigs to be cosmetic, they aren’t covered under Original Medicare Part A or B, even with a doctor’s prescription.
What is a cranial prosthetic?
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.
How much does hair prosthesis cost?
Depending on what the hair and scalp prosthesis needs to cover, it can range anywhere from $3,600-$6,000, on average.
Is Alopecia Areata covered by insurance?
No, alopecia areata is not considered cosmetic by most major health insurance providers because it’s caused by an autoimmune reaction. … Check with your insurance carrier for details, since the amount of hair loss you’re experiencing could affect coverage amounts and treatment options.
Is alopecia covered by insurance?
According to Mayo Clinic, if your hair loss is caused by a medical condition, the cost of some treatments might be covered by insurance but in most cases, insurance will not cover hair loss treatment because hair loss is not a medical condition itself.
Does Medicare cover cranial hair prosthesis?
Medicare will not pay for a cranial prosthetic wig even if the claim is filed under durable medical equipment. This means that anyone over 65 years old that has a medicare advantage plan or a medicare supplement plan, these plans will not pay for a wig. This has been confirmed by a Medicare Representative.
How much do prosthetic makers make?
The median annual wage for orthotists and prosthetists was $70,190 in May 2020. The median wage is the wage at which half the workers in an occupation earned more than that amount and half earned less. The lowest 10 percent earned less than $41,790, and the highest 10 percent earned more than $110,130.
How much does it cost to make a wig out of your own hair?
The Cost. The cost to make a wig from your own hair is $1,200 US and includes the following: Any supplemental hair needed to meet our 300g weight requirement. UPS shipping and insurance for your completed wig.