What is a medical necessity for a wig?

Asked by: Catherine Dach  |  Last update: December 2, 2023
Score: 4.1/5 (37 votes)

Health insurance companies vary in their willingness to cover or contribute toward a medically necessary wig. Medical reasons for needing a wig or hairpiece include long-term and short-term hair loss, such as chemotherapy, alopecia areata and trichotillomania.

How do you get a wig prescribed?

Get a prescription from your doctor. Prescription should read "Cranial/Hair Prosthesis for medical purposes. Alopecia secondary to chemotherapy or radiation therapy." Obtain a receipt from your salon, specialty shop, or hospital center for fulfillment of the above prescription.

How to get insurance to pay for a wig?

Make sure your doctor writes you a prescription for a cranial prosthesis. When the wig is purchased it is important for the invoice to list the wig as a cranial prosthesis with the proper medical code. Submit the claim to your insurance company for reimbursement.

What is the medical code for a wig?

HCPCS Code for Wig, any type, each A9282.

Do you need a prescription for a wig?

Get a prescription for a “cranial prosthesis” from your doctor. Make sure that's the correct terminology required by your health insurance provider. Also, include procedure code A9282. It's important that the prescription does not say “wig”.

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27 related questions found

Does insurance cover medical wigs?

If your wig is prescribed due to medical hair loss, then your medical insurance company is probably offering you cranial hair prosthesis coverage. This means that your insurance covers your wig's cost partially or fully. However, there are measures you need to take to claim that.

Can I get a free wig if I have alopecia?

Restoring Confidence for Cancer and Alopecia Patients

The Over the Top Wig Program provides free wigs, hats, and scarves to those experiencing hair loss due to cancer treatment or other medical diagnoses.

Does Medicare pay for wigs?

Medicare Coverage for Wigs

Original Medicare Part A and Part B do not cover the costs of purchasing a wig, even when a doctor is able to prescribe it. Though wigs can be considered a prosthetic, they are not often deemed medically necessary items that treat a specific condition.

Does a wig count as a prosthetic?

Wigs for hair loss from some kinds of chemo are considered prostheses, too.

Is a wig a medical expense?

Your wig may qualify as a tax write-off if certain medical requirements are met. The wig must be prescribed by a medical professional for hair loss related to a medical condition or treatment such as: Alopecia. Chemotherapy.

Can I claim a wig?

According to the Taxation Ruling TR93/34 you should be able to add the cost of your wig to your medical claims. Below are some quotes from the ATO website relating to the Income Tax: Medical Expense Rebate (Taxation Ruling TR93/34).

How much does a wig cost?

On average, a human hair wig can cost anywhere from $100 to $1,000 or more. Wigs made from high-quality human hair, such as virgin hair, can be more expensive than those made from lower-quality hair, such as processed or non-virgin hair. Wigs with longer lengths and more elaborate styles may also be more expensive.

What happens at a wig consultation?

The consultants will show you how to maintain and care for your wig, your scalp and ensure you get the longest wear out of your wig. The consultants will examine your scalp and devise a treatment plan to ensure conditions like scalp inflammation, excess oils, dry hair, and excess scalp sebum are managed effectively.

What wigs are good for chemo hair loss?

Synthetic fiber wigs are the most popular type of hair prosthesis for women experiencing temporary hair loss because they are lightweight, easy to adjust for fit, moderately priced, and comfortable. Human hair (full custom hairpieces) are costly and difficult to maintain. Hair stylists recommend synthetic wigs.

What is the disadvantage of wearing a wig?

However, there are also some disadvantages to wearing wigs. Here are a few: Comfort: Some people find wigs uncomfortable to wear, particularly if they are made of synthetic materials that can cause itching and irritation. Maintenance: Wigs require regular maintenance to keep them looking their best.

What are the three types of wigs?

There are four main types of wigs: polyurethane (“poly”), mesh (lace and monofilament), combo, and open weft units. Depending on your client's needs for hair replacement, they can also choose from full wigs, toppers (partial wigs), and hair pieces.

When should I consider a wig?

Many wigs need trimming/thinning to look like the you that you love. For those with androgenic alopecia, when your hair has gotten thin enough or your hairline has receded enough to not look how you love, that's the time to get a wig. You might have better perspective looking at older photos compared to recent photos.

Can you get free wigs?

Many local chapters of the American Cancer Society (ACS) provide free wigs through their wig banks. In order to determine if a chapter near you has no-cost wigs available, visit the ACS page for locating events and resources in your area.

Will insurance pay for a wig if you have alopecia?

Very few people know this, but when you lose your hair due to medical reasons such as chemotherapy, alopecia, trichotillomania, or other medical conditions, you can file an insurance claim to receive partial or the full cost of your wig (cranial prosthesis). What is a Cranial Prosthesis?

How much does it cost to make a wig if you provide the hair?

The Cost. The cost to make a wig from your own hair is $1,600* US and includes the following: Any supplemental hair needed to meet our 300g weight requirement.

Is having alopecia a disability?

Alopecia in its own right is not classed as a disability in legal or employment terms. For something to qualify as a disability, it means it has to have a substantial and adverse effect on your ability to carry out normal day to day activities. Alopecia itself does not limit abilities but the mental health impact can.

Can you claim disability for alopecia?

You won't always qualify for individual or group disability benefits for this condition, but the loss of all bodily hair can cause stress, depression, and suicidal thoughts. You may qualify for individual or group long-term disability benefits for the mental health disorders that developed as the result of alopecia.

What wig is best for bald?

A lace front or monofilament wig is an excellent choice for the most realistic and natural appearance giving you multi-directional parting and natural hairline.