The Ultimate Guide to Insurance & Wigs for Cancer Patients

The Ultimate Guide to Insurance & Wigs for Cancer Patients

Are you experiencing medical hair loss and considering a wig? You might be surprised to learn that you have access to wigs covered by insurance. Depending on your health insurance provider, you may have access to full or partial wig insurance coverage.

In this article, we’ll discuss how to use your medical hair insurance policy to reimburse your wig purchase if you are undergoing hair treatment or have thinning hair or a receding hairline.

Milano Collection has a wide selection of human hair wigs for cancer patients as well as medical wigs for alopecia. We offer human hair wigs and toppers in a variety of hair types, styles, colors and lengths.  We can even personalize your wigs to your needs! Our highly experienced staff can help you in choosing the best wigs for cancer patients and those experiencing thinning hair or hair loss. Medical wigs for hair loss can be affordable, too, as many insurance companies will cover between 80 to 100% of medical wigs, or cranial prosthesis.

So, if you are experiencing medical hair loss, follow these steps to see how you may be eligible to be reimbursed by your insurance company on your next purchase of human hair medical wigs. We’ll also provide quick tips on how to choose the right medical wig for your needs!

When Are Wigs Covered by Insurance?

Wigs may be covered by insurance if the hair loss is due to a medical condition. This is referred to as “cranial prosthesis.”

Here's a list of common scenarios where insurance might help with the cost of a wig:

  • Alopecia Areata - It’s possible to receive alopecia wigs covered by insurance for this autoimmune disorder, which causes patchy hair loss on the scalp.
  • Alopecia Areata Totalis - A more advanced form of alopecia areata resulting in complete scalp hair loss.
  • Alopecia Areata Universalis - The most severe form, causing total loss of hair on the scalp and body.
  • Sickle-Cell Anemia - A genetic condition that can lead to hair thinning and loss due to poor circulation.
  • Postpartum Hair Loss - Temporary hair loss experienced by new mothers after childbirth.
  • Chemotherapy Related Hair Loss - Wigs for chemo patients can be covered for hair loss resulting from chemotherapy treatments used to combat cancer.
  • Radiation Related Hair Loss - Hair loss due to radiation therapy, often localized to the treatment area. 
  • Thyroid Related Hair Loss - Hair loss caused by thyroid imbalances, such as hypothyroidism or hyperthyroidism.
  • Kidney Related Hair Loss - Hair loss associated with chronic kidney disease or dialysis treatments.
  • Cancer Related Hair Loss - General term for hair loss due to various cancer treatments, including chemotherapy and radiation. Wigs for cancer patients may be covered by insurance.
  • Medical Hair Loss Due to Genetics, Stress, Reaction to Medical Illness, Life and Environmental Changes, Aging, Thinning, and/or Balding

Confirmed Insurance Companies Offering Cranial Prosthesis Benefits

What insurance companies cover cranial prosthesis? Here’s a quick list of popular providers, but you’ll need to confirm with your insurance company separately: 

Determine what types of benefits you have within your network for a “Cranial Hair Prosthesis.” Terminology is very important during this inquiry — do not call the unit a wig. You may also refer to it as a “hair replacement unit” depending on your insurance.

Ask your insurance the following questions:

  1. “Do you cover a cranial prosthesis?”
  2. “How much of the cost will my plan cover?”
  3. “What terminology is needed on the prescription?”
  4. “What insurance HCPCS code is needed on the sales receipt?”
  5. “Are wigs covered by insurance for cancer patients?”

How to Get Insurance to Pay for Your Wig

Follow these steps to see how you may be eligible to be reimbursed for medical insurance wigs:

1. Diagnosis: Obtain a Prescription

Visit your doctor to receive a diagnosis for the medical condition causing your medical hair loss. 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. The invoice should be submitted to the insurance company for reimbursement.

2. File: Submit Your Insurance Claim

Many medical insurance plans will cover partially or in full for your next human hair wig, even if it is not listed on your benefits policy. It is important to call your insurance provider for pre-approval before purchasing your next wig online so you will be clear on your coverage. Make sure you call a wig by the official medical term, which is cranial prosthesis. The term “wig” is viewed as cosmetic, so it is very important to use the medical term when inquiring about coverage. It is important to understand the percentage they cover and your out-of-pocket requirements before purchasing.

Documents You Need:

  1. Your doctor’s prescription
  2. Milano Collection sales receipt for a cranial prosthesis with HCPCS billing code and Tax ID
  3. Completed insurance claim
  4. A DME claim if required by your insurance

Keep copies of your sales or invoices for your cranial prosthesis. Portions of unpaid items by insurance are tax deductible.

3. Advice: How To Buy The Perfect Medical Wig

It is important to work with a reputable wig company that is experienced in wigs for medical reasons. Milano is listed as a top-rated player in the medical wig market and is at the forefront of providing expert advice and innovative hair solutions for women experiencing all different forms of medical hair loss. Milano’s innovative wig cap designs and secure method offer easy and affordable solutions, as well as real hair wigs for cancer patients that offer unmatched quality.

Denied?

You can file an appeal with your insurance company and/or apply for a grant or voucher.

American Cancer Society

You can apply for a Grant up to $75 to cover your Cranial Hair Prosthesis (must apply before purchasing a wig). You must meet certain financial guidelines and apply for this voucher before you purchase a hair system.

National Alopecia Areata Foundation (NAAF)

This foundation offers the Ascot fund, which is a special pre-purchase program that provides financial assistance for individuals who have alopecia areata.

Alternatives to Wigs Covered by Insurance

If you ask your policy provider and find out that wigs for medical hair loss are not covered, you have other options. There are several alternatives available to help you manage the cost and get the wig you need.

Tax Deduction

Managing chemo-related hair loss is already challenging, and financial concerns should not add to your stress. Wigs for hair loss often qualify as a medical tax deduction, so saving all related receipts is vital. Medical expenses must surpass 7.5% of your adjusted gross income to qualify, but tracking these expenses can help lessen your financial load.

Donated Wigs

For those experiencing medical hair loss or cancer, wigs are often donated by local community groups and hospitals. These medical hair loss wigs are often free of charge or heavily discounted. Local community groups and hospitals provide invaluable support to those experiencing medical hair loss. These programs often include wig fitting and styling, emotional counseling, and workshops designed to help you adjust to your new look, providing both practical aid and emotional solace.

Online Discounts

If you’re looking for where to purchase wigs for cancer patients, medical wig providers like Milano offer resources for finding wigs at reduced prices. With discounts and free shipping, take advantage of promotions and coupons that can significantly cut your overall costs.

Non-Profit Groups

Non-profit organizations like charities and cancer support groups are committed to supporting individuals with hair loss due to medical conditions. They often work with wig manufacturers to offer free or discounted wigs, aiming to alleviate the emotional toll of hair loss and help restore confidence.

How to Choose the Right Wig for Medical Hair Loss

If you’re experiencing medical hair loss or you’re a cancer patient, wigs can help offer confidence and comfort during a difficult time. Here’s how to choose the right wig for you:

1. Understanding Types of Wigs

Before choosing a wig, you’ll need to understand the different types:

  • Synthetic Wigs: While these typically tend to be the more affordable option, synthetic wigs are less durable and because they’re made with synthetic fibers, they don’t offer a natural look.
  • Human Hair Wigs: It’s best to choose natural hair wigs for cancer patients and medical hair loss thanks to their more natural look and feel. They can also be styled using heat tools, though they may require more maintenance than a synthetic wig.

Read our blog for an in-depth look at synthetic wigs vs human hair wigs.

2. Finding the Perfect Fit

Measure your head to ensure a snug fit. Wigs typically come in small, medium, and large sizes. Check out our easy-to-use wig size chart to find the right fit.

3. Choosing Your Color and Style

Choose a color that matches your natural hair or try something new! Whether you go for a natural-girl look or a bold and colorful wig, the choice is yours. Check out our guide on choosing the right wig length and texture.

Choosing the right wig can provide a sense of normalcy and boost your self-esteem while undergoing cancer treatment or treatment for another medical condition. Remember, the best wig is the one that makes you feel like yourself.

Quick Care Tips

  • Regularly wash your wig, but no more than once a week. How often you wash will depend on how often you wear it.  
  • Use the right hair care products, like sulfate-free shampoo and a hydrating conditioner.
  • Gently detangle before washing using a wide-tooth comb.
  • For best results, pat dry with a towel, avoid wringing or twisting, and allow to air dry on a wig stand.
  • Style your medical wig as you wish but use heat styling tools sparingly and apply a heat protectant.
  • Avoid excessive brushing, which can lead to shedding.
  • Store on a wig stand to maintain shape.
  • Keep out of direct sunlight to prevent color fading.
  • Apply a light leave-in conditioner to keep hair soft and manageable.
  • Avoid heavy products that can weigh the wig down.
  • Cover your wig with a silk or satin scarf at night to reduce friction.
  • Avoid wearing your wig while swimming to protect it from chlorine and saltwater.

Find Your Perfect Match with Milano

Learn more about Milano’s array of premium human hair wigs and book a free virtual consultation with one of our Wig Specialists now!

Wear Now, Pay Later! Learn about our special Wig Financing.

To contact Milano please email sales@mcwigs.com or call (562) 426-2971 to speak to a dedicated sales representative that can assist you in all the options Milano has to offer.

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