Tips on Filing your
FILING A CLAIM FOR INSURANCE COVERAGE FOR A CRANIAL
your benefits covered expenses. Copy any page that specifically states coverage
of prosthetic devices.
the name of the person at your insurance company who would be directly
responsible for reviewing, processing or approving your claim form.
your claim form
pictures of yourself without a hair prosthesis and without corrective eye
makeup. This will immediately show that your claim is not for cosmetic
the emotional effects of (medically related ) hair loss.
your doctor for a letter on the importance of having hair on the job.
a letter directly to the appropriate person explaining the details of
Chemotherapy, Alopecia, Radiation, Burns, or Surgery as it relates to your
hair loss. Detail the emotional effects it has had on your life. Discuss the
financial aspects of frequent wig purchases. Advise that cranial prosthesis is
just as medically necessary as a prosthetic limb or breast it replaces a
missing body part – HAIR!
brochures and pamphlets endorsed by the following support organizations. This
is important if the insurance company has questions during the review process.
Hair Loss Council
30 South Main
Society for Dermatologic Surgery
Meadow brook Drive
Meadows, IL 60008
847-956-0900 Fax: 847-956-0999
Academy of Facial Plastic &reconstructive Surgery
Street Alexandria , VA 22314
703-299-9291 Fax: 703-299-8898
National Alopecia Areata Foundation
415.472.3780 Fax: 415.472.5343
Valley Rd, Ste 110
Institute San Diego County
Drive, Suite 200
San Diego, CA
541-2277 phone (858) 541-7179 fax
Send a case
history of a person with the same or similar condition.
a detailed letter from each doctor who is treating you. It is important that
the doctor describes the severity of the condition, extent of hair loss.
that without a “Full custom cranial prosthesis “ leading a normal life and
being able to work would be very difficult . He /She should mention the mental
distress you have experienced due to your medical treatment.
brief letter from psychiatrist or psychologist may also be beneficial if
a prescription ( on actual prescription form) from the doctor who ordered the
cranial prosthesis. The prescription must use this verbiage and have the
correct diagnostic code for the insurance company to process your claim. A9282
a receipt from the hair replacement specialist performing the service. The
invoice must show all charges and must be paid in full. Make sure receipt reads:
“ A full cranial prosthesis to counteract the psychological distress secondary
to ( alopecia, cancer, burns, radiation, injury, surgery etc.”)
the differences between wigs and custom made cranial prosthesis.
with your carrier by phone, insist they confirm your conversation in writing.
If they fail to do so prepare your own record of the conversation.
The most important item to remember
when submitting a claim is to be very thorough in your documentation. When the
insurance company reviews your claim, you want them to have the information
needed to approve the claim in an expeditious manner.
I hope this information has been helpful
Hair Replacement Solutions for Women
1330 North Broadway Suite F ,Walnut
Creek ,CA 94596