Hair Replacement Solutions for Women - Get your Hair Back and look like you again
Insurance Reimbursement 
Tips on Filing your insurance claim 
 FILING A CLAIM FOR INSURANCE COVERAGE FOR A CRANIAL PROSTHESIS
1.Check your benefits covered expenses. Copy any page that specifically states coverage of prosthetic devices.
2.  Obtain the name of the person at your insurance company who would be directly responsible for reviewing, processing or approving your claim form.
3.Complete your claim form 
 4.Take pictures of yourself without a hair prosthesis and without corrective eye makeup. This will immediately show that your claim is not for cosmetic purposes.
5. Detail the emotional effects of (medically related ) hair loss. 
 6. Ask your doctor for a letter on the importance of having hair on the job.
7.  Write 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!
8. Encloses brochures and pamphlets endorsed by the following support organizations. This is important if the insurance company has questions during the review process.       

 The American Hair Loss Council                                                                
 30 South Main Shenandoah, PA 17976
www.ahlc.org

American Society for Dermatologic Surgery 
 5550 Meadow brook Drive Suite 120 Rolling Meadows, IL 60008 
Phone: 847-956-0900      Fax: 847-956-0999
www.asds.net

American Academy of Facial Plastic &reconstructive Surgery 
 310 Henry Street Alexandria , VA  22314 
 Phone: 703-299-9291    Fax: 703-299-8898
www.aafprs.org

 National Alopecia Areata Foundation  
 14 Mitchell Boulevard San Rafael, CA 94903 
 Phone: 415.472.3780     Fax: 415.472.5343 
www.naaf.org

American Cancer Society 
 101 Ygnacio Valley Rd, Ste 110 Walnut Creek, California 94596 
 Phone: (925)-934-7640
www.cancer.org

 The Burn Institute San Diego County 
 8825 Aero Drive, Suite 200 San Diego, CA 92123-2269 
 (858) 541-2277 phone       (858) 541-7179 fax
www.burninstitute.org

 Send a case history of a person with the same or similar condition. 

 1 Send 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.
 2. Explain 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. 
 3. A brief letter from psychiatrist or psychologist may also be beneficial if possible. 
 4.  Enclose 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 ORN-1   
 5.   Obtain 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.”) 
 6. Explain the differences between wigs and custom made cranial prosthesis. 
 7.  Talk 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   

 Sincerely, 
 Michelle Martin  
 
Hair Replacement Solutions for Women 
 1330 North Broadway Suite F ,Walnut Creek ,CA 94596 
 Phone: 925-287-1100 
 Website: hairreplacementsolutionsforwomen.com 
 Email: addhair@earthlink.net