Step-by-Step Guide to Receiving Insurance Reimbursement for a Wig from WLBC

"Can I get insurance to pay for my wig?"

Did you know you may qualify for insurance reimbursement when purchasing a wig for medical related hair loss?

Dealing with hair loss from any medical related alopecia can be overwhelming and emotionally challenging. On top of it all,  receiving reimbursement for a wig through insurance can be a complex process. The team at With Love Beauty Collective is here to offer education and support through the reimbursement process.

In this step-by-step guide, we'll walk you through the process of receiving reimbursement for a wig purchased at WLBC.

Step 1 - Verify Insurance Coverage:

Before you begin the reimbursement process, confirm that your insurance policy covers cranial prostheses or wigs. Contact your insurance provider and inquire about their coverage policies, including any specific requirements or documentation needed for reimbursement. Identify any copays, and/or how much you will be expected to contribute to the cost of the wig. TIP: use the medical terminology - “cranial prosthesis” when speaking to your insurance company. 

Step 2 - Obtain a Prescription:

Visit your healthcare provider to discuss your hair loss and obtain a prescription for a cranial prosthesis or wig. Make sure the prescription includes specific details such as the medical necessity of the wig and the diagnosis code supporting your claim. Confirm that the "Cranial Prosthesis" insurance code is valid, and will work with your healthcare provider. Common codes include HCPCS codes such as S8095 or A9282. Confirm this code on your prescription. 

Step 3 - Verify Document Consistency:

Confirm that the "Cranial Prosthesis" insurance code is valid, and will work with your healthcare provider. Common codes include HCPCS (Healthcare Common Procedure Coding System) codes such as S8095 or A9282. Confirm this code on your prescription. 

Step 3 -  Contact Us:

Reach out by e-mailing hello@withlovebeautycollective.com and let us know you are interested in purchasing a wig that qualifies for reimbursement. Ideally, we'll need a copy of your prescription. We will provide you with an invoice that has the wig of your choice, your HCPCS, our NPI, and all the required details. 

Step 4 - Collect Required Documentation:

Gather all necessary documentation, including the prescription, invoice from WLBC, and any additional forms required by your insurance company. Ensure that the documentation clearly states the cranial prosthesis insurance code, the diagnosis code, and the total cost of the wig.

Step 5 - Complete a Claim Form:

Obtain a claim form from your insurance company. It's possible it may be download it from their website, or contact them to obtain the most current version of the claim form. Fill out the form to the best of your ability, as accurately as you can.  Providing all required information, including your personal details, the healthcare provider's information, and the specifics of the claim will reduce the chances of potential denial. 

Step 6 - Submit the Claim:

Submit the completed claim form along with all supporting documentation to your insurance company. Keep copies of all documents for your records including dates of submission, and any records of future contact.

Step 7 -  Follow Up:

After submitting the claim, follow up with your insurance company to track the status of your reimbursement request. Be prepared to provide any additional information they may request.

Our goal is to restore your confidence, increase the likeliness of a successful reimbursement, and reducing the stress that often accompanies medical hair loss.  We cannot guarantee reimbursement as every insurance plan is different but we will always do our best to support you through the process.