Insurance Companies and Cranial Prosthesis Coverage
Blue Cross Blue Shield
Wigs for hair loss due to treatment of cancer. Benefits for wigs are paid at 100% of the billed amount, limited to $350 for one wig per lifetime. Does not include cranial prosthesis.
Reimbursement rate for participating providers of wigs (Cranial Prosthesis) diagnosis code A9282 is $1,000.
You will need a prescription from your physician with the diagnosis code "A9282" for a cranial prosthesis to qualify for a medical wig.
Because Medicare considers wigs to be cosmetic, they aren’t covered under Original Medicare Part A or B, even with a doctor’s prescription.
Coverage for wigs, hair prosthesis is excluded unless specifically listed as a covered health care service. At Cranial Prosthesis Medical Wigs, we require clients to have a consultation with our Cranial Prosthesis specialist prior to purchase. Our goal is to provide each client with a hair replacement system that is best suitable for their needs. Once you have completed the consultation appointment request you will receive consent and price quote forms via email. These forms must be filled out prior to our consultation.