do you accept insurance?
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YES, we do! We are an in-network and out-of-network provider. Insurance reimbursement are available. Please contact your insurance carrier for your eligibility for a "Cranial Prothesis".
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Insurance coverage varies from carrier-to-carrier. However, most insurance companies cover between 80 to 100% for a "Cranial Prothesis". Most insurances will allow you one unit per year.
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Medicare, Medicare Replacement Plans and Medicaid do not cover wigs.
Cranial
Prosthesis
Cranial Prosthetic hair is a wig that can be custom made for the client's needs. It is specially designed for women/men suffering from hair loss due to medical conditions, medical treatments such as Alopecia, Chemotherapy, etc.
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Units are created from human hair and based on materials resembling human scalp. Units are available in various natural colors.
What are the next steps?
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First, contact your insurance company to see if a prothesis is covered.
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Focus your attention on "Prothesis" coverage.
02
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Ask your Insurance company:
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Do you cover Human Hair or Synthetic Prothesis?
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Is the prothesis pre-approved?
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What documentation is needed for pre-approval?
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What specific documentation is needed to file a claim for the "Cranial Prothesis"?
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Next, speak to your doctor about a diagnosis.
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Once a diagnosis has been established. You can request a "script" or prescription from your physician
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Finally, order from our online store or contact us for a consultation!
WHO DO WE SERVICE?
Mature Women
Women of Color
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Men
Children
COVERAGE AND REIMBURSEMENTS
Coverage
Some insurance policies cover wigs and some do not. Coverage depends on the terms, benefits and exclusions of your individual insurance policy.
pre-Authorization
You should check your benefits beforehand to determine your coverage, as well as deductible and co-insurance information, whether you need pre-authorization, and whether you need to go to an
in-network provider.
diagnosis
Coverage can vary depending on your diagnosis, for example, some policies may cover for chemotherapy but not for alopecia. You will want to give them your diagnosis code when you call (You can obtain this from your doctor)
Hair loss Types
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Chemotherapy related
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Alopecia related
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Radiation related
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Thyroid related
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Kidney related
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Cancer related
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Medical issue related
