Medical Insurance Claims

Medical Insurance Claims Updated: 11/04/2007 Medical Insurance Claims Song Always

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Medical Insurance Claims

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When a person requires a wig while or after receiving therapy for Alopecia 

Cancer or other medical conditions causing hair loss, they are most likely eligible to

 receive reimbursement from their health care provider insurance plan.

Please always check with your doctor to find out that with your medical condition

 if you can be given a prescription for your hair loss. It never hurts to ask and it could save you money.

Most medical providers insurance companies cover from 80% to 100% for the expenses

incurred for the purpose of purchasing your hair replacement.  Some medical health

care providers will authorize 2 or 3 hair replacements. Ask your health care provider

how many they will approve. Also some health care providers will allow hair replacements yearly,

but remember; a doctor's prescription must always accompany your claim for a hair replacement.

 

With HMO's and all new provisions some medical health care providers are turning towards it

 is a good idea to call your health care provider to see if you need pre-approval

from your primary care doctor.  

 

Never file an insurance claim for a WIG!. Always call it a "CRANIAL HAIR PROSTHESIS".

Many, but not all insurance companies attempt efforts to turn down claims for "wigs".

They should have no reason to turn down a file for a cranial hair prosthesis or cranial 

 prosthesis when it accompanies medical therapy and your doctor's prescription.

Invoices for the replacement must accompany your doctor's prescription.

Make copies of all invoices and prescriptions.

Your doctor should give you a prescription for a "cranial hair prosthesis".

Save this and send a copy along with your claim file.

Notify us about your medical need for alternative hair and we will bill you for a

"cranial hair prosthesis" as well. Save your bill.
 


Your emotional well-being is an important part of your medical recovery process.

If you encounter resistance from your insurance company, a letter from your doctor,

spelling out that he "prescribed" the prosthesis, not for cosmetic reasons,

but as part of your recovery program, should suffice.

If you are still denied ask for a review by the medical review board. Add to your original claim:

 some before and after photos

 a hand written letter about the emotional necessity for your prosthesis

  letters from your employer as to why the prosthesis has improved your performance

 ask why the claim was denied



If you do not have insurance, most counties in the US have state social services

departments which offer medical assistance for those who meet their financial guidelines.

The American Cancer Society will provide free hair replacements

and turbans for those without health care. These hair replacements

and head wear have been donated by individuals no longer

requiring the use of a hair replacement.

 

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