If you’re experiencing hair loss from a medical condition, you may qualify for insurance coverage on your wig. At HairPlaceNYC, we provide a step-by-step guide to help you navigate the insurance claim process, understand documentation requirements, and get the reimbursement you deserve for your medical wig.
Step 1: Confirm Coverage
Before purchasing a wig, reach out to your insurance provider to confirm whether they cover a “medical hair prosthesis” (Note: this is different from a cosmetic wig). Be sure to ask via email so you have a written record of their response.
Step 2: Get Pre-Approved
Once you confirm coverage, follow these steps:
Determine Coverage Amount: To find out how much your insurance will cover, send an estimate for a wig to your provider. We recommend starting with an estimate for a human hair wig. Download our pre-written estimates or contact our salon for a custom estimate.
Clarify Type of Coverage: Ask your insurance company if you need to use an in-network provider or if they offer out-of-network benefits. Ask your insurance company if they have a list of in-network providers; they probably don’t have any local salons in their network. Then ask if they offer out-of-network benefits, and if they accept Hair Place Inc. (Federal Tax ID #13-3925124). If not, request an exception so you can buy and service a wig at our salon. Also, ask if going out-of-network results in reduced coverage and if full benefits can be provided, given they don’t have a list of local in network salons.
Step 3. File a Claim
After getting approval, schedule a complimentary consultation to choose your wig. We are available Monday-Saturday from 11:00am to 6:00pm. Additional consultations are $75/hour. Your wig purchase includes: Initial cut/styling, wig kit (shampoo, conditioner, brush, stand, grip, net), complimentary wash and style lesson. Once purchased, you can file a claim with your insurance provider.
Here’s what you’ll need:
- Claim Form #1500: Download claim form or ask your insurance provider for a copy.
- Federal Tax ID: #13-3925124
- National Provider ID: 1992002042
- License: #045279
- Procedure Code: A9282 (Synthetic wig) | L8499 (Human hair wig)
- Doctor Prescription: Rx for a ‘Medical Hair Prosthesis’ or ‘Cranial Prosthesis’. MUST include diagnosis code.
- Receipt for Wig: A receipt showing you paid in full
After getting approval, schedule a complimentary consultation to choose your wig. We are available Monday-Saturday from 11:00am to 6:00pm. Additional consultations are $75/hour. Your wig purchase includes: Initial cut/styling, wig kit (shampoo, conditioner, brush, stand, grip, net), complimentary wash and style lesson. Once purchased, you can file a claim with your insurance provider.
