Depending on your coverage, you may be eligible to have some or all of your wig reimbursed by your insurance provider. A custom wig is considered a cranial prosthesis which falls under the durable medical equipment category.
A cranial prosthesis is different from a traditional wig in regards to quality, performance, and service. These prostheses are intended for people with severe hair loss and consist of specialized materials. Contact your provider to find out what your coverage is concerning durable medical equipment and the process you must take to file a reimbursement claim for the cost of your wig.
Tress Transformations is not currently listed as a provider which means we do not have an NPI number. We do not have authorization to bill your insurance company for payment. In order for construction to begin on any new custom wig order, payment is required from the client up front. After payment is completed, we will provide a sales receipt that you can then submit to your insurance company so you can get reimbursed for your purchase. We can list any address or CPT Code you would like us to on your sales receipt. If there are no providers in-network, some insurance companies allow you to use your out-of-network benefits as in-network benefits. Contact your provider and ask them if this is an option under your plan.
We also recommend getting a prescription from your doctor to boost your reimbursement claim. Explain to your doctor that you need the prescription to be written for a cranial prosthesis and not a wig for insurance purposes. If they know the CPT Code your insurance company requires, ask them to include it on your prescription. Acquiring a prescription is for insurance purposes only and is not required to get a wig from Tress Transformations. If you are denied coverage, you can always appeal. We suggest enclosing a letter to your insurance company stating the emotional side effects of your hair loss and how it has impacted your daily life
The most commonly used CPT codes for reimbursement/billing of a cranial prosthesis are:
THANK YOU THANK YOU THANK YOU. I love it soooo much. I’m so happy with it!!!!
I love my wig. Thank you for your attention to the details. I’m so happy to have my hair back!
I absolutely love my wig!! When I was first diagnosed with cancer, my sweet daughter-in-law called me up and said she wanted to donate her hair to make me a wig. I hadn’t even considered a wig. I thought it would be hot, itchy and besides everyone would know it wasn’t real. I had just […]
I received my wig today. Absolutely love it, beautiful work. Great customer service. Thank you!
My wig came in the mail!! I love it so much!! It’s absolutely beautiful! I can’t stop smiling!!! It’s so light and the cap is so comfortable. I normally can’t handle wearing my synthetic wig for more than a couple hours, and I wore this beauty all day yesterday. Aside from my breast cancer diagnosis, […]
