Understanding Your Coverage: Let's Navigate Insurance for Your Medical Wig Together.

We understand navigating insurance can be confusing, so we're here to support you. First, we recommend reaching out to your insurance provider to inquire about coverage for cranial prostheses. Ask for a written explanation of benefits (EOB) to understand the specific details of your coverage and any necessary paperwork.

While we can provide an invoice labeled "cranial prosthesis" for submission, it's important to understand the specifics of your insurance coverage. Here's how to get more information:

Before contacting your insurance provider, find your insurance card and any relevant policy documents. Having your policy number and member ID readily available will streamline the process.

STEP 1: Gather Information

Before contacting your insurance provider, find your insurance card and any relevant policy documents. Having your policy number and member ID readily available will streamline the process.


STEP 2: Locate Customer Service Phone Number

Locate the customer service phone number for your health insurance provider. This number can usually be found on your insurance card or the company's website.

STEP 3: Explain Your Inquiry:

Once connected with a customer service representative, politely explain that you're inquiring about coverage for a cranial prosthesis, also known as a medical wig.

STEP 4: Ask Questions

Here are some key questions to ask the representative to understand your coverage details:

  1. Coverage Percentage:
    Is there a deductible I need to meet before insurance kicks in?
  2. Pre-authorization: Does my plan require pre-authorization for cranial prostheses? This means obtaining approval from your insurance company before receiving the wig.
  3. Limitations: Are there any limitations on the number of wigs covered or the total amount covered per year?
  4. EOB: Ask for a written explanation of benefits (EOB) to be mailed or emailed to you. This document will provide a detailed breakdown of your specific coverage for a medical wig, including the points mentioned above.

STEP 5: Take Notes:

During the conversation, take notes of the information you receive from the representative, including their name, date, and any reference numbers associated with your inquiry.

Additional Tips:

  • Be polite and professional when communicating with the customer service representative.
  • If you have difficulty understanding the explanation, don't hesitate to ask for clarification.
  • Keep a copy of your EOB for your records.
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