"It is a legitimate medical expense but medical expenses are subject to various limitations so most people would not be able to claim the deduction. Clearly it is more beneficial to recover from the insurance carrier."
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Insurance claim for medical hair prosthesis
Started this discussion. Last reply by Tony May 10. 12 Replies 0 Favorites
I am curious how others may have fared when putting in a claim with their medical provider for a medical hair prosthesis (aka wig ). I submitted a claim for my daughter's on the recommendation of the…Continue
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alwaystipa replied to Tony's discussion Insurance claim for medical hair prosthesis"I don't know if I am correct or not. I'm still researching this one myself.. but I was told the other day that even if your insurance company does not cover the cost of cranial prosthesis you can still write it off as a medical expense on…"
Amy replied to Tony's discussion Insurance claim for medical hair prosthesis"I had united once and they weren't too bad. At the time, I just had mild AA, they covered it all. I have anthem now and they cover cranial prtothesis but only like380/year. I submit a rx with that wording and a receipt with that wording.…"
Tony commented on Caity b's blog post Why do people tease me?"There could be many reasons why people act that way and none of them are good. Just know in your heart that you are beautiful and special and therefore anything negative they can say shows their ignorance, jealousy or poor upbringing. I feel sorry…"
Tony replied to Tony's discussion Insurance claim for medical hair prosthesis"Update....
They paid $500 which was the reasonable and customary maximum allowance. For future reference don't give up and don't assume it is not covered. It was initially rejected and paid on appeal.
Use CPT-ORN-1 as the code. No other.…"
Cindie replied to Tony's discussion Insurance claim for medical hair prosthesis"All claims denied. My insurance does not cover..."
Tony commented on Gabriela Gonzalez's blog post Shaved my head"My daughter is 19. She is away at college in a big city. At home or at college when she is around her closest friends she now feels comfortable going without a wig but when she goes out in public she will wear one. She met a boy this past semester…"
Tony replied to Tony's discussion Insurance claim for medical hair prosthesis"According to the wig store, at least in NJ, Blue Cross does pay subject to monetary limitations. He thought it was up to $300. It also appears that the State of Delaware mandates that a carrier must pay up to $500 for a cranial prosthesis if deemed…"
"I have Blue Cross/Blue Shield and they do not cover medical or cranial prothetics. It's not in our "plan" and from what i hear not many have coverage for wigs. It's a shame! Good Luck!"
Tony's discussion was featuredInsurance claim for medical hair prosthesis
I am curious how others may have fared when putting in a claim with their medical provider for a medical hair prosthesis (aka wig ). I submitted a claim for my daughter's on the recommendation of the provider and United Healthcare has been trying to make my life miserable by asking for one thing and once you provide it they ask for another. Most recently they asked for a letter from the doctor which she was kind enough to provide about the overall condition. Then they wanted a letter from the…See More
cathy clark replied to Tony's discussion Insurance Claim For Medical Hair Prosthesis"Yes, cranial hair prosthesis. You really want to differentiate your condition from those who have more of a cosmetic problem-i.e. really bad hair, (although we all know how distressing that condition is-but it won't get you insurance coverage)…"
Tony replied to Tony's discussion Insurance Claim For Medical Hair Prosthesis"Emory:
I spent a few hours on the internet today trying to research this before I saw your email. According to several sites, they suggested NOT using code A9282 as that is the code for "Wigs, any type" and the mere reference to the word…"
Emory replied to Tony's discussion Insurance Claim For Medical Hair Prosthesis"I haven't submitted to the insurance company because I have United Healthcare Oxford and they are one of toughest insurance companies. I am a breast cancer surgeon so i know a bit about insurance companies. Unfortunately, the steps they are…"
Tony posted a discussionInsurance Claim For Medical Hair Prosthesis
I am curious how others may have fared when putting in a claim with their medical provider for a medical hair prosthesis (aka wig ). I submitted a claim for my daughter's on the recommendation of the provider and United Healthcare has been trying to make my life miserable by asking for one thing and once you provide it they ask for another. Most recently they asked for a letter from the doctor which she was kind enough to provide about the overall condition. Then they wanted a letter from the…See More
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Comment Wall (4 comments)
- At 1:37pm on November 23, 2011,
Cheryl, Co-founder said… Hi Tony,
Yes, it looks like your daughter in on her way to true self-acceptance. I find when you accept yourself other do as well. As you can tell by her friends that are already supporting her. It looks like you already laid a strong foundation for your daughter, now you have to just keep reinforcing it.
- At 12:21pm on November 21, 2011,
LeslieAnn Butler said…
Oh, I'm so glad things are going well for you!
Sending blessings!
- At 8:33pm on November 15, 2011,
Hello and welcome, Tony!
How are you and your child today?
Leslie Ann
- At 12:21am on November 8, 2011, Cheryl, Co-founder said…
- Hi Tony, I wanted to welcome you to Alopecia World. I can honestly say that we are a great community here and I hope you enjoy the time you spend with us and we look forward to your input. Be sure to check out "10 tips for getting the most out of Alopecia World” which include a few tips to get you started!
Cheryl, co-founder
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