Question: Is Alopecia covered by Medicare?

Generally, Medicare does not cover treatment for hair loss (also called alopecia) unless the treatment is medically necessary to treat a disease that has caused the baldness. Hair loss can result from many causes.

Does Medicare pay for hair loss?

Side effects are common when a person is undergoing cancer treatment, and they often include hair loss. Original Medicare does not cover the cost of wigs, but there may be other coverage options. Medicare covers various aspects of cancer treatment, including chemotherapy, surgery, and radiation therapy.

Is alopecia considered cosmetic?

Is alopecia considered cosmetic? No, alopecia areata is not considered cosmetic by most major health insurance providers because it’s caused by an autoimmune reaction. However, androgenetic alopecia – permanent hair loss caused by hypersensitivity to dihydrotestosterone – is usually considered cosmetic.

Is treatment for alopecia considered cosmetic?

Denials for alopecia areata patients most often are attributed to the insurance company designating a therapy as cosmetic, not medically necessary, and/or being experimental or investigational in alopecia areata and prescribed as off-label use.

Will insurance cover wigs for alopecia?

Your health insurance can reimburse you 80%-100%

Valid medical conditions for “Cranial Hair Prosthesis” include Alopecia or Cancer. There is hope to look good and feel better once again with a human hair wig or hair topper.

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Why is hair loss not covered by insurance?

According to Mayo Clinic, if your hair loss is caused by a medical condition, the cost of some treatments might be covered by insurance but in most cases, insurance will not cover hair loss treatment because hair loss is not a medical condition itself.

What is the fastest way to cure alopecia?

There is currently no cure for alopecia areata, although there are some forms of treatment that can be suggested by doctors to help hair re-grow more quickly. The most common form of alopecia areata treatment is the use of corticosteroids, powerful anti-inflammatory drugs that can suppress the immune system.

How can I get my insurance to pay for a wig?

Typically, you’ll need to send your insurance company a prescription from your doctor for a “cranial prosthesis” or a “hair prosthesis” (with a cancer diagnosis code), the receipt for the wig (with the wig company’s tax ID number), and a completed insurance claim form.

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