Insurance Reimbursement for Medical Wigs & Cranial Prostheses

Trusted Guidance from One of the Most Experienced Medical Wig Providers in New York

For decades, Shuly Wigs has worked closely with individuals experiencing medical hair loss, including hair loss related to chemotherapy, autoimmune conditions, alopecia, hormonal disorders, and other medical diagnoses. Our team has extensive experience assisting clients who seek insurance reimbursement for medically necessary wigs and cranial prostheses, and we understand how confusing the process can feel without knowledgeable guidance.

While every insurance plan is different, many medical wigs may qualify as Durable Medical Equipment (DME) or medical supplies when prescribed by a licensed healthcare provider. Our role is to help ensure clients have the correct documentation, terminology, and supporting materials needed to pursue reimbursement successfully.

What Makes Shuly Wigs Different

Shuly Wigs is not a mass-market retailer. We are a specialized medical wig provider with deep, hands-on experience serving clients navigating sensitive medical circumstances. Our reputation is built on:

• Decades of real-world experience fitting medical wigs and cranial prostheses
• Personalized, one-on-one consultations
• Deep familiarity with insurance documentation requirements
• Ongoing collaboration with physicians, oncology offices, and medical practices
• A longstanding presence in the New York medical hair loss community

This experience allows us to guide clients through the reimbursement process with clarity, accuracy, and compassion.

Insurance Carriers We Commonly Assist With

Shuly Wigs regularly assists clients who hold coverage with many major insurance providers, including:

• UnitedHealthcare (UHC)
• Anthem Blue Cross Blue Shield
• Aetna
• Cigna Healthcare
• Emblem Health

We are an independent provider and are not directly contracted with insurance companies, however we routinely help clients submit claims to these insurers and provide the documentation they request. Coverage and reimbursement amounts vary based on individual policies and benefit structures.

How Insurance Reimbursement Typically Works

Although each insurer has its own process, most reimbursement claims follow a similar structure:

1. Prescription or Letter of Medical Necessity

A licensed healthcare provider issues a prescription or Letter of Medical Necessity for a cranial prosthesis or medical wig. This document should include appropriate medical terminology and diagnosis language required by insurers.

2. Wig Selection & Documentation

Clients select their medical wig or cranial prosthesis through Shuly Wigs. We provide detailed invoices and documentation designed to support insurance submissions.

3. Claim Submission

Clients submit the required paperwork directly to their insurance company. Some insurers may request additional supporting information during review.

4. Reimbursement Determination

If approved, reimbursement is typically issued to the client based on plan benefits and coverage limits.

Our team remains available throughout the process to assist with documentation questions or follow-up requests.

Important Insurance & Medical Terminology

Cranial Prosthesis

This is the clinical term many insurance companies use for a medically necessary wig. Using this terminology is often critical for reimbursement review.

Durable Medical Equipment (DME)

Some insurance plans categorize cranial prostheses under DME benefits. Coverage eligibility depends on the specific plan.

Letter of Medical Necessity (LMN)

A document written by a healthcare provider explaining why the medical wig is required as part of treatment or recovery.

Practical Tips for Maximizing Reimbursement Success

• Confirm benefits with your insurer before submitting a claim
• Ensure medical documentation uses insurer-recognized terminology
• Submit itemized invoices and receipts
• Keep copies of all submitted paperwork
• Follow up directly with your insurance provider during claim review

Because we have supported many clients through this process, we understand what insurers commonly request and how to help clients prepare.

Frequently Asked Questions

Does insurance always cover medical wigs?

Coverage varies widely. Some plans include cranial prosthesis benefits, while others do not. Eligibility depends entirely on the individual policy.

Will insurance pay Shuly Wigs directly?

Most insurers reimburse the client after claim submission, rather than paying providers directly. Your insurer can confirm how reimbursement is issued.

Do you provide documentation required by insurance companies?

Yes. We provide invoices and supporting documentation commonly requested for reimbursement claims.

Is provider identification required?

If an insurer requests specific provider or vendor identifiers, we supply them directly for claim documentation purposes.

Personalized Support, Start to Finish

Insurance reimbursement can feel overwhelming, especially during an already difficult time. At Shuly Wigs, our goal is to make the process clearer, more manageable, and less stressful by providing experienced guidance rooted in decades of real-world practice.

If you have questions about reimbursement, documentation, or working with your insurance carrier, our team is here to help.