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HealthPartners

Coverage criteria policies

Wigs - Iowa

These services may or may not be covered by your HealthPartners plan. Please see your plan documents for your specific coverage information. If there is a difference between this general information and your plan documents, your plan will be used to determine your coverage.

Administrative Process

Prior authorization is required when your plan documents indicate that you have coverage for wigs.

Prior authorization is not required when your plan documents exclude coverage for wigs.

Please check your plan documents or call Member Services to verify your coverage.

Coverage

If you have coverage for wigs, one standard wig per benefit year is generally covered per your Durable Medical Equipment benefit, subject to the indications listed below.

Indications that are covered

One standard wig is covered per calendar year for hair loss resulting from chemotherapy.

Indications that are not covered

  1. Wigs are not covered for hair loss resulting from other health conditions, including, but not limited to aging or alopecia areata.
  2. Upgraded wigs, including braids, weaves, and those made from human hair.
  3. More than one standard wig per benefit year.
  4. Microfusion or other hair replacement technologies.

Definitions

Standard Wig is a hair prosthesis made of synthetic hair.

If available, codes are listed below for informational purposes only, and do not guarantee member coverage or provider reimbursement. The list may not be all-inclusive.

Codes

Description

A9282

Wig, any type, each

CPT Copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

Products

This information is for most, but not all, HealthPartners plans. Please read your plan documents to see if your plan has limits or will not cover some items. If there is a difference between this general information and your plan documents, your plan documents will be used to determine your coverage.

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Policy activity

  • 01/01/2014 - Date of origin
  • 01/01/2018 - Effective date
Review date
  • 01/2018

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