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 documents will be used to determine your coverage.
Prior authorization is required for the purchase of a wig.
One standard wig per benefit year is generally covered subject to the indications listed below and per your plan documents.
Indications that are not covered
- Wigs are not covered for hair loss resulting from other health conditions, including, but not limited to aging, chemotherapy, or radiation therapy.
- Upgraded wigs, including braids, weaves, and those made from human hair.
- More than one standard wig per benefit year.
- Microfusion or other hair replacement technologies.
Alopecia areata is an autoimmune skin disease resulting in the loss of hair on the scalp and elsewhere on the body. It usually starts with one or more small, round, smooth patches on the scalp and can progress to total scalp hair loss (alopecia totalis) or complete body hair loss (alopecia universalis) (National Alopecia Areata Foundation).
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.
Wig, any type, each
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. These coverage criteria may not apply to Medicare Products if Medicare requires different coverage. For more information regarding Medicare coverage criteria or for a copy of a Medicare coverage policy contact Member Services at 952-883-7979 or 1-800-233-9645.
Items must be received from a contracted vendor or pharmacy for in-network benefits to apply.
- Minnesota Statutes 2017, section 62A.28.