Discover the Secret to Claiming Your Cranial Prosthesis
Unlock the potential of custom hair solutions and insurance coverage for cranial prostheses. This guide will walk you through the process of obtaining a bespoke hair system, from medical diagnosis to insurance approval. Learn about the materials, maintenance, and lifestyle considerations for cranial prostheses, empowering you to restore your confidence and appearance.
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by NEED A HAIR MAKEOVER HAIR EXTENSION SALON
Understanding Cranial Prostheses
A cranial prosthesis is a custom-made wig or hairpiece designed specifically for individuals who have experienced significant hair loss due to medical conditions, such as alopecia, chemotherapy, or scalp injuries. Unlike regular wigs, cranial prostheses are created to fit the scalp precisely, offering a natural appearance and greater comfort for those with sensitive skin or hair loss-related issues.
These prostheses are often made from high-quality materials like human hair or premium synthetic fibres, and they are designed to be breathable, lightweight, and long-lasting. Importantly, many insurance companies recognize cranial prostheses as a medical necessity for those with hair loss resulting from health issues, which means the cost can often be covered or reimbursed if the hair loss is diagnosed by a doctor or trichologist.
Qualifying for a Cranial Prosthesis
1
Obtain a Medical Diagnosis
First, you need a formal diagnosis of hair loss from a licensed healthcare professional, such as a doctor or trichologist (a specialist in hair and scalp health). Common conditions that may qualify include alopecia (areata, totalis, or universalis), hair loss due to chemotherapy or radiation therapy, and hair loss from burns, trauma, or other medical conditions.
2
Get a Prescription
Once diagnosed, your doctor or trichologist must provide a prescription for a 'cranial prosthesis'. The term "cranial prosthesis" is often used instead of "wig" in medical documentation to ensure insurance companies recognize it as a medical device.
3
Verify Insurance Coverage
Contact your insurance provider to confirm they cover cranial prostheses under your plan. Many health insurance policies cover it as part of durable medical equipment (DME) or prosthetic benefits. Ensure you understand the coverage limits, co-pays, or any requirements.
What type of hairloss qualify?
There are many types of diagnosable hair loss conditions, including:
- Alopecia Areata: Sudden patchy hair loss due to an autoimmune condition.
- Alopecia Totalis and Universalis: Complete hair loss on the scalp or entire body.
- Telogen Effluvium: Temporary hair shedding caused by stress, illness, or hormonal changes.
- Androgenetic Alopecia: Also known as male or female pattern baldness, caused by genetics.
- Traction Alopecia: Hair loss due to tight hairstyles or hair extensions.
- Chemotherapy-Induced Alopecia: Hair loss caused by cancer treatments.
- Scalp Psoriasis or Dermatitis: Skin conditions leading to hair loss due to inflammation or infection.
- Trichotillomania: A psychological condition where individuals pull out their own hair, leading to hair loss.
The Consultation Process
At 'Need a Hair Makeover', our consultation process is designed to be thorough, personal, and focused on your unique needs. Here's what you can expect:
1
Understanding Your Goals
We begin by discussing your ultimate aim—how you want to look and feel. Whether you're seeking a natural look or something more styled, we'll work with you to understand your preferences and desires.
2
Lifestyle Assessment
Your lifestyle plays a big role in choosing the right hair system. Whether you're highly active, prefer low-maintenance options, or want something versatile for different occasions, we'll tailor our recommendations based on your daily routine.
3
Exploring Hair System Options
Based on your needs and lifestyle, we'll go over the different hair systems available, from wigs to custom toppers, so you can make an informed decision about the best solution for you.
Customisation and Fitting
During the consultation, we focus on creating a personalised cranial prosthesis that meets your specific needs:
- Colour Matching and Customisation: We'll colour match your natural hair to find the perfect shade and discuss any modifications you'd like, such as highlights, lowlights, ombre, or balayage. This ensures your cranial prosthesis blends seamlessly with your desired look.
- Measurements and Photos: We take measurements of your head to ensure a precise and comfortable fit. A couple of photos are also taken to aid in the customization process, making sure your prosthesis is designed perfectly for you.
Cost Estimation and Reporting
After gathering all the information, we present you with an estimate quotation. This includes a preliminary breakdown of costs. Within the next few days, you'll receive a detailed 12-month Cranial Prosthesis Report and Cost Breakdown. This covers:
- Pre-fittings
- Final fittings
- Maintenance costs
This report, along with your doctor's diagnosis, can be presented to your insurance company as part of your claim. You have the option of either paying a deposit to secure your order or waiting until your insurance claim is confirmed before proceeding.
Cost of Cranial Prostheses
The cost of a cranial prosthesis can vary widely depending on several factors, including the materials used, the level of customization, and the provider. Here's a general breakdown:
Many insurance plans cover cranial prostheses as a medical device if you have a diagnosed medical condition like alopecia or chemotherapy-related hair loss. Insurance may cover part or all of the cost, but it's essential to check your plan's specific coverage.
Insurance Approval Process
The approval time for a cranial prosthesis claim can vary depending on several factors, including your insurance provider, the complexity of the claim, and whether all required documentation is provided upfront. Here's a general timeline:
1
Initial Processing (1–2 weeks)
Once you submit your claim (including the doctor's diagnosis, prescription, and official quotation from a cranial prosthesis provider like 'Need a Hair Makeover'), the insurance company typically takes 1–2 weeks to acknowledge the claim and begin processing.
2
Review and Evaluation (2–6 weeks)
During this period, the insurance company reviews the documents, ensuring that the claim meets their medical necessity criteria. If everything is in order, the claim may move forward smoothly. However, if additional documentation is required or there are any issues, this can cause delays.
3
Approval or Denial (4–8 weeks)
On average, it may take 4–8 weeks for the insurance company to make a final decision. In some cases, it may be faster if your plan explicitly covers cranial prostheses, but if additional approvals or reviews are needed, it can take longer.
Materials Used in Cranial Prostheses
Human Hair
Best for realism and versatility. Pros: Most realistic appearance and texture, can be styled with heat tools, long-lasting with proper care. Cons: More expensive than synthetic options, requires more maintenance.
High-Quality Synthetic Hair
Best for affordability and low maintenance. Pros: More affordable than human hair, pre-styled and requires less maintenance, lightweight and comfortable to wear. Cons: Less versatile; cannot be styled with heat as easily, doesn't last as long as human hair prostheses.
Medical-Grade Bases
Best for comfort and a natural scalp appearance. Options include lace front, monofilament base, and silicone base. Pros: Highly realistic scalp and hairline appearance, comfortable and breathable for daily wear. Cons: Can be more delicate and require careful handling.
Maintaining Your Cranial Prosthesis
Proper maintenance is crucial for prolonging the life of your cranial prosthesis and keeping it looking natural. Here are some key steps:
1
Washing
For human hair, wash every 7-14 days with sulfate-free shampoos and conditioners. For synthetic hair, wash every 6-8 wears with products specifically formulated for synthetic hair.
2
Styling
Human hair can be styled with heat tools, but always use a heat protectant spray. For synthetic hair, avoid heat styling unless it's heat-resistant.
3
Storing
Store your cranial prosthesis on a wig stand or mannequin head in a cool, dry place, away from direct sunlight and high humidity.
Sleeping with Your Cranial Prosthesis
While it's possible to sleep with your cranial prosthesis on, it's generally not recommended for long-term wear. Sleeping with it can lead to tangling, friction, and wear and tear, which can reduce its lifespan and comfort. If you must sleep with it:
- Wear a silk or satin scarf or bonnet to reduce friction
- Sleep on a silk or satin pillowcase
- Braid longer hair to reduce tangling
- Secure it comfortably with adjustable straps or wig grips
The best practice is to remove your cranial prosthesis at night and store it on a wig stand to help maintain its shape and longevity.
Exercising with Your Cranial Prosthesis
Going to the gym up to 5 times a week won't necessarily harm your cranial prosthesis, but regular exercise can affect its maintenance and longevity. Here are some tips:
- Use a sweat-wicking headband underneath the prosthesis to absorb excess moisture
- Ensure a secure fit with wig tape, adhesives, or adjustable straps
- Choose a breathable cap or lightweight prosthesis for better airflow during workouts
- Clean your scalp and prosthesis after workouts to remove sweat and oils
- For swimming, consider using a swim cap or a designated prosthesis for water activities
Traveling with Your Cranial Prosthesis
You can absolutely go on holiday with a cranial prosthesis, but there are a few important steps to take beforehand:
1
Prepare for Different Climates
Consider lightweight options for warm climates and insulating options for colder destinations.
2
Pack Essential Hair Care Products
Bring the right shampoo, conditioner, and styling products for your prosthesis type.
3
Protect from Sun and Heat
Use hats, UV protectant sprays, and avoid excessive heat exposure to maintain your prosthesis.
With the right preparation, traveling with a cranial prosthesis is entirely manageable and can help you enjoy your holiday worry-free.
Book Your Consultation Today
Our consultation is designed to provide you with a full understanding of the process, personalised recommendations, and a clear path forward, ensuring your experience is smooth and stress-free. Book your consultation today at unknown link or call 0207 097 1876 or 0330 043 0703