• jad's Avatar

    Is Medicare still paying?

    Asked by jad on Monday, September 2, 2019

    Is Medicare still paying?

    When I lost my hair to chemo and bought a wig about six or seven years ago! Medicare reimbursed $200. Does anyone know if this policy still is in effect, or have they changed It?

    9 Answers from the Community

    9 answers
    • GregP_WN's Avatar
      GregP_WN (Best Answer!)

      I don't have experience with that, but I'm sure someone here knows. Are you back in treatments again?

      19 days ago
    • jad's Avatar
      jad

      @gregp - not now. Asking for a friend, newly diagnosed. She has your info. I hope she signs up

      19 days ago
    • CathyMurphy's Avatar
      CathyMurphy

      I had to purchase my own Medicare or my own insurance wouldn’t pay. There are some non profit cancer groups that may help in your area

      19 days ago
    • msndrstood's Avatar
      msndrstood

      Medicare did not cover mine, I had to purchase it on my own.

      19 days ago
    • GregP_WN's Avatar
      GregP_WN

      @jad, we are happy you're doing well still. We never know, sometimes we see people that haven't been on in a while they often back in treatments.

      19 days ago
    • BuckeyeShelby's Avatar
      BuckeyeShelby

      I work for a medical TPA. Can't say for Medicare, but a good percentage of our employer groups do cover wigs, often just once per lifetime.

      19 days ago
    • ChicagoSandy's Avatar
      ChicagoSandy

      If you have a Medicare Part B or Advantage (Part C) plan, it will be covered--but only if one of your oncologists writes you a prescription for a "cranial prosthesis" and you buy it from a facility that specializes in hair solutions for cancer patients and takes your particular supplement's reimbursement. Not all do.

      Unlike mastectomy bras (2 per year) and prostheses (1 per breast every 2 years), which Federal law requires Medicare supplements and private insurance to cover--even if you had only a lumpectomy, which is considered a "partial mastectomy." (Has to be a specific mastectomy bra--with pockets for prostheses, not just the bra of your choice).

      And lymphedema compression wear (sleeves, gauntlets, gloves) are still not covered under Medicare or its supplements. Some private insurance does cover it, but not all vendors accept your insurance (when I got mine, before Medicare, the breast-cancer boutique where I bought it only accepted BCBS--which I didn't have at the time and didn't get till I got on Medicare). Nag your Reps. & Sens. to pass the bipartisan, bicameral Lymphedema Treatment Act, which has been stuck in committee forever.

      18 days ago
    • msndrstood's Avatar
      msndrstood

      I had a prescription for a 'cranial prosthesis' and traditional Medicare still did not cover the wig, I am too young for a medigap policy, so I don't know if that would cover it. I would call first to find out.

      18 days ago
    • ChicagoSandy's Avatar
      ChicagoSandy

      Trad Medicare (A&B) w/o a supplement is better than nothing but still very rudimentary as to what it covers. I didn't realize that you can't buy a supplement if you're on Medicare for any reason other than age. Live & learn.
      Supplements are expensive, but much less so than regular health insurance (and the premiums are income-related sliding-scale)--we're paying less than half for our BCBS Plan F than we did for our United Health Choice Plus PPO before I hit 65. (My husband is a cardiologist/primary care doc, and he finds that BCBS is much better than United or Aetna at covering durable medical equipment like braces, splints, nebulizers, CPAPs & assistive devices).

      18 days ago

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