How To: File for insurance

We will help you file a claim for a medical hair prosthesis

Step 1 (Get pre-approved): Prior to purchasing a wig, we can email you an estimate for your insurance company so you can find out how much they will reimburse you. Just send us a picture of what you want your wig to look like at andrew@andrewdisimonewigs.com. You don’t even have to come into the salon!

Step 2 (Make a claim): Fill out and send Claim Form #1500 to your insurance company. Here’s a list of items you’ll need:

  • Our Federal Tax ID: #13-3925124
  • Procedure Code for the wig from your insurance provider (A9282 and 99199 are the most commonly used codes)
  • Receipt paid in full as proof of payment
  • Rx with your diagnosis code from your doctor. It must be written for a Medical Hair (or Cranial) Prosthesis, not a wig.
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Download instructions

Links to Claim Form #1500

Places to Get Free Wigs

  • American Cancer Society: Free wigs are available Thursday’s 10:00am-12:00pm at American Cancer Society’s Hope Lodge in NYC where we volunteer. 132 W 32nd Street 2nd Floor. Contact Francine, 212-237-3823, francine.miller@cancer.org
  • FreeWigsforKids.org: Andrew sponsors non-profit organization providing free wigs to kids in need. They accept slighted-used wigs, ponytails and monetary donations to create wigs. www.freewigsforkids.org
  • Cancer Care: 275 7th Ave. Between 25th and 26th St. Contact Carly, 800-813-4673. www.cancercare.org

Please note we are not an insurance provider and any information we provide is purely from our past experience. We cannot guarantee payment. Please check with your insurance company for details.