For Angelic Care's Guests - Please feel free to print this page to obtain your benefits.

With 22 years of medical billing for wigs and mastectomy products with insurance companies following below will ensure you obtain your correct benefits. The more information you ask and the more you also understand the fewer surprises you will have and the better it will be for your representative to understand what it is you are looking to purchase. Obtain a prescription from your doctor with your diagnosis code on it and know what it is just in case they ask.

VIP: Write down the person's name, the time you called and the date - at the end of the conversation get a reference # if they say there is no one demand one or something that confirms this call. Document everything that was said to you.

Also, please note all calls are recorded - which is vital just in case there is a discrepancy when the claim goes into payment status and is not paid in accordance with what was told to you this phone call can be requested to be pulled. All benefits vary your plan will dictate your benefits as they vary widely from plan to plan. You are usually communicating with a call center not located in the US and usually in a foreign country where English is their second language. So it is imperative that you and your representative are on the same page so misquoted benefits are not given.

Tell the Representative: You need benefits for the specific code for A9282 it is for a wig due to medical reasons and I have a prescription from my Doctor for it, this is not cosmetic. Tell them the reason, either cancer related, alopecia, or other medical reasons. If you feel this person does not know what they are talking about "ASK FOR A SUPERVISOR"!!! Not someone in escalation "A Supervisor" it is the law you should have no problem getting one to clarify your concerns.

Wigs are an EXCLUSION for Medicare & Medicaid under no exception will they pay for them.

When you call in many representatives are under the impression it’s for DME (durable medical equipment) and many of our guests are told not to say wig. This is untrue it is totally fine to say wig, due to the fact you have a prescription from your Physician that has your diagnosis code which makes it medical, and that your purchase is due to medical reasons not cosmetic.

 If they ask if it’s a purchase or rental - they are giving you the wrong benefits they are not giving your ‘SPECIFIC WIG BENEFIT”. Repeat again if necessary YOU DO NOT WANT DME Benefits (Durable Medical Equipment) ie; wheelchair, walker, etc.) these are the wrong benefits - tell them you want your specific wig benefit and this should be outlined in your policy.

DME Benefits is the umbrella that a wig falls under. So if they give you only DME benefits this will be incorrect. If you feel you aren’t getting anywhere DEMAND a “Supervisor”.

They will see that it says “WIG BENEFIT” VIP: Once they tell you your benefit:

 If they say 100% ask the questions below?

(Benefits range widely from $350 - $500 to Unlimited Benefits with no dollar limit - allowing you to get whatever it is you want and no limit on price or how many wigs you can purchase)

Ask how many are you allowed? If they say no lifetime max (that means you can get as many as you want) If they tell you 90% or 80% ask them if you have reached your maximum out of pocket since then if so 100% will kick in.

Again: After quoted benefits have been confirmed: Obtain the reps name, note the time and date you called & ask them for Reference #

After that Ref # is given ask them to confirm back the benefits that were just quoted to you, we have had blank reference #'s.

This is just to confirm this refer# states what was quoted to you. MAKE SURE IT STATES EVERYTHING THAT WAS SAID. This aids if any appeals need to be done if they deny your claim and confirms the recorded conversation that will be pulled if there is a problem.

"FOR OUT OF NETWORK CLAIMS"

Angelic Care Couture Wigs will supply you with a receipt for you to mail in. It will have our NPI # and Tax ID is listed above for your convenience. • You usually should attach a copy of your receipt and also a copy of your insurance card, the benefits you were quoted with the Reference #’s and Representative's name along with your RX that has your diagnosis code on it. •