Frequently Asked Questions
Is reimbursement guaranteed if my plan includes cranial-prosthesis benefits?
No. Reimbursement is plan-specific, subject to payer review and approval, and never guaranteed. Coverage, allowed amounts, network requirements, prior authorization, and claim decisions are determined solely by the client’s insurance plan and payer.
Should I complete benefits verification before a medical consultation?
It is the recommended first step when you intend to seek reimbursement. Verification helps identify the payer-confirmed billing code, benefit limit, replacement frequency, network rules, prior authorization requirements, and known client responsibility.
What should I prepare for benefits verification?
Have the front and back of your insurance card, member and policyholder details, plan type, and any available prescription, diagnosis, or letter of medical necessity ready. Do not submit these through CrestaStrand’s general Shopify forms.
How will sensitive insurance and medical information be collected?
A separate secure portal will be used after it is integrated. CrestaStrand’s standard consultation and contact forms should only be used for general preferences and service questions, not insurance cards, member IDs, diagnoses, prescriptions, or medical documents.
What will I receive after verification?
You will receive a summary separating information confirmed by the payer from estimates, exclusions, prior-authorization or network requirements, and amounts that may remain your responsibility.
What is included in a post-purchase claim packet?
When applicable, the payer-specific packet is organized around the prescription, diagnosis, medical necessity, itemized product details, CrestaStrand tax ID, and the billing code confirmed by the client’s payer.
Do I need a consultation to place an order?
Consultation is strongly recommended for medical fit, cap construction, sensitive-scalp considerations, customization, and insurance-documentation guidance.
How long does a medical hair solution take?
Estimated creation is generally 4–8 weeks after specifications are finalized. Timing may vary by construction, hair selection, customization, supplier confirmation, and required insurance steps.
Where can I compare medical cap constructions?
Visit the Cranial Prosthesis Cap Guide to review working construction pathways, coverage, breathability, security, comfort considerations, and likely use cases.
Can I submit documents through the regular consultation form?
No. Please do not place diagnoses, member IDs, prescriptions, insurance cards, or medical documents in the standard Shopify consultation form.
