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Why Insurance Providers Don’t Cover PRP Therapy for Hair Loss

PRP therapy is an effective treatment for hair loss but it has not received FDA approval. As a result, most insurance providers will not cover it. However, there is a way to receive insurance coverage for PRP therapy if it is used for the treatment of other conditions. 

In this article, you’ll learn how PRP therapy works, why insurance providers don’t cover it, and the situations where you can get coverage for PRP therapy.  

How PRP Therapy Works

Platelet-rich plasma treatment, commonly known as PRP therapy, offers promising benefits for patients with androgenic alopecia. Combined with topical and oral treatments, PRP therapy is effective in treating hair loss. 

In PRP therapy for hair loss, the platelet-rich plasma is injected into the scalp until it reaches the bottom of the hair follicle. These platelets activate the production of dermal papilla cells responsible for hair growth.

It’s important to note that PRP therapy has been around for at least a decade and is not exclusively used as a hair loss treatment. Doctors started using PRP therapy to treat joint injuries. When studies showed that concentrated platelets could help with hair growth, the practice started gaining traction in cosmetic surgery as well. 

Why Insurance Providers Don’t Cover PRP Therapy

Because of the high cost of PRP treatment, insurance coverage is a significant concern. Most insurance providers consider this a cosmetic procedure and do not include it in their coverage.

The FDA has the authority to approve the use of drugs, medical equipment, and procedure. Despite PRP’s efficacy in treating hair loss, the FDA views the therapy as experimental. Without FDA approval, insurance companies are hesitant to provide coverage for the treatment.

How to Get Coverage for PRP Therapy

PRP therapy can be used to treat several conditions. From treating injuries to restoring hair, platelet-rich plasma has many uses that we are yet to discover. 

The Centers for Medicare and Medicaid will cover PRP therapy for patients participating in a clinical study, and who have chronic non-healing diabetes, pressure, and/or venous wounds. 

For more information on this program, visit the Centers for Medicare and Medicaid website. 

 

Ask Dr. Shapiro.

Dr. Shapiro is one of the most trusted names in the field of hair restoration using PRP therapy, and the FUE and FUT hair transplant techniques. If you need expert advice on your PRP treatment, contact the Shapiro Medical Group today.