TRS Care: Wigs Through Insurance

Just a few more things.
Address *

Street Address

Street Address Line 2

City State

Zip Code
Which products are you looking for? *

Medical Wigs Bras and Breast prosthetics Compression
Have you received a wig through your insurance? *
What diagnosis have you received from your doctor?
Example: Breast Cancer, Lymphedema, etc.
Diagnosis or procedure code (optional)
Example: C17.0, C56.1, C55, C25.0, C16.0, etc.

Almost done.
Primary Insurance *
We only accept Tricare, ChampVA, Aetna, and Cigna at this time.
Tricare ID# *
11-digit number DBN on the back of your card or the 9-digit sponsor Social Security Number (SSN)
Benefits # *
We need this to verify your insurance eligibility and coverage amount.
ChampVA Authorization Card # *
This is also your sponsor's social security number. We need this to verify your insurance eligibility and coverage amount.
Secondary Insurance (if any)
For faster verification, please attach a picture of your insurance card.

Since each insurance plan and individual coverage is different, we use the insurance information you provide to call your insurance provider and ask them coverage questions specific to your policy.
Cancel of
Please specify. *
Have you received a breast pump through your insurance? *

Tell us about yourself.