According to Mayo Clinic, if your hair loss is caused by a medical condition, the cost of some treatments might be covered by insurance but in most cases, insurance will not cover hair loss treatment because hair loss is not a medical condition itself.
Steroid injections may promote hair growth for those with alopecia areata. These injections may be covered by insurance as part of treatment for this autoimmune disease.
On June 13, 2022, the FDA approved the first systemic treatment for severe alopecia areata: the oral tablet baricitinib (Olumiant). Without insurance coverage, baricitinib costs around $2,500 and $5,000 per month for 2-mg or 4-mg tablets, respectively.
Alopecia in its own right is not classed as a disability in legal or employment terms. For something to qualify as a disability, it means it has to have a substantial and adverse effect on your ability to carry out normal day to day activities. Alopecia itself does not limit abilities but the mental health impact can.
While the disease is not medically serious, it can impact people psychologically. Support groups are available to help people with alopecia areata deal with the psychological effects of the condition. Further information may be found at the National Alopecia Areata Foundation (www.naaf.org).
Causes of Alopecia Areata
In alopecia areata, the immune system mistakenly attacks hair follicles, causing inflammation. Researchers do not fully understand what causes the immune attack on hair follicles, but they believe that both genetic and environmental (non-genetic) factors play a role.
Hair loss (alopecia) can affect just your scalp or your entire body, and it can be temporary or permanent. It can be the result of heredity, hormonal changes, medical conditions or a normal part of aging. Anyone can lose hair on their head, but it's more common in men.
Often, hair grows back within several months, even without treatment. It may grow in fine or white at first, but usually returns to its original texture and color with time. People with alopecia areata may lose and grow back their hair more than once, either in the same patches as before or in different patches.
There are three severe forms of alopecia, including: Areata (patchy hair loss on your head) Totalis (complete hair loss on your head) Universalis (the loss of all body hair)
Alopecia areata can occur at any age but about half of cases come on in childhood and 80% of cases come on before the age of 40 years. Men and women are equally affected. The condition tends to be milder if it comes on at an older age.
How Long does Hair Loss Last? In half of patients with alopecia areata, individual episodes of hair loss last less than one year, and hair grows back without treatment. These patients may experience recurrent episodes of hair loss that spontaneously regrow or respond quickly to treatments.
For patients who use treatments, there are several options. However, alopecia areata cannot be "cured." As noted above, most patients experience future episodes of hair loss. Corticosteroids — Corticosteroids, commonly called steroids, are anti-inflammatory medications that are used to treat alopecia areata.
Most people know alopecia to be a form of hair loss. However, what they don't always know is that there are three main types of the condition – alopecia areata, alopecia totalis and alopecia universalis.
Finasteride and minoxidil are the main treatments for male pattern baldness. Minoxidil can also be used to treat female pattern baldness.
INTRALESIONAL CORTICOSTEROID INJECTIONS
This method of treatment — the most common form of treatment for alopecia areata — uses corticosteroids that are injected into bare patches of skin with a tiny needle. These injections are repeated about every four to six weeks and are usually given by a dermatologist.
Dermatologist examining a patient with hair loss
To provide you with the right treatment, it's essential to know what's causing your hair loss. Dermatologists have expertise in diagnosing hair loss and counseling their patients on what may help them regrow their hair.
Baricitinib oral tablets — developed by Eli Lilly and approved by the U.S. Food and Drug Administration (FDA) earlier this year — is the first systemic treatment for alopecia areata.
The extent of alopecia (how much hair has fallen out) varies and links to the different subtypes. Some said their hair loss involved one small patch about the size of a 1p coin which regrew after a few weeks or months. Others developed more patches which sometimes joined up into bigger bald areas over time.
The Ludwig scale defines three broad stages of hair loss. In stage 1, the hair on the top of the head begins thinning. In stage 2, the scalp starts to become visible. In stage 3, all of the hair at the crown may be lost, resulting in baldness.
Ways to Stop Alopecia Areata from Spreading or Worsening
Avoiding unnecessary hair or scalp trauma, reducing stress and analyzing your diet are all worthwhile endeavors when attempting to prevent alopecia areata from spreading.
Can a Blood Test Detect Alopecia? Yes, a blood test can diagnose alopecia. Your doctor may order several blood works to determine the cause of the hair loss along with a scalp biopsy.
Ketoconazole shampoos help treat Alopecia by cleaning the skin area around your hair follicle of sebum, or the skins natural oils that are produced. Getting rid of these oils can allow your hair follicles to receive more nutrition and release for your hair to regrow.
A variety of factors are thought to cause alopecia areata (al-o-PEE-she-uh ar-e-A-tuh), possibly including severe stress. With alopecia areata, the body's immune system attacks the hair follicles — causing hair loss.
Calcipotriol, a vitamin D analog, has been reported to be topically used in treating alopecia areata with promising results. Combination therapy of vitamin D analogs with corticosteroids might also be used in treating alopecia areata.
Treatment is given every 4 weeks, for up to 6 months. Some people only need one or two treatments, while others need the full 6 treatments. The average number of treatments is 3 to 4.