A PRODUCT PATIENTS CAN TRUST

If you’re a physician, nurse or medical assistant looking to help your male patients with their urinary incontinence, including after surgery, you can trust that Men’s Liberty will keep your patients dry and comfortable for up to 24 hours. The Men’s Liberty Team is happy to send samples or literature to your office. Get in contact with us today.

THE MEN’S LIBERTY DIFFERENCE

Men’s Liberty is the first truly innovative device for men’s urinary incontinence.

  • Keeps men dry 24/7
  • Completely external design
  • Skin-friendly hydrocolloid adhesive
  • Secure seal for up to 24 hours

 

To date, more than 5 million have been used. Men’s Liberty is the discreet, dignified and dependable option for managing urinary incontinence.

Men’s Liberty is a great alternative for incontinence, long term care facility residents, your patient during surgery, as well as post-op to help keep them stay comfortable and dry. Best of all- it is easy for your patients to get. Men’s Liberty is covered by Medicare and over 3,000 private insurances. (*standard co-pays and deductibles will apply). Simply fax a completed Letter of Medical Necessity (LMN) on the patient’s behalf to Men’s Liberty.

Provider Sample Request

Please fill out the information below to request a free sample kit for your office.

  • Men’s Liberty™ samples will be shipped only to confirmed medical practice addresses within the United States. PO boxes are not accepted.

LETTER OF MEDICAL NECESSITY (LMN)

In order for your patient to have Men’s Liberty covered by insurance, simply complete and fax the LMN and a copy of your progress notes/ medical records that indicate the incontinence issue and the medical reason why the patient cannot use a condom catheter. The Men’s Liberty team will verify the patient’s insurance and pair them with a distributor.

 

<<  The patient can complete this section. Ensure the correct primary and secondary insurance is included.
<<  Select the correct ICD-10 code based on the patient’s condition.
<<  A patient note or copy of medical records must be included:

This note must be written on the doctor’s office letterhead
Must state why the patient is not a candidate for the least costly alternative (i.e. due to retracted or small anatomy or leakage/ persistent moisture)
The medical need for the product must be supported within the patient’s medical record of his treating physician

PATIENT FLYER

Send your patient’s home with this informative flyer that explains the application process and what they can expect with Men’s Liberty.