Men's Liberty 4 Step Process

  1. Enter your contact information, doctor and insurance information to start your order.
  2. Call your doctor and ask them to complete the Letter of Medical Necessity form for your insurance and fax it back.
  3. Our Medical Documentation Specialist will match your insurance with one of our distributor partners. They will call you to verify your insurance benefits and if you have a co-pay.
  4. Once your insurance is processed, your Men’s Liberty order will be on its way! Expect to hear from a customer service agent to confirm your order and delivery.
Step 1: Patient Information
Preferred Method of Contact*

Step 2: Doctor Information

Step 3: Insurance Information

By providing your insurance information below, we will take care of contacting your doctor and your insurance company Once we have verified coverage we will contact you when the process is complete to verify insurance benefits and arrange for shipment.

Secondary Insurance Information (Optional)

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