GeeWhiz for Male Urinary Incontinence

 To Order the GeeWhiz® IMD

 
                        

For first time users of the GeeWhiz® IMD that know their size, we recommend that you begin with a Starter Pack, which includes:

10 GeeWhiz Daily Packs (Each pack consists of GeeWhiz catheter, GelStrip, SecureStrip) 
Collection Extension Tubing
Leg Bag with straps
Bedside Drain Bag
Instruction book


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To Order By Fax:                      

Go to the Fax Order Form Here

                      To Order By Phone:                       Call 1 (800) 639-9323
 
                      To Order Online:                      

Go to the Online Order form Here


For insurance coverage a Doctor's prescription with "GeeWhiz® IMD" as the prescribed item and "urinary incontinence" as the diagnosis is required.

Different insurance plans have specific coverage criteria that must be met prior to approving the GeeWhiz for reimbursement.  Contact us for further details. 

Merlin Technologies, Inc.(a distributor of the GeeWhiz product line) cannot accept assignment from Health Maintenance Organizations (i.e. Kaiser Permanente, HealthNet, etc.) at this time.  Any HMO subscribers must pay for any supplies or services they receive.
 

Merlin Technologies, Inc. must have the original prescription or a faxed copy before any billing may be done, chart notes documenting the patient's diagnoses, as well as a signed copy of the Medicare Billing Authorization (See below). 

  1. A signed copy of the Medicare Billing authorization form. Click on the link to obtain a copy. This file is an Adobe PDF; if you do not have Acrobat Reader, a free downloadable copy is available at: http://www.adobe.com/products/acrobat/readstep.html

    Read this form and print it out. Sign it and mail it to us.
  2. A clean, easily readable copy of all insurance cards (fax or copy is acceptable).
    The following information is also required:

All original documents (with the exception of insurance cards) must be mailed to Merlin Technologies with a Medicare order.   Faxes will be accepted.  For any questions call (800) 639.9323

Note: Merlin Technologies will bill Medicare for qualified patients.

NOTE: THERE ARE NO RETURNS ACCEPTED ON MEDICAL ITEMS

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