To Order the GeeWhiz® Condom Catheter Male Urinary Incontinence Product

                      Price: $59.95 plus Shipping and Handling ($10.00 US only ground)
         (Expedited shipping availble upon request & additional cost)                      

For first time users of the GeeWhiz® Condom Catheter, we recommend that you begin with a Starter Pak, which includes: (GeeWhiz® with Accessory Pack)

• 10 GeeWhiz condom catheters
• 10 Patented Silicone GelStrip™ adhesive seals 
• 10 SecureStrip™ wrapping tapes
• Collection Tubing
• Leg Bag 
• 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

 

Doctor's prescription with "GeeWhiz® External Male Catheter" as the prescribed item and "urinary incontinence" as the diagnosis.

Merlin Technologies, Inc. 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, 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:

• Full name
• Home address, city, state and zip code
• Phone number (area code and number)
• Date of birth

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 on a "non-assigned" basis, where Medicare will reimburse the patient directly.

NOTE: THERE ARE NO RETURNS ACCEPTED ON MEDICAL ITEMS