My husband is totally incontinent, since 2006. He used male guards, 1 package of 52 every 2 days. Besides the expense, we also had storage problems since we had to order from Amazon in bulk. (stores in our area either didn't carry them or had 2 packages at most.) Anyway, he saw a commercial on television one day for Mens Liberty, a new type of external catheter. We called, and within 3 weeks he received a 90 day supply, to our door, and Medicare covers the cost. They took care of everything, including getting his urologist's letter of medical need. He's been like a new man since using this product. Who knows if Medicare will continue to cover the cost of the catheters, but he would continue to use them and we'd absorb the cost, they are that good. Just thought I'd pass this along.