Privacy Policy
Notice of Privacy Practices
This Notice describes how medical information about you may be used and disclosed—and how you can access this information. Please review it carefully.
I. General Information
This Notice explains the practices that Limitless Male Medical Clinic (“Limitless,” “our,” “us,” or “we”) follows regarding your Protected Health Information (PHI).
PHI, as defined under HIPAA (Health Insurance Portability and Accountability Act of 1996), includes information related to:
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Your past, present, or future physical or mental health
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The delivery of health care to you
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Past, present, or future payment for that care
You may also have additional rights under applicable state laws that provide broader privacy protections.
II. Our Rights and Obligations
We are required by law to:
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Maintain the privacy of your PHI
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Provide this Notice of our legal duties and privacy practices
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Follow the terms of this Notice until amended
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Notify you in the event of a breach involving unsecured PHI
We may update this Notice at any time. Changes apply to all PHI we maintain and will be posted in our offices and on our website.
III. How We May Use and Disclose Your PHI
A. For Treatment, Payment, and Health Care Operations
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Treatment – To provide, coordinate, or manage your care
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Payment – To receive reimbursement from your insurer or other payers
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Operations – For quality assurance, training, audits, and management
B. To Other Entities
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Business Associates – Vendors who assist with services like billing, under strict confidentiality rules
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Other Covered Entities – For treatment, payment, or operations
C. With Your Permission
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Family and Friends – When you give consent or in your best interest
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Notification – To inform a responsible party about your condition or location
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Disaster Relief – To help emergency responders locate or support you
D. Without Authorization (As Permitted by Law)
We may share your PHI without your authorization for:
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Requests by the Secretary of Health and Human Services
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Legal requirements
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Public health activities
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Abuse, neglect, or domestic violence reports
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Health oversight audits or inspections
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Legal proceedings and law enforcement requests
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Coroners, medical examiners, and funeral directors
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Organ or tissue donation
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Approved research studies
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Preventing serious threats to health or safety
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Military and national security needs
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Workers’ compensation claims
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Appointment reminders and health-related services
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Fundraising efforts (with an option to opt out)
E. With Written Authorization
Required for:
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Psychotherapy notes
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Marketing purposes
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Sale of PHI
You may revoke your authorization in writing at any time.
IV. Your Rights Regarding Your PHI
A. Right to Inspect and Copy
Request to view or receive copies of your PHI (exceptions include psychotherapy notes and legal records). A fee may apply.
B. Right to Request an Amendment
Request corrections to your health information. Requests must be in writing and include a reason.
C. Right to an Accounting of Disclosures
Request a list of certain disclosures we’ve made. Availability may vary based on electronic record use.
D. Right to Request Restrictions
Ask us to limit certain uses or disclosures. We are not required to agree—except in cases where services are paid for fully out-of-pocket and you request no insurer disclosure.
E. Right to Confidential Communications
Request contact via specific methods or locations (e.g., by mail only). We will accommodate reasonable requests.
F. Right to a Paper Copy of This Notice
You can request a printed version of this Notice at any time.
V. Complaints
If you believe your rights have been violated, you may file a complaint with:
Limitless Male Medical Clinic
U.S. Department of Health and Human Services
We will never retaliate against you for filing a complaint.
VI. Contact Information
Limitless Male Medical Clinic
12050 Pacific Street
Omaha, NE 68154
📞 (866) 227-9495
Revised: April 25, 2024
Transparency & Compliance
To view machine-readable files, visit:
transparency-in-coverage.uhc.com