Patient Information

Accepted Insurance Plans


Insurance participation is unique to each of our providers. Select providers are out of network with all insurance companies while others participate in most of the networks listed below. Regardless of participation our highly experienced billing staff will file both in and out of network claims on your behalf to maximize possible reimbursement.

Mental health benefits may be administered by a plan other than your primary healthcare benefits. We highly encourage each patient to familiarize themselves with their mental health benefits and confirm the participation status for the provider they wish to see. Patients are ultimately responsible for charges incurred as a result of services rendered with an out-of-network provider.

  • Anthem
  • Cigna
  • Midwest Behavioral Health (Advantage, New Avenues)
  • Sagamore / IHN

Cancellation Policy


PLEASE NOTE: A 24-HOUR ADVANCE NOTICE (business hours only Monday through Friday only) IS REQUIRED FOR ALL CANCELLATIONS. A charge will apply for all missed appointments or appointments cancelled with less than a 24-hour notice. You can cancel your appointment by calling the front office, 317.843.9922.

Check-In Procedures

  • Please check-in with our support staff when you arrive for your appointment.
  • Please make sure to update any information that may have changed (insurance, address, phone, etc).
  • Please notify our staff if you are scheduled with one or more providers on the same day.
  • It is your responsibility to check in for all appointments.
  • Please be prepared to pay for your current visit as well as any past balances on your account.
  • Payment of co-pays, deductibles, and any non-covered services are required at check-in.
  • If you arrive late for your scheduled appointment time, you may be required to reschedule so that other patients are not inconvenienced.

Confidentiality


The things you discuss with your doctor or therapist, and even the fact that you are in therapy, are completely confidential unless one of the following situations occurs:

  • If a client in counseling reveals homicidal or suicidal intentions, the counselor is bound by law to take steps to protect life.
  • If a client reveals abuse of a child or vulnerable adult (elderly or disabled), the therapist is required to report it to the local Department of Social Services.
  • Finally, a court can order the release of a therapist’s records or order a therapist to testify in court.
  • If the client gives written consent for information to be shared with other healthcare professionals, family members, or other professionals.

Emergencies

Medical / Life Threatening Emergencies
Indiana Health Group is a private practice and is not designed as a crisis unit. In the event that you ever feel you are in crisis DIAL 911 or go directly to the nearest emergency room.

Psychiatric Urgent Matters
Contact our office during normal business hours. After hours our crisis line transfers directly to Community North Behavioral Health Pavilion or you can contact them directly at 317.621.5700 (please identify yourself as an Indiana Health Group patient). The crisis unit staff will provide a clinical assessment and make a recommendation for inpatient admission or other intensive treatment if necessary. In the event that you contact Community with a non-urgent psychiatric matter, you will be instructed to contact our office on the next business day.

Please note, prescription refills will not be called in outside of business hours.

Esketamine - Spravato

The FDA recently approved Esketamine, a medication which is available from Janssen Neuroscience under the brand name Spravato.

Spravato is available only through a restricted program known as the Spravato REMS (Risk Evaluation and Mitigation Strategy) because of serious adverse outcomes that can be associated with the use of the medication including sedation, dissociation, abuse, misuse, and elevated blood pressure.

Spravato is FDA approved for adult patients (18 years or older) to be used in combination with another antidepressant medication for patients who suffer from Treatment Resistant Depression. It is administered as a nasal spray twice weekly for the first 4 weeks of treatment, then once weekly for 3 weeks, then once every 1-2 weeks thereafter.

This is a medication that can only be given in a clinic setting where patients can be medically monitored for at least 2 hours after administration. This requirement is part of the Spravato REMS program mentioned above which is in place due to the following possible side effects:

Risk of sedation and dissociation –
In clinical trials, 49%-61% of patients developed sedation and 0.3% of patients experienced a loss of consciousness. Dissociative or perceptual changes occurred in 61% – 75% of patients. The effect typically starts about 40 minutes after administration. Cognitive impairment typically clears in about 2 hours, but sleepiness may take 4 hours to clear. Patients should not drive or engage in any other potentially dangerous activities until the following day after a normal period of sleep.

Potential for abuse and misuse –
Spravato is a schedule III controlled substance, individuals with a history of substance abuse or dependence may be a greater risk for abuse and misuse of this medication.

Risk for an increase in blood pressure –
Blood pressure typically peaks about 40 minutes after administration. Approximately 8%-17% of patients experienced an increase of more than 40 mmHg in systolic BP and/or 25 mmHG in diastolic BP in the first 1.5 hours after administration. As a general rule, Spravato therapy may be delayed if pre-treatment BP is >140/90.

The most common side effects experienced by patients treated with Spravato in the clinical trials were disassociation, dizziness, nausea, sedation, vertigo, decreased feeling or sensitivity (hypoesthesia), anxiety, lethargy, increased blood pressure, vomiting and feeling drunk.

Based on the requirements of the Spravato REMS Program, Indiana Health Group is not offering this therapy at our office at the present time. Although we are interested in this novel form of treatment, at present time we do not have the space or additional medical staff that would be necessary to safely and effectively provide this form of treatment in compliance with the requirements of the program. We will continue to evaluate this and will determine if we may be able to offer this treatment at our office at some point in the future.

For now, we will make every effort to assist interested patients who may be appropriate candidates for this treatment to other local facilities who are able to provide this as we become of aware of them.

Best regards,

Indiana Health Group

[faq question="Medication Management"]We highly encourage you to address all questions and concerns at the time of your appointment. If you will run out of medications or have a question or concern prior to your next scheduled appointment, please contact the office, 317.843.9922. PLEASE NOTE: Medication refills will NOT be called in outside of normal business hours, weekends, or holidays. Walk in-requests are discouraged.

Mission Statement

Indiana Health Group’s mission is to set the standard of excellence by providing compassionate, comprehensive behavioral health and substance abuse treatment to individuals of all ages, couples, and families in a safe, private, and comfortable environment.

Our multi-disciplinary team of highly trained professionals are committed to “Changing Lives Together” by providing a broad range of patient centered services tailored to the unique needs of each individual patient.

IHG strives to be the facility of choice by exceeding the expectations of those we are privileged to serve.

[faq question="New Patients and Referrals"]Visit our to Forms Page complete your new patient paperwork

Prior Authorization For Prescription Medication

“WHAT IS A PRIOR AUTHORIZATION?”

Frequently, patients ask questions regarding prior authorization (PA) of their prescriptions. This can be a confusing process to understand and is frequently a source of great frustration for both patients and our office as well. We have prepared the following information to help you better understand this process.

Often times, patients are told by the pharmacy or by their insurance company that the delay or the reason that their medication was not covered was the responsibility of their clinician. Patients are frequently told that ‘’your doctor just needs to call or send a letter”. This is quite simply untrue.

Prior authorization is essentially the process through which your insurance company decides whether or not they will cover the cost of medication that has been prescribed to you. The important thing to understand is that this is a decision made by your insurance company – not by Indiana Health Group or your clinician. If you are interested in the specifics of the prior authorization process, you can read about the details below.

“HOW DO PRIOR AUTHORIZATIONS WORK?”

In the past, prior authorization was only required for the newest , most expensive medications. However, currently, far more prescriptions require prior authorizations. Basically, the process works like this:

  1. You attempt to have a prescription filled at the pharmacy.
  2. The pharmacy enters the information into their system and if your medication requires a PA, the pharmacy is notified at that point and a request for a PA is generated by the system.
  3. The PA request is sent from the insurance company to our office. Sometimes, you may receive a copy of this letter as well from your insurance company. Although you may receive a copy of this letter, it is the responsibility of the insurance company to contact us regarding the PA, so you do not have to do this yourself. In addition to the copy of the PA request, patients are sometimes sent letters encouraging them to ask their doctor about switching to a different, less expensive medication. Sometimes these are reasonable recommendations such as suggesting a change to a generic equivalent (generic version of the same medication), but often times they are actually asking the patient to change to a generic alternative (sometimes a completely different category of medication). The language used in describing these recommended changes is often confusing and unclear.
  4. After we receive the request for the PA, our office will respond to the insurance company as quickly as we can. Part of the difficulty in handing these requests is that there is not a uniform way to do this for all companies, or even all insurance plans offered by the same company. For example, some companies require that we provide information to them via an online form. Others require that we fax them records, while some will fax us a specific form to complete and send back to them. Finally, a number of companies require that one of our medical assistants call them on the phone to answer questions regarding the PA. It is not unusual for our medical assistants to spend 5-20 minutes on hold or being transferred form one person to the next trying to provide the required information, plus the time in providing the information once the appropriate party is reached. The required information is different for each situation, typically the insurance company wants to know:
    1. Why we are prescribing that specific medication
    2. Your diagnosis
    3. Which other medications your have tried before and the outcome
    4. Whether or not you have tried and failed medications on their preferred drug list (sometimes they will make you retry a medication that was ineffective for you or caused side effects if we can not document that you tried it within the last 90-180 days – that is correct, their policy is that even if you tried a medication last year that did not work or that caused side effects, they can require that you try it again before they may authorize the medication we prescribed for you)
  5. Finally, after this information has been reviewed by your insurance company, they decide on whether or not they will cover the cost of your medication, and they notify your pharmacy, our office, and you.

Another frustrating aspect of this process, is that even if we know your insurance company and know which medications may require a PA, there is no way for us to begin this process proactively. We can only respond to the PA request after we have received it. The exact procedure is not necessarily uniform across all of the specific coverage plans offered by an individual insurance company. Also, we typically are required to reference the information by using a specific identification number that is generated by the company for each prior authorization.

Obviously, this is a time and labor-intensive process. We have to hire staff members who spend most of their time simply working on prior authorizations. Several medical practices have started to refuse to do this due to the time and money required, and simply tell their patients that they will not do PA’s and will only prescribe medications from a limited formulary of what the insurance company refers to as it’s “preferred drug list” (a list of predominantly older/generic medications for which a prior authorization is not required).

Provider Insurance Participation Disclaimer

Insurance participation is unique to each of our providers. Select providers are out of network with all insurance companies while others participate in most of the networks listed below. Regardless of participation our highly experienced billing staff will file both in and out of network claims on your behalf to maximize possible reimbursement.

Mental health benefits may be administered by a plan other than your primary healthcare benefits. We highly encourage each patient to familiarize themselves with their mental health benefits and confirm the participation status for the provider they wish to see. Patients are ultimately responsible for charges incurred as a result of services rendered with an out-of-network provider.

Resources and Online Information

Scheduling

Existing patients:

You can schedule your appointment by calling the office, 317.843.9922. The front office closes daily from 12:00pm to 1:00pm for lunch.

New Patient Scheduling

Thank you for considering IHG while seeking behavioral healthcare services.  To serve you more efficiently, we have recently implemented a secure online New Patient Scheduling Form to begin the process. This form takes approximately 3-5 minutes to complete.

We are hoping this will allow us to connect with you quicker and accommodate more patients over the course of a day. Previously this process was handled completely over the phone from start to finish, on average this call would take 20-30 minutes following several rounds of telephone tag before connecting. This is frustrating for everyone!

We value your time!  The more information we can collect from you via this online form will significantly reduce the call time by allowing us to complete the data entry and compile suggestions for providers that match your individual needs prior to the call. Please follow the steps below.

Step 1: Click here to complete our New Patient Scheduling Form.

Step 2: Once you submit the New Patient Scheduling Form above, we will contact you to schedule your appointment. During this call you will also be given an access code and instructions for our secure patient portal.

Step 3: Once you receive your access code for the patient portal click here  to complete the remainder of the New Patient Registration process.

If you are unable to complete the remainder of the New Patient Registration through the portal you will need to arrive no later than 30 minutes prior to your scheduled appointment time. We reserve the right to cancel your appointment if your registration is not complete by the time of your appointment.

Social Media Policies

This document outlines our office policies regarding social media.  As technology continually changes, Indiana Health Group (IHG) reserves the right to revise this policy.  Upon revision, IHG will provide notice in writing of any changes to these policies.

Contacting IHG via Text or Social Media

Please do not use mobile text messaging or messaging on social media sites such as Twitter, Facebook, or LinkedIn to contact IHG.  These sites are not secure. Engaging IHG this way could compromise your confidentiality.  It may also create the possibility that these exchanges become a part of your legal medical record and would need to be documented and archived in your chart.

Contacting IHG via Email

IHG prefers using email only to arrange or modify appointments.  Please do not email content related to your therapy sessions, as email is not completely secure or confidential.  If you choose to communicate by email, be aware that email messages are retained in the logs of your internet service providers as well as those of IHG.  While it is unlikely that someone will view these logs, they are, in theory, available to be read by the system administrator(s) of the internet service provider.

You should also know that any email messages IHG receives from you and any responses sent to you by IHG become a part of your record.  Sending an email message from your own mail service will not be encrypted.

“Friending” on Facebook

IHG and its staff do not accept “friend” requests from current or former clients, or family members of clients, on Facebook or other similar social media sites.  IHG believes that adding clients as friends or contacts on these sites can compromise confidentiality and our respective privacy.  It may also blur the boundaries of the therapeutic relationship.  If you have questions about this, please bring them up when during a meeting and these issues can be discussed further.

Location-Based Services

If you or your child uses location-based services on a mobile phone, you may wish to be aware of the privacy issues related to using these services.  IHG does not place its practice as a check-in location on location-based social networking sites such as Foursquare.  However, if you have GPS tracking enabled on your device, it is possible that others may surmise that you are a therapy client due to regular check-ins at IHG’s office on a weekly basis.  Please be aware of this risk if you are intentionally “checking in,” from IHG’s office or if you have a passive LBS app enabled on your phone.

Business Review Sites

You may find IHG’s psychology practice on sites such as Yelp, Healthgrades, Yahoo Local, Bing, or other places which list businesses.  Some of these sites include forums in which users rate their providers and add reviews.  Many of these sites comb search engines for business listings and automatically add listings regardless of whether the business has added itself to the site.

If you should find IHG’s listing on any of these sites, please know that the listing is NOT a request for a testimonial, rating, or endorsement from you as a client.  Of course, you have a right to express yourself on any site you wish.  But due to confidentiality, IHG cannot respond to any review on any of these sites whether it is positive or negative.  IHG urges you to take your own privacy as seriously as IHG takes its commitment of confidentiality to you.

If you have questions or concerns regarding any of these policies and procedures, please bring them to IHG’s attention so that we can discuss them further with you.