Policies

Policies are meant to keep you safe, not just us.

Emergencies and Crisis

MYINDSET is a private practice and we do not provide emergency / crisis services.

For medical/behavioral emergencies: please call 911, go directly to the nearest emergency room.

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For mental health emergencies: please call the NAMI Helpline 10am-10pm at 800-950-6264 or text "NAMI" to 62640, call 988 (24/7), or text "HOME" to 741741 (also 24/7). You deserve help.

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​​Communicating with our Office 

​MYIO PATIENT PORTAL ***Best Option***:​

We strongly recommend that if you are not yet connected to our practice patient portal, MYIO, that you do so as soon as possible. MYIO is a HIPAA-compliant, secure messaging system that you can use to connect with MYINDSET for almost all your needs. Using MYIO allows you to have more clear communication with your clinician as they will receive your message in your own words. It also allows for a record of our communication and provides us with a way to provide you with more detailed information to which you can later refer if you have questions. Messages sent through MYIO are received by our staff more quickly, since these messages are available in our system as they come in throughout the day rather than voice mail messages which are typically retrieved limited times throughout the day.

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EMAIL Is the next best option to send a quick communication to our staff. For both new patient appointments and all other requests: contact@myindset.com

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Payments can be made through the portal or, or by phone if necessary.  

TELEPHONE 317-207-0273, please leave a voicemail if you are calling past our typical office hours. 

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Our office receives well over several phone calls each day, so using the patient portal when appropriate provides our staff with a greater ability to field phone calls for issues better addressed through real-time communication.  Multiple messages will not increase time to return calls and will only delay processing messages. 

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Medication

MEDICATION RELATED POLICIES: We highly encourage you to address all questions and concerns at the time of your appointment.

*Medication refills WILL NOT be called in outside of normal business hours, weekends, or holidays. 

MEDICATION REFILLS / QUESTIONS / CONCERNS: It is recommended patients check with their pharmacy to verify there are no refills on file or on hold before contacting our office. Sometimes prescriptions are held if they are issued prior to the acceptable refill date. If a refill is necessary, for the quickest response, please request your refill via our patient portal. If you do not have a portal account set up, please see “COMMUNICATING WITH OUR OFFICE” on listed above for additional ways to reach us. 

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AUTOMATED PHARMACY REFILL REQUESTS: MYINDSET DOES NOT accept automated pharmacy fax refill requests. Our office receives hundreds of automated fax refill requests daily for medications with a vast majority of those requests being for medications that have been changed or discontinued. Pharmacies are typically unaware of this information. We ask that you initiate all refill requests. 

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PRIOR AUTHORIZATIONS (PA) FOR MEDICATIONS: Insurance companies often require a prior authorization be completed. This is a process they use to determine if they will cover the cost of the medication that has been prescribed for your care. The PA will be initiated by your insurance. Our office will submit the requested information to your insurance company. Please note that the final determination is made by your insurance, not MYINDSET/your medical provider.

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Billing and Insurance Policy 

• Private Pay Services / Out of Network Insurance Billed Services - Payment is due at the time of service and must have credit card on file.  

• Insurance Billed Services - Co-payments & deductibles are due at the time of service and must have credit card on file

• Insurance Participation - Our providers participate with different insurance plans. We make every attempt to schedule you with an in-network provider; however, we cannot guarantee that the provider you are scheduled with is active in your network. It is the patient responsibility to confirm that any/all providers with whom they are scheduled are participating in their insurance network. Patients will be responsible for charges incurred for services rendered by an out-of-network provider. 

• Insurance Benefits - Please be aware that mental health benefits are normally different from your medical benefits. MYINDSET does not verify insurance benefits information until after your initial visit with our group. It is your responsibility to verify and familiarize yourself with your mental health benefits. 

• Changes to Insurance – It is your responsibility to make sure we have your most current insurance card on file. Sometimes insurance may change to a different insurance company, other times it may just be a simple change to your ID number. Anytime you receive a new card, please notify our office or you can upload a copy through our website. 

•  Claims Submission - We will file all claims with your primary insurance company upon submission of proof of insurance. MYINDSET will file secondary insurance claims for contracted insurance carriers only. 

• Past Due Balances - Our office reserves the right to cancel or refuse services for patient accounts with past due balances. Patients will be unable to schedule appointment if they have 2 outstanding co-payments, an account balance of $100 or more, or if your account balance is greater than 30 days past due after insurance processing. 

• Returned Check Fees - All returned checks would be assessed with a $30 processing fee. The original check amount plus the processing fee must be paid at your next appointment or within 10 days, whichever occurs first. MYINDSET reserves the right of check refusal. 

•  Statements - Maybe accessed through the patient portal. We do not mail statements.  Payment in full at the time of the appointment, we require a credit card to be on file. •

•  Claim / charge dispute - Therapist, doctors, nurses, clerical staff, and/or billing department personnel are unable to waive or modify fees. The decision rests with the administration of MYINDSET. The patient must complete contact our office in writing for a claim or charge dispute

• Financial Responsibility - The patient / responsible party are responsible for all charges incurred with MYINDSET. 

• Collections - Accounts in violation of our financial policy are subject to placement with a third-party collection agency. The patient will be responsible for reasonable attorney and collection fees.

OUT OF NETWORK BILLING POLICY 

• Private Pay Services / Out of Network Insurance Billed Services - Payment in full is due at the time of service. We will provide a superbill at your request.

SOCIAL MEDIA POLICY

As technology continually changes, MYINDSET reserves the right to revise this policy. 

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Contacting MYINDSET 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 MYINDSET. These sites are not secure. Engaging MYINDSET 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. 

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Social Media - MYINDSET and its staff do not knowingly accept “friend” requests from current or former clients, or family members of clients, on Facebook, Instagram, Twitter, or other similar social media sites. MYINDSET 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. 

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Location-Based Services - If you or your family member has locations enabled on a mobile device, or you check in on a social media site, it could identify you as a patient at MYINDSET. Please be aware that this compromises your confidentiality.

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Business Review Sites - You may find MYINDSET on sites such as Google, 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 MYINDSET 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, MYINDSET  cannot respond to any review on any of these sites whether it is positive or negative. 

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TELEHEALTH POLICY 

Confidentiality: Our office utilizes Doxy.me or Zoom a confidential, HIPAA compliant audio/video conferencing application, for all telehealth appointments. MYINDSET is not responsible for breach of confidentiality when using any other telehealth platform including over the telephone or via email.  

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I agree MYINDSET and its members, directors, partners, employees, and agents shall not be liable for any breach of confidentiality or privacy arising from teletherapy with me. I agree that I shall fully defend and hold MYINDSET  harmless for principal, interest, court costs and reasonable attorneys' fees, together with any judgment rendered against it because of or arising from this Request to Use, Informed Consent, and Agreement Regarding Use of Teletherapy.

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•  I agree to waive all claims against or liability of and shall hold harmless MYINDSET and its members, directors, partners, employees, and agents for any breach of confidentiality or privacy arising from teletherapy/telemedicine with me. 

•  I agree I am signing this Informed Consent voluntarily and my signature is not the result of duress or undue influence. 

• I agree I have asked MYINDSET all questions I had regarding this Informed Consent, and such questions were answered to my satisfaction. 

• I agree that this Request to Use, Informed Consent, and Agreement Regarding Use of Teletherapy/Telemedicine represents the entire understanding regarding the subject matter herein. I agree that none of the terms of this Request to Use, Informed Consent, And Agreement Regarding Use of Teletherapy/Telemedicine can be waived or modified, except by an express agreement signed by me and MYINDSET. I agree there are no representations, promises, warranties, covenants, or undertakings by MYINDSET other than those expressly set forth in this Agreement. 

•  This Request to Use, Informed Consent, And Agreement Regarding Use of Teletherapy/Telemedicine is made and executed in the State of Indiana and shall be governed and always construed according to the laws of that state even though I may later reside or be domiciled outside of Indiana. 

PATIENT RIGHTS

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• To be treated with respect and recognition of my dignity and right to privacy Receive care that is considerate and respects my personal values and belief system 

• Personal privacy and confidentiality of information Reasonable access to care, regardless of my race, religion, gender, sexual orientation, ethnicity, age, or disability

• Participate in an informed way in the decision-making process regarding my treatment planning Discuss with my treating professionals appropriate/medically necessary treatment options for my condition regardless of cost / benefit coverage 

• Adequate and humane services regardless of the source(s) of financial support An individualized treatment or program plan with periodic review of the treatment or program plan Designate a decision maker if I am incapable of understanding a proposed treatment or procedure or am unable to communicate my wishes 

• Voice complaints or appeals about my managed care company, provider of care or privacy practices 

• Be informed of rules and regulations concerning my own conduct

•  Request access to my Protected Health Information (PHI) 

• Request to inspect and obtain a copy of my PHI, to amend my PHI or to restrict the use of my PHI, and to receive an accounting of disclosures of PHI

 PATIENT RESPONSIBILITIES 

• As a patient of MYINDSET BEHAVIORAL HEALTH PC, I agree and consent to participate in the mental health services offered and provided by a mental health provider as defined in Indiana law.

•  I agree to provide (to the extent possible) my treating clinician with information needed to receive appropriate care.

•  I understand that it is my responsibility to understand my health problems and participate, to the degree possible, in developing, with my treating clinician, mutually agreed upon treatment goals. 

• I understand that it is my responsibility to follow plans and instructions for care that I have agreed on with my treating clinician ​

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