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  • Under the law, health care providers need to give clients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. 
  • Tortoise Mental Health, PLLC strives to provide Good Faith Estimates to all clients at the time of scheduling. These Good Faith Estimates are provided by Lauren Connelly, PMHNP-BC. If a Good Faith Estimate cannot be provided at the time of scheduling for any reason, Lauren Connelly, PMHNP-BC will provide all self-pay clients with a Good Faith Estimate, in writing, prior to services being rendered. Tortoise Mental Health, PLLC makes every attempt to provide Good Faith Estimates in accordance with state and federal guidelines. 
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.

Any self-pay clients seeking to obtain a Good Faith Estimate from Tortoise Mental Health, PLLC may contact:

  • The No Surprises Help Desk (NSHD), which is the federal agency responsible for enforcing the federal balance billing protection law, at 1-800-985-3059
  • The Virginia State Corporation Commission Bureau of Insurance at 877-310-6560 or via their website located at https://scc.virginia.gov/pages/File-Complaint-Consumers 
  • Visit cms.gov/nosurprises for more information about your rights under federal law. 

Consumers covered under (i) a fully-insured policy issued in Virginia, (ii) the Virginia state employee health benefit plan; or (iii) a self-funded group that opted-in to the Virginia protections are also protected from balance billing under Virginia law. 
Visit scc.virginia.gov/pages/BalanceBilling-Protection for more information about your rights under Virginia law.

Good Faith Estimate Availability Notice

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

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