Good Faith Estimate Notice

Nexus Chiropractic, P.C. d/b/a Rockaway Chiropractic

Last Updated: October 30, 2026

Your Right to Know the Cost of Your Healthcare

Under the federal No Surprises Act, patients who do not have health insurance or who choose not to use their insurance to pay for healthcare services generally have the right to receive a Good Faith Estimate of expected charges before receiving care.

At Rockaway Chiropractic, we believe patients should have clear information about the anticipated cost of their treatment.

A Good Faith Estimate helps you understand what you may be charged for scheduled healthcare services so you can make informed decisions about your care.

Who Is Eligible for a Good Faith Estimate?

You generally have the right to receive a Good Faith Estimate if:

• You do not have health insurance.
• You have health insurance but choose not to use it for the services you are receiving.
• You are paying out of pocket for services without having a claim submitted to your health insurance plan.

This may include patients receiving self-pay chiropractic examinations, treatments, concierge home visits, or other eligible services.

If your care is being billed through health insurance, New York no-fault automobile insurance, or workers' compensation, different billing requirements may apply. Please contact our office if you have questions about your coverage or expected costs.

What Does a Good Faith Estimate Include?

A Good Faith Estimate provides an itemized explanation of the charges reasonably expected for your scheduled healthcare services.

Depending on your care, the estimate may include:

• Initial chiropractic consultation and examination
• Chiropractic treatment and follow-up visits
• Diagnostic procedures or other services expected as part of your care
• Other items or services reasonably anticipated during the estimated period of treatment
• Applicable service codes and expected charges

The estimate is based on the information available when it is prepared.

Actual services and charges may differ if your condition, treatment needs, or recommended services change.

A Good Faith Estimate is not a bill, a contract, or a requirement to receive treatment.

When Will You Receive Your Estimate?

The timeframe depends on when your appointment is scheduled.

Appointments scheduled 3–9 business days in advance

We will provide your Good Faith Estimate no later than one business day after scheduling.

Appointments scheduled 10 or more business days in advance

We will provide your Good Faith Estimate no later than three business days after scheduling.

Estimates requested before scheduling

You may request a Good Faith Estimate before making an appointment. We will provide it within three business days of your request.

Appointments scheduled fewer than three business days in advance

Federal rules generally do not require a Good Faith Estimate solely because an appointment is scheduled less than three business days ahead. You may still request information about anticipated charges.

Good Faith Estimates are provided in writing, either electronically or on paper, according to your preferred method of delivery.

Estimates for Ongoing Chiropractic Care

Some patients require a series of chiropractic visits rather than a single appointment.

When appropriate, a Good Faith Estimate may cover multiple anticipated visits within a defined treatment period.

For recurring services, an estimate may describe:

• The expected frequency of visits
• The anticipated number of treatments
• The estimated charges for each service
• The total expected charges for the treatment period

A single estimate for recurring services may cover a period of up to 12 months.

If your anticipated treatment changes significantly, a revised estimate may be necessary.

Services Provided by Independent Healthcare Professionals

Nexus Chiropractic, P.C. d/b/a Rockaway Chiropractic provides chiropractic services at its Brooklyn and Queens Village locations.

Certain medical, orthopedic, physical therapy, pain management, diagnostic, or other healthcare services described on our website may be provided by independent licensed professionals or separate professional entities.

A Good Faith Estimate issued by Nexus Chiropractic, P.C. may not include charges for services provided by those independent entities.

You may request a separate Good Faith Estimate from another healthcare provider or facility for services it expects to provide.

What If Your Final Bill Is Higher Than Your Estimate?

If you receive a bill from a healthcare provider or facility that is at least $400 more than the Good Faith Estimate issued by that provider or facility, you may be eligible to dispute the charges through the federal patient-provider dispute resolution process.

An independent dispute resolution entity may review the estimate, the bill, and supporting information to determine an appropriate payment amount.

You generally must begin the dispute process within 120 calendar days of receiving your initial bill.

You may also contact the healthcare provider to discuss the charges or request an explanation.

Starting a dispute will not adversely affect the quality of healthcare services provided to you.

For more information about your rights or how to dispute a bill, visit:

Centers for Medicare & Medicaid Services — Dispute a Medical Bill

You may also contact the federal No Surprises Help Desk at 1-800-985-3059.

How to Request a Good Faith Estimate

You may request a Good Faith Estimate before scheduling an appointment or when discussing your anticipated treatment costs.

Contact the Rockaway Chiropractic office where you expect to receive care and let our staff know that you would like a Good Faith Estimate.

Brooklyn Office
381 Rockaway Avenue
Brooklyn, NY 11212
Phone: (718) 522-3400

Queens Village Office
97-08 Springfield Boulevard
Queens Village, NY 11429
Phone: (347) 774-2777

Our staff can assist you in obtaining an estimate for applicable services provided by Nexus Chiropractic, P.C.

Please keep a copy of your Good Faith Estimate so you can compare it with your final bill.