Services / Prices
All treatment sessions are one-on-one with a manual physical therapist and are scheduled for approximately one hour.
ANFPT is a fee-for-service clinic that is not in-network with any insurances. Upon request, receipts can be provided that include the necessary codes to send self-claims to your insurance company per your own company. As a cash-based practice, clients pay at the time of their visit and may submit a superbill to their insurance provider. This enables us to provide the high level of care you deserve.
A super bill can be provided in order to process your claim (only for non-medicare patients).
Why is insurance not billed at ANFPT?
Did you say that can actually save me money?
In many ways, insurance companies dictate or strongly influence the treatment that patients receive at in-network clinics and I refuse to allow that to be the case here.
I am an out-of-network practice because the business model necessary for an in-network practice to survive rarely ever allows for the high-level care I insist on giving our patients.
Due to progressively worsening reimbursement rate and pressure from insurance companies, the therapists at in-network clinics have to see at least 2-3 patients per hour (usually many more) and they often use technicians and assistants to provide much of the actual patient care. The care often includes modalities like hot packs and ultrasound and the majority of the patient’s time at the clinic is spent doing exercises they could do on their own time. Furthermore these types of clinics tend to require patients to attend 2-3 appointments per week. Hot packs and ultrasound were the best modalities we had 30 years ago. They felt good for a few hours!
I do not believe that these modalities are as nearly as effective as my “hands-on treatment” and newer technologies like ANF, which many insurances do not pay for. I also do not agree with having patients pay to perform exercises in the clinic that they can easily perform at home or at a gym.
I do agree that my clients need to know what exercises are safe to be done at home to stay active and what specific exercises and how (i.e technique, form and dosage). These need to be done to rebalance muscle imbalances, restore normal biomechanics and progression to prepare to return to sport, or better sleep, or just doing what you want to do, without living in dread of pain returning.
I do believe that vulnerable tissues need to be protected while we strengthen around them.
I do believe the root cause needs to be addressed and imbalances corrected.
I do believe the body is innately intelligent and will heal; if it has the resources it will heal.
To recap:
- Exercise, strengthening, stretches and self-management are necessary to complement what gets done in the clinic to progress your healing journey for repair and renewal of tissues as well as return to optimum health.
- Must be correct dosage (what, when, how much, how often and when to progress or stop a particular exercise
- Must address inflammation first – when inflammation comes down, pain follows!
- Nervous system controls everything. When the nerves are inflamed, muscles will tense or spasm to protect further movement and further damage to nerves, or harm to the body. Again, address inflammation first – when inflammation comes down, pain follows!
- Muscle spasm is not the problem! It is a protection.
- Pain is not the problem! It is the message
- Pain inhibits strength. Strength may not be the problem!
- When pain is down and the brain feels safe, it is safe to exercise!
- Pain is not the source! Inflammation is
- Inflammation is not the root cause! Let’s find out what it is!
ANFPT is not for everybody!
It is for highly motivated people who value their health!
Can I bill my insurance for reimbursement of my out-of-pocket expenses?
This depends on the insurance you have, but YES, most NON-Medicare patients can send “self claims” to their insurance company for the treatments at ANFPT. You should be able to print claim forms off your insurance company’s website and send it in with the needed receipts and treatment codes that will be provided upon request during the session. The amount of reimbursement or application towards your deductible is completely dependent on your insurance plan. If you call your insurance company to inquire about what you can expect to receive, you should ask about reimbursement for “out-of-network physical therapy” expenses sent in via self-claims
Medicare beneficiaries: The US government has some interesting laws that control where Medicare beneficiaries can spend their healthcare dollar and persuade healthcare providers to enroll in their system. Because we are not participating Medicare providers, we can only accept Medicare beneficiaries as patients when the patient does not want medicare billed for any PT services. This request to not involve Medicare in payment must be made up front by the patient and be made of the patient’s own free will.
In other words if you are a medicare beneficiary and are adamant about seeing us for your care even though you are not participating Medicare providers, we can help… However the only way we can provide you with PT services is when you truly don’t want Medicare involved and you ask up front that Medicare will not be billed or involved in your physical therapy care. If you do want to use medicare benefits for physical therapy, we cannot provide you with treatment at our clinic but we can help you find a good medicare provider in your area