Frequently Asked Questions
Have questions about how Healthspan Neurology works, what to expect, or how to get started? You're in the right place. For questions specific to each service, visit the FAQ sections on the Cognitive Longevity Program, Mind Over Menopause™, and Neurologic Consultation service pages.
Getting Started
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Your first step is a complimentary introductory call, directly with Dr. Gajaweera. We'll discuss your goals, review your concerns, and determine whether the Cognitive Longevity Program, Mind Over Menopause™, or Neurologic Consultation is the right fit for you. You can book directly through our online calendar — because this is a small, physician-led practice, scheduling by phone is not always possible.
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Yes. Former patients are always welcome. Start by scheduling an introductory call, directly with Dr. Gajaweera, so we can discuss where you are now and what makes sense next.
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New patients are typically seen within one to two weeks. If you need non-traditional hours, let us know and we'll do our best to accommodate.
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We don't rush. Every initial visit is at least 90 minutes, and follow-up visits typically run 60 to 90 minutes, depending on what's needed — we don't impose a time limit on visits that require more. Exact visit lengths and structure for each program are listed on our Pricing and Policies page.
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No referral is required. All patients are asked to maintain a relationship with a primary care provider to support continuity of care.
About the Practice
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Healthspan Neurology operates outside the insurance billing system. There are no monthly membership fees or concierge premiums — you pay for the care you receive, whether that's a single consultation or a structured program. This model allows for longer appointments, a proactive approach to prevention, and recommendations based on what you actually need rather than what insurance will cover.
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Dr. Gajaweera's primary focus is dementia and Alzheimer's prevention, through the Cognitive Longevity Program and Mind Over Menopause™. She also offers neurologic consultations and second opinions for a range of other neurologic concerns, drawing on over 25 years of general neurology experience across the full spectrum of the specialty.
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Yes. Many patients come to Healthspan Neurology after receiving a diagnosis elsewhere, or after feeling that their concerns haven't been fully addressed. A second opinion is always a reasonable step, and we welcome those conversations.
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Our office is on the fourth floor of 2290 East Avenue, Rochester, NY 14610 — in Brighton, minutes from the I-490 and I-590 interchanges and easily accessible from throughout the Rochester area. Visits are by appointment only. The Cognitive Longevity Program and Mind Over Menopause™ are available via telemedicine throughout New York State, so you don't need to be local to Rochester for those. Neurologic Consultation initial visits are currently in-person only; follow-ups may be available by telemedicine.
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Yes to both. Telemedicine appointments are available for patients throughout New York State. Home visits are offered within a 10-mile radius of the office for an additional fee. See our Pricing & Policies page for details.
Insurance, Costs & Logistics
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Insurance-based care is structured around brief visits and reactive treatment. That model can work for narrow, acute problems — but it isn't designed for prevention, or for the kind of thorough, whole-person evaluation many neurologic and cognitive concerns actually need. Operating outside the insurance system allows for longer appointments, proactive care, and the ability to recommend testing and strategies based on your individual needs rather than coverage criteria.
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Yes. HSA and FSA funds can be used for visits. Upon request, we provide documentation that may be submitted for out-of-network reimbursement when eligible.
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What will testing cost? Testing is ordered through trusted local and national laboratories and imaging centers. Many tests are covered by insurance. Costs vary depending on your individual needs and coverage. We consider cost-benefit carefully for any recommended testing and will seek prior authorization when appropriate.
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Full pricing information is on our Pricing & Policies page as well as transparently listed under each service page.
Treatments & Approach
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No. When supplements are appropriate, I provide individualized recommendations — but I do not sell them or profit from them in any way. Many patients arrive with a long list of supplements they've accumulated over time. Part of what I do is help sort through what the evidence actually supports and what can safely be discontinued.
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Yes, when appropriate. As a Menopause Society Certified Practitioner with advanced training in menopausal hormone therapy, I provide evidence-informed guidance on whether hormone therapy is right for you, what type, and at what dose — including for women who haven't had adequate results with prior treatment.
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Healthspan Neurology does not administer anti-amyloid infusion therapies directly. However, we can help determine whether you may be an appropriate candidate, coordinate the evaluation process, and connect you with experienced treatment centers when indicated.
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Yes. Integrative strategies — including mind-body techniques, meditation, and medical acupuncture — can offer meaningful benefit for neurologic health. Dr. Gajaweera holds Advanced Certification in Mind-Body Medicine and is licensed in Medical Acupuncture, and incorporates these approaches when clinically appropriate.
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Yes. When appropriate, wearable tracking tools and technology can provide useful clinical information — and we help patients understand how to use that data meaningfully. Neuromodulation devices may also be recommended depending on your condition, including devices used for migraine and emerging therapies such as gamma light therapy for Alzheimer's disease. These are considered carefully and recommended only when supported by evidence.