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A cozy attic home office with a wooden desk, dual computer monitors, and a swivel chair. There is a large green potted plant, a wooden cabinet with decorative items, a framed art piece, and a patterned area rug on a carpeted floor. A ceiling slant and small window are visible.

Why Healthspan Neurology Doesn't Take Insurance

We know what it's like to sit in a doctor's office, worried, and be told "come back if symptoms start." It's not that your doctor doesn't care — it's that until now, there hasn't been a proactive option to offer you. Insurance pays for treatment once dementia has already taken hold — not for the kind of proactive preventive care that helps you avoid it in the first place. That's why Healthspan Neurology operates as a direct-pay practice. It's also why we are the only program like it in the region, and one of few in the country.

  • A One-Year Investment in the Brain You Want in Your 80s

    $4800 One-Time Payment

    • A Full Year of Proactive, Neurologist-Led Preventive Care — not a single visit, not generic advice, but an ongoing, personalized partnership in your brain health from a board-certified neurologist dedicated to dementia preventive care

    • See Where You Stand: Comprehensive monitoring of advanced diagnostics and evolving brain health biomarkers beyond anything available from almost any neurologist

    • In-Depth Digital Cognitive Testing (Creyos) to establish your baseline, identify your strengths, and show exactly where and how to improve — so you're not just waiting for problems to start.

    • Four extended visits — nearly 10 hours with Dr. Gajaweera — in person or by telemedicine, built around your evolving plan.

    • Direct Physician Messaging with Dr. Gajaweera.

    • Priority Scheduling — no long wait times, built around your schedule.

    • Whole System Longevity Guidance — including recommendations for management of cholesterol, blood pressure, hormonal, and bone health, because brain health doesn't happen in isolation.

    • Personalized Lifestyle Guidance — nutrition, sleep, fitness, and supplements, tailored to your results, not a one-size-fits-all wellness plan.

    Ideal for anyone who believes that no investment pays off like protecting their brain health.

    This is a one-year membership designed to give you the tools and insight to optimize your brain health long-term. After the year, we move to annual or biannual visits — no ongoing membership required.

  • A One-Year Investment in Protecting Your Brain Through Menopause and Beyond

    $4800 One-Time Payment

    • A Full Year of Proactive, Physician-Led Menopause Care — not a single visit, not generic advice, but an ongoing, personalized partnership in your hormonal and cognitive health from one of the country’s few board-certified neurologists who is also a Menopause Society Certified Practitioner.

    • See Where You Stand: Comprehensive evaluation of your hormonal, metabolic, and cognitive health — well beyond what most primary care, OB-GYN, or neurology visits have time or expertise to cover.

    • In-Depth Digital Cognitive Testing (Creyos) to establish your baseline and track how your brain changes through this transition — not guesswork, real data.

    • Four extended visits — in person or by telemedicine — built around your evolving plan as your symptoms and needs shift.

    • Direct Physician Messaging with Dr. Gajaweera.

    • Priority Scheduling — no long wait times, built around your schedule.

    • Whole System Hormonal/Longevity Guidance — including management of mood, sleep, bone health, and cardiovascular and brain risk tied to the menopause transition.

    • Personalized Lifestyle Guidance — nutrition, sleep, fitness, and supplements, tailored to your results, not a one-size-fits-all wellness plan.

    Ideal for women who want to feel confident and take action in midlife — not just survive this transition, but move through it clear-headed and in control.

    This is a one-year membership designed to give you the tools and insight to navigate the menopause transition, and what this means for your brain health. After the year, we move to annual or biannual visits — no ongoing membership required.

Comprehensive Cognitive Evaluation

  • Memory Changes? Stop Wondering, Start Knowing.


    $1,600

    A Comprehensive Cognitive Evaluation — two in-depth visits to answer the question you came here with: is what I'm experiencing normal aging, or something more?

    What’s Included:

    • Two 90-minute visits, one-on-one, with Dr. Gajaweera — a board-certified neurologist with over 25 years of experience who has evaluated thousands of dementia patients, bringing her full clinical judgment to your care from the very first visit.

    • Traditional (non-digital) cognitive testing, personally administered and interpreted by Dr. Gajaweera

    • Recommendations and ordering of further diagnostic testing, shaped by decades of clinical experience

    • A full review and interpretation of your results, explained to you directly

    • Dedicated time to discuss your plan — what your results mean, and what comes next

    • Recommendations for ongoing care, tailored to what your results actually show

    Ideal for anyone with a specific concern — memory lapses, brain fog, mood or behavioral symptoms — who wants clarity now, not a wait-and-see approach.

Insurance & reimbursement.

Healthspan Neurology is a direct-pay practice and does not bill any insurance plan, including Medicare, Medicaid, or Tricare.

Services may be eligible for HSA or FSA payment — check with your tax advisor to confirm.

If you have commercial insurance, a superbill can be provided at the end of your visit for possible out-of-network reimbursement. Reimbursement is not guaranteed and is determined by your insurance plan.

Lab testing & imaging. Most lab work and imaging ordered during your care is billed directly to your insurance. Dr. Gajaweera will make reasonable efforts to obtain prior authorization and will inform you of anticipated costs before testing is ordered.

Cancellation policy. Please reschedule at least two business days before your appointment — your payment will be held as a credit valid for three months. Cancellations without plans to reschedule, or unused credits after three months, receive a 50% refund. Cancellations within two business days of your appointment cannot be refunded or credited.

Fee schedule. Fees are reviewed periodically to account for changes in operational costs. Current pricing is always posted on this page. By receiving services at Healthspan Neurology, PC, you acknowledge that fees are subject to change.

Getting Started with Healthspan Neurology, PC

Your first step is a complimentary 15–20 minute introductory call — directly with Dr. Gajaweera, not a scheduler or staff member. We'll talk through your risk factors, family history, and goals, and together decide whether the Cognitive Longevity Program, Mind Over Menopause or Comprehensive Cognitive Evaluation is the right fit for you. Available in person in Rochester, NY, and via telemedicine throughout New York State.