Frequently Asked Questions


What is direct care neurology?

Direct care is a model of medicine that focuses on the patient. Doctors don’t accept insurances, and this frees them from the constrains of working with large corporations that focus on profit over patients. In the long run - believe it or not - this actually allow patient to save money and get better care.

Will a televisit be adequate for my issue?

Thanks to advances in medicine and technology, neurologists can now perform virtual neurological exams to assess cognition, memory, language, motor skills, coordination, gait, and abnormal movements through a video platform. The neurologist can review your past medical history and medications, as well as collect an accurate history that will aid in making the right diagnosis. Dr. Di Maria will also personally review your laboratory results, MRI brain or CT head scans, EMG, or any other diagnostic tests you have already undergone. The combination of diagnostic studies and virtual visits will often be enough to arrive at an accurate assessment and treatment plan for you.

What if I need a in person visit?

Dr. Di Maria will soon offer in-person evaluations. For the time being, if there is any concern that you should be evaluated in person (for example, for a more detailed neurological examination), Dr. Di Maria will not hesitate to refer you to the nearest specialist. Thanks to his connections in the Washington DC metro region, he will be able to direct you to one of his colleagues working in various clinics across the area. He will, however, remain your doctor and will always be available for any questions or concerns.

Do you accept insurance?

No, this clinic doesn’t accept any health insurance. Your cost of care is out of pocket. Prices are transparent and are available here: prices. The cost may appear higher than your usual copay up-front, but the doctor can spend more time and pay more attention to your needs. Perhaps the most critical distinction in our model of care centers on a direct, personal relationship between you and your doctor.

Should I keep my insurance?

Yes, absolutely! Your insurance is still important to cover expenses of hospitalization, diagnostic, medications and any urgent care need.

Will this save me money?

It can! You won't have to pay a co-pay for the visit, which can quickly add up if need you multiple visits in a year. Also, you'll be able to avoid many visits altogether by sending your questions directly to the doctor via email and/or text – something you won't get from a traditional practice. You will also be able to use your HSA (Health Saving Account) for this visit. If you have a high-deductible health insurance plan, this will also save you money.


Is this concierge medicine?

The terms are often mistakenly used interchangeably, but they are not the same. Both direct care and concierge practices charge a periodic fee. However, under the concierge model, this fee only gets you access and it doesn't actually cover any of your care. In fact, concierge practice still bills insurance for your visits. Direct care does not bill your insurance.

What happen if I need care while I am away from home?

Because you'll have your doctor's email and can text him directly, you can reach out to him whenever you need, wherever you are. Many illnesses can be diagnosed and treated during a virtual visit or even a phone conversation. We’ll also locate the nearest pharmacy and order the medications most appropriate for your circumstances.

Why shouldn’t I just go to a doctor who accepts insurance?

In regular medical practices, doctors often spend nearly half of their working hours dealing with administrative chores, like handling insurance paperwork, making endless calls to insurance companies, and documenting everything in order to meet insurance criteria for care. Eliminating these hassles from a doctor's daily routine gives them the freedom to devote more time and attention to their primary mission: providing quality care to their patients.

Which states do you serve?

We currently serve patients living in Virginia, Maryland, and the District of Columbia.

I am working every day. Can I see you in the evening or the weekend?

Please send a message to the doctor to arrange an after hours or weekend televisit. The doctor is flexible and will try to accomodate your needs.