Internal Medicine of Washington

Internal Medicine of Washington offers two plans: IMW Select at $2,000 per year and IMW Complete at $2,900 per year. IMW Select covers the annual physical, EKG, comprehensive labs, flu and tetanus shots, same or next day appointments, portal access, and on-call access. IMW Complete includes all Select services plus five additional in-person or telemedicine visits. New patients who register after July 1, 2026 also pay a one-time $400 registration fee at their first visit.

IMW Select members pay for office visits beyond those covered under the annual fee. Those visits range from $125 to $400 depending on the complexity of the visit. IMW Complete members receive five additional visits included in their annual fee before any extra charges apply.

No. The practice operates out of network with all insurances and Medicare. At the time of your annual physical and any office visits, the practice provides paperwork you can submit to your insurance for possible reimbursement. Medicare and HMO members cannot submit claims for reimbursement of services provided by Internal Medicine of Washington.

Yes, Medicare patients can join. However, Drs. Fine and DiFresco have opted out of the Medicare program. Medicare does not cover any portion of the annual fee or separately charged services. The practice does not submit claims to Medicare. Your Medicare coverage continues to apply to other physicians, hospitals, and procedures outside of Internal Medicine of Washington.

The practice sees sick patients within one business day. On weekends and holidays, you can reach Drs. Fine and DiFresco by phone, and they will arrange care until they can see you in the office. Members also have access to an after-hours on-call physician around the clock by calling 240-790-1641.

Internal Medicine of Washington is available 24 hours a day. After hours, you can call the main number to reach the answering service and connect with the on-call physician. The practice does not use a phone tree. A caring assistant answers every call during office hours, and all patients receive a response within 24 hours.

Yes. Both IMW Select and IMW Complete members can use telemedicine visits. IMW Complete members count telemedicine visits among their five included additional visits. The practice also conducts telemedicine visits for adolescent and young adult patients seen on a fee-for-service basis.

Yes. The practice sees patients ages 16 and older on a fee-for-service basis outside the membership plans. Services for this group include basic gynecology, pap smears, STD testing, birth control counseling, drug and alcohol counseling, sports physicals, and sick visits. Dependents under age 30 may also access fee-for-service care through the practice.

The practice is currently at capacity and accepting waitlist inquiries. To join the waitlist, contact the practice with your name, date of birth, email address, phone number, and your current physician's name. Once a spot opens, you sign a Physician-Patient Agreement and pay the annual fee to complete enrollment. The practice accepts patients in the order they join.

In many cases, yes. Health Spending Accounts, Flexible Spending Plans, and Medical Savings Plans may cover all or part of the annual fee. Policies vary by plan, so check with your plan administrator to confirm what your specific account covers.