Castro Direct Primary Care

Membership at Castro Direct Primary Care costs $200 per month or $2,400 per year. The practice requires a minimum three-month commitment. Both plans include the same full set of benefits: same-day and next-day appointments, direct communication with Dr. Selvaduray, after-hours urgent virtual care, telehealth for urgent needs while traveling, and a comprehensive annual physical.

The practice does not bill insurance for membership fees or visits. Castro Direct Primary Care pairs best with PPO plans and Medicare plans, which can cover referrals, lab orders, and imaging orders. HMO plans typically will not accept referrals or orders placed by the practice, so Dr. Selvaduray recommends patients with HMO coverage review their plan before joining.

Yes. Medicare does not cover the monthly membership fee, but most Medicare plans cover referrals, lab orders, and imaging orders from the practice. Medicare HMO plans are an exception and will not cover orders placed by Castro Direct Primary Care.

Yes, but only for urgent medical needs. Members can reach Dr. Selvaduray outside of business hours through virtual care for urgent issues. The practice does not provide after-hours access for non-urgent concerns. For patients traveling outside California, Dr. Selvaduray will advise on care navigation, though prescribing and ordering capabilities may vary by location.

Castro Direct Primary Care is currently closed to new patients. The practice hopes to open its panel again in 2027. Prospective patients can join the waitlist by filling out the contact form on the practice website.

Castro Direct Primary Care begins with a complimentary 30-minute virtual meet-and-greet. This gives prospective patients a chance to meet Dr. Selvaduray, learn about her care approach, and ask questions. After the meeting, the practice sends a sign-up link to those who want to move forward.

The practice sees adults only, ages 18 and older. Castro Direct Primary Care does not provide pediatric care or prenatal obstetric services.

Dr. Selvaduray offers a broad range of primary care services. These include HIV care and prevention, gender affirming health, LGBTQIA+ care, sexual health and STI screening, PrEP and PEP, women's health, men's health, geriatric medicine, mental health support, chronic disease management, preventive care, contraception counseling, and urgent care. The practice does not provide hospital, emergency, or specialty care.

The two models share some features, including direct doctor access and a flat monthly fee. Castro Direct Primary Care does not bill insurance at all and focuses the majority of care during business hours. After-hours access covers urgent needs only. Concierge practices typically charge higher fees and often bill insurance separately per visit.