Sequoia MD

Sequoia MD charges $110 per month for standard membership. The substance abuse membership runs $225 per month and includes direct primary care services. For non-substance abuse memberships, the practice asks members to pay the first three months upfront. Sequoia MD does not accept health insurance for membership fees.

Membership at Sequoia MD covers primary care visits, chronic disease management, preventive care, and access to Dr. Altschuler by phone, text, email, and video. Members also receive access to wholesale laboratory testing and medications at significantly reduced prices, sometimes up to 95% below retail for medications and 80-90% below retail for lab work.

No, Sequoia MD does not accept health insurance. Patients pay a flat monthly fee directly to the practice. This structure removes co-pays, deductibles, and insurance paperwork from the equation. Members may still carry insurance for hospitalizations or specialist care outside the practice.

Standard appointments run 30 minutes. Dr. Altschuler extends visits when a patient's needs require more time. Members can also connect with Dr. Altschuler by phone, video, text, and email for concerns that do not require an office visit.

Yes, Sequoia MD offers child memberships. A child membership requires at least one parent to hold an adult membership. Families interested in enrolling children should contact the practice to discuss their options.

New patients start with a free call with Dr. Altschuler. After that conversation, enrollment takes place through the practice's online sign-up portal. Non-substance abuse members pay the first three months upfront at the time of enrollment.

Yes, Sequoia MD runs a full outpatient addiction treatment program. Dr. Altschuler treats opioid, alcohol, benzodiazepine, heroin, and other substance use disorders. Treatment includes medication-assisted options like Suboxone, Sublocade, Subutex, and Vivitrol, combined with group therapy and individual counseling. The substance abuse membership costs $225 per month and includes primary care services.

Yes, the practice offers both. Patients can schedule video appointments, phone visits, or communicate by text and email. Dr. Altschuler also makes house calls for patients who prefer care at home or have difficulty coming into the office.

Sequoia MD serves patients throughout Sacramento County and surrounding communities. The practice sees patients from Roseville, Rocklin, Auburn, Carmichael, Citrus Heights, Elk Grove, Fair Oaks, Folsom, Lincoln, Loomis, Penryn, Placerville, and Coloma, among other areas.

Yes, Sequoia MD offers transgender and gender-affirming care. Dr. Altschuler provides these services as part of the standard membership. Patients in the Sacramento area seeking gender-affirming primary care can contact the practice to learn more.