Sequoia MD is Sacramento's first direct primary care practice. That means a lot of things, but at its core, it means medical care for you and your family that is focused entirely on your needs, for a low monthly fee. No insurance hassles. No bureaucratic red tape. Goodbye, frustration, hello personal care. We provide you the care that you need, and you pay us a monthly fee. Think of it like a gym membership, but instead of lifting weights, you get a team of professionals.