NO INSURANCE REQUIRED · NO COPAYS ON INCLUDED CARE · HSA/FSA ELIGIBLE

Presence Answers

Healthcare costs & price transparency

Every price on this site is our own published price. We do not publish other practices' prices or market averages we cannot source, so these answers focus on what Presence charges and how to get a firm number from anyone else before you book.

Written by the Presence care team · No visit guarantees a prescription or a note · Membership is not insurance

Quick answers

Short answers to the questions people ask before booking. Each links to the page that owns the full detail.

Do I need insurance to be seen?

No. Prices are published and payable directly: QuickCare from $19.99, phone $39, video $49, and $99 for a member in-person visit.

Insurance options are available; coverage and in-network status vary by plan and must be verified before the visit. Most people who come to us are choosing self-pay deliberately because the price is known in advance.

Limits: Self-pay prices are not insurance benefits and do not apply to third-party facility charges.

What does a visit cost?

QuickCare from $19.99, a phone visit $39, a video visit $49, and $99 for an in-person visit as a member.

Unlimited members pay no per-visit fee for included virtual care. Memberships run from $19.99 a month for individual virtual care to $219 for a family of up to five with unlimited care; a one-time $49 onboarding fee applies.

Limits: Labs, imaging, medications, specialist and emergency care are separate from dues.

Should I join a membership or just pay per visit?

One or two visits a year: pay per visit. Regular care, a chronic condition or a household: a membership almost always costs less.

The break-even arrives quickly, and membership adds member pricing on labs, imaging and many generics — which is where the real money is for anyone having a work-up.

Limits: Memberships are not insurance and do not replace major medical coverage.

Can I use HSA or FSA funds?

Many care costs are HSA/FSA eligible; membership dues may not be. Check with your plan administrator, because eligibility is theirs to determine.

We publish what we know and do not overstate it. Visit fees, labs, imaging and medications are the usual eligible categories; periodic membership dues are treated differently by different administrators.

Limits: We do not give tax advice and cannot guarantee any administrator's decision.

I have insurance with a big deductible. Is self-pay cheaper?

Often, yes — especially for labs and imaging. We will show you the self-pay price so you can compare it against what your deductible would cost you.

Below the deductible you are usually paying the negotiated rate yourself anyway. That is exactly where published self-pay pricing and partner lab and imaging rates win.

Limits: Self-pay amounts generally do not count toward your deductible. Verify with your plan.

Are there hidden fees?

No. Visit prices are published, membership dues and the one-time $49 onboarding fee are stated, and third-party costs such as labs, imaging and medications are quoted before they are ordered.

Whole Family Virtual Care has its own stated terms: $19.99 a month for the household, $39.99 one-time registration, a 12-month commitment billed monthly, automatically renewing.

Limits: Facility and pharmacy charges are set by those third parties, not by Presence.

Are there really no copays?

There are no copays for services covered by the self-pay Whole Family membership. That statement applies to membership-covered care only — never to anything billed through insurance or Medicare.

We keep that qualifier attached everywhere, because a blanket 'no copays' claim would be misleading the moment any service is billed to a payer.

Limits: Insurance and Medicare cost-sharing is set by those plans and is unaffected by any membership.

Can I offer this to my employees?

Yes. Per-employee memberships give a team 24/7 virtual access and member pricing on labs and imaging at a fraction of premium cost.

It is not insurance and is not a replacement for major medical coverage; many employers use it alongside a high-deductible plan or as the only realistic benefit they can fund.

Limits: Not insurance; no claim about ACA compliance or benefit substitution.

See every quick answer on the Answers hub

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About this information

Written by the Presence care team for patients considering care with us. Presence care is delivered by licensed providers, including a board-certified Adult-Gerontology Primary Care Nurse Practitioner — not by a physician, and not by software. Meet your provider.

This page explains how our service works. It is general information, not a diagnosis, and it is not a substitute for an evaluation of your own situation. Whether testing, treatment or a prescription is appropriate is decided during a visit.

If this is an emergency — chest pain, trouble breathing, stroke symptoms, severe bleeding, or thoughts of harming yourself — call 911 or go to the nearest emergency department. See our emergency care notice.

Last updated · Membership is not insurance.

Still deciding?

Call and we will tell you honestly which option fits your household — including when the answer is none of ours.