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Presence Answers

Preventive care & ongoing management

Prevention is mostly a sequence: knowing what is due, getting it done, and acting on the result. These answers explain how that sequence runs in a virtual-first practice, and where an in-person step is required.

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

Full answers in this category

How does preventive care work when your primary care is virtual?

How a virtual-first practice handles prevention: reviewing what is due, ordering screening and laboratory testing locally, acting on results, and the parts that must be in person.

6 min read

Ready to act on this? Preventive Care

Quick answers

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

Can a virtual provider order lab work?

Yes. Labs are ordered through your provider and drawn at a facility near you, at member pricing with no insurance required.

Because the price is quoted before anything is ordered, the usual reason people skip a work-up — not knowing what the bill will be — is removed. Savings of up to 80–90% are compared with traditional hospital pricing; not every test saves that much, which is why we quote your actual price.

Limits: Not every test is available at every partner facility, and prices vary by test and location.

Full detail · Labs and imaging pricing

Can someone review my blood work with me?

Yes — including results drawn elsewhere. A result review goes through what the values mean, what they do not mean, and what happens next.

People routinely receive a portal number with no explanation. A review puts the values into the context of your history and medications, and decides whether repeat testing, treatment or referral is the right next step.

Limits: A review cannot settle everything; some results require examination, imaging or specialist input.

Full detail · Lab result review

What does an X-ray, ultrasound, CT or MRI cost without insurance?

Member pricing through imaging partners, quoted before you go. Imaging is where price shopping matters most — the same study can differ enormously between facilities.

Tell us the study and your location and we quote a range and tell you what to ask for. Savings of up to 80–90% are compared with traditional hospital pricing and require no insurance; the actual figure depends on the study, facility and location.

Limits: Imaging, labs and specialist services are not included in membership dues. Amounts are not guaranteed and are not insurance benefits.

Full detail · Ask for an imaging price

Are labs included in my membership?

No — labs, imaging, medications, specialist care and emergency care are not included in dues. Membership gives you access to negotiated pricing on them.

This distinction matters and we state it everywhere: dues buy access to care and to partner pricing, not the tests themselves. The pricing is what usually makes a work-up affordable.

Limits: Partner pricing varies by test, study, medication, facility and availability, and is not insurance.

Full detail · Compare memberships

I already have a lab order — can you just price it?

Yes. Send the test names and we quote the member self-pay price before anything is drawn.

You are not obliged to use the facility your order was written for. Knowing the price first is usually the difference between following through and postponing the work-up indefinitely.

Limits: Some panels are only available through particular partners; a quote is specific to your tests and location.

Full detail · Ask for a price

What screening should I be having?

It depends on your age, sex, family history and risk factors — that is precisely what a preventive planning visit is for.

A provider maps which screening is due, orders what can be ordered at member pricing, and tells you what must be done in person. We do not publish generic screening schedules as if they applied to everyone.

Limits: Screening recommendations are individual; some require in-person procedures we do not provide.

Full detail · Compare memberships

See every quick answer on the Answers hub

Other answer categories

  • Virtual care & telehealth — What a virtual visit can and cannot do, when to use it instead of urgent care, and how a visit works start to finish.
  • Primary care & direct primary care — What membership medicine is, how it differs from insurance-based and concierge care, and what it actually costs.
  • Affordable & self-pay healthcare — Practical options for households without insurance, with a high deductible, or simply tired of unpredictable bills.
  • Family & pediatric virtual care — How household virtual care works, what a child's virtual visit can cover, and where the age boundaries sit.
  • Prescriptions & refills — How a refill evaluation works virtually, what may be prescribed, and what will never be prescribed online.
  • Labs, imaging & testing — How testing is ordered from a virtual visit, where you go for the draw or scan, and how results are reviewed.
  • DFW local care — What care costs locally without insurance, how to be seen without coverage, and where local in-office visits happen.
  • Self-employed, 1099 & gig workers — Healthcare options when nobody provides a benefit for you, and how membership care fits alongside coverage.
  • Older adults & caregivers — Choosing primary care for yourself or an aging parent, why continuity matters, and how medication review works.
  • Employers & small business — How small employers add real primary-care access without buying a second insurance plan.
  • Symptoms & conditions — What a virtual visit can realistically assess for everyday problems — and the findings that need hands-on care instead.
  • Medications & prescribing — What may be prescribed after a virtual assessment, what needs monitoring first, and what is never prescribed online here.
  • Healthcare costs & price transparency — What Presence care costs, how membership maths actually works, and how to ask any practice for a price before you agree to it.
  • Urgent vs primary vs virtual care — Which setting fits which problem, what each one can do, and how to avoid paying for the wrong kind of visit.
  • Women's health — Preventive care, screening, menopause, recurrent urinary infections and the tests that come up most — inside verified scope.
  • Men's health — Preventive care, the three numbers that matter most, and the concerns men most often leave unsaid.

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.

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