DFW Care · No Insurance Needed
Primary care without insurance in Fort Worth and DFW
Not a one-time cash visit at whichever clinic had an opening — an actual primary care provider who knows your history, at a price you know before you walk in.
From $19.99/mo per household · No insurance required · Scheduled local care by appointment
The short answer
In the Fort Worth and Dallas area you can have ongoing primary care without insurance: household virtual membership starts at $19.99 a month, with plan-specific scheduled local care and quoted pricing on labs and medications. A one-time $49 onboarding review comes before a first in-person visit. Local in-person care is for ages 13 and older.
- Who it is for
- Uninsured and self-pay adults and teenagers aged 13+ in the Dallas–Fort Worth area who want ongoing local primary care at a known price.
- When it may not fit
- Anyone needing hospital, surgical, specialist or emergency coverage — membership is not insurance and does not replace it.
- What it costs
- From $19.99 a month; local visits are $129 each on Virtual Family Care, two included annually then $99 each on Virtual + Local In-Office Care, and included without a per-visit charge on Unlimited plans; one-time $49 clinical onboarding before the first in-office visit.
- What to do next
- Join, or call to ask what your first year would actually cost.
In an emergency call 911 or go to the nearest emergency department.
Prices and material terms
- Member in-person visit$99In the Dallas–Fort Worth area, on Virtual plans.
- One-time clinical onboarding$49Medical history review before a first in-person visit.
- Without a membership$149A single in-person visit, no commitment.
Local in-person care is for ages 13 and older. Unlimited plans include medically appropriate local visits with no per-visit charge. Membership is not insurance and does not cover hospital, surgical, specialist or emergency care.
The short answer
- Who this is for
- Uninsured, self-pay and high-deductible households in Fort Worth, North Fort Worth, Haslet, Keller, Southlake, Colleyville and the wider DFW area.
- What you get
- Unlimited 24/7/365 virtual visits, in-person primary care in the Fort Worth area with the same provider, and member pricing on labs, imaging and medications.
- Why it is better than cash-pay visits
- Continuity. Your history, medications and results carry forward instead of restarting with a stranger every time something goes wrong.
- What it costs
- $19.99/month for your whole household, with local in-office visits at $129 each. The $29.99 plan includes two in-office visits a year, then $99 each. Unlimited plans stop counting visits.
- Next step
- Choose a membership, or call now if you need care today.
This page sits under dfw care — start there if you want the full picture first.
No insurance — which route costs you least?
- Get care now
You need one visit, today
A one-time virtual visit from $19.99, or $99 for an in-person member visit. Prices are published, not quoted after the fact.
- Compare memberships
You expect more than two or three visits this year
A membership from $19.99/month costs less than the visits would, and includes member lab and imaging pricing.
- See Whole Family Virtual Care
It is the whole household, including children under 13
Whole Family Virtual Care covers everyone at home for $19.99/month, 24/7/365, in all 50 states.
- Labs and imaging pricing
The expensive part is the blood work or the scan, not the visit
Member pricing on labs and imaging, quoted before anything is ordered.
Insurance options are available; coverage and in-network status vary by plan and must be verified before the visit.
Being uninsured usually means having no medical home, not just no card
The immediate problem people describe is money: a clinic quotes $180 before anything is ordered, and labs come back as a separate bill weeks later. The deeper problem is that nothing connects. One visit at an urgent care in Haslet, one at a retail clinic in Keller, one at a freestanding ER off 35W — and no single provider has ever seen the whole picture. Blood pressure gets mentioned three times and managed zero times.
That fragmentation is what a membership actually fixes. You are not buying a discount on visits. You are buying a relationship with one provider, plus unlimited virtual access so the small things get handled the day they happen.
One provider, every time
The same licensed provider follows your care, so medications, history and results are already known before you sit down.
Prices you see first
Membership is a flat monthly fee. Local visits are $129 each on the $19.99 plan, two included annually then $99 each on the $29.99 plan, and carry no per-visit charge on Unlimited plans. Labs, imaging and medications are quoted at member pricing before you agree to anything.
Unlimited care between visits
24/7/365 virtual visits by phone or video are included, so a rash, a refill or a recheck is not a new bill and not a new clinic.
What self-pay usually costs versus what a membership costs
We will not publish savings claims we cannot stand behind, so here is the structure instead of a promise. Paying cash means every event is a separate purchase decision: the visit, the lab, the imaging, the refill, and the follow-up visit to review results. A membership converts most of that into one monthly number with member pricing behind it.
For a household that has two or three ordinary medical events a year — a sinus infection, a kid's ear infection, a blood-pressure recheck — the arithmetic tends to work out in the membership's favor. For a household that truly never seeks care, it may not, and we will say so.
Join and complete onboarding
A one-time $49 clinical onboarding and medical history review is completed before your first in-person visit, so your provider starts with your actual history.
Use virtual care for anything urgent or routine
Unlimited, any hour, by phone or video. No copay for included virtual care.
Come in when hands-on care matters
In-person primary care at the North Richland Hills practice. On the $19.99 plan visits are $129 each; the $29.99 plan includes two a year, then $99 each.
Get labs and imaging at member rates
Pricing through participating partners is quoted before anything is ordered. Savings vary by service and facility.
Where this works and where it does not
A strong fit if you
- Have no health plan and want ongoing care, not one-off visits
- Have a high-deductible plan and pay cash for routine care anyway
- Are managing blood pressure, diabetes, thyroid or cholesterol
- Need refills and follow-up without booking a new clinic each time
- Live or work in the Fort Worth area and can come in occasionally
Not the right tool for
- Hospital, surgical, emergency or specialty costs
- Anything requiring insurance or minimum essential coverage
- Emergencies — chest pain, stroke symptoms or severe injury means 911
- In-person pediatric care under 13 at the local practice
Presence is a healthcare membership, not insurance. Local in-person primary care is for ages 13+; the virtual side covers the whole household on family plans.
Membership options for DFW households
Virtual Family Care
$19.99/month
Unlimited 24/7 virtual care for your entire household — care when you need it, from the comfort of home.
- Unlimited 24/7/365 virtual visits by phone or video for your household
- Pediatric virtual care included for children under 13
- Skip the traffic, the waiting room and the missed workday
- Local in-office visits $129 per visit for members ages 13+
- Member pricing on labs, imaging and medications
- No insurance required · No copays for virtual visits
$19.99/month · Billed monthly · 12-month commitment · Covers your household · $129 per local in-office visit · One-time $49 onboarding before a first in-person visit
See Membership Details
- Unlimited virtual visits, 24/7/365, by phone or video with a licensed provider — no copay for virtual care and no per-visit fee.
- Skip the traffic. Skip the waiting room. Skip missing work. And skip paying urgent care or ER prices for something that may be handled virtually.
- Pediatric virtual care is included for children under 13. Local in-office Presence care is for ages 13+; when a younger child needs hands-on care, families can access participating pediatric partners.
- When virtual care isn't enough, members can be seen in person at the Presence practice in North Richland Hills. Local in-office visits on this plan are $129 per visit and are not included in the monthly membership.
- Member pricing on labs, imaging and medications through participating partners. Savings vary by service and facility.
- Membership requires a 12-month commitment, billed monthly, and continues month to month afterward.
- Membership is not health insurance. See Membership & Care Information in the footer for full disclosures.
12-month membership commitment · Billed monthly. Local in-office visits are billed at $129 per visit and are not included in the monthly fee. Local Presence primary care is for ages 13+. A one-time $49 clinical onboarding & medical history review is completed before your first in-person visit.
MOST POPULAR · BEST VALUE
Virtual + Local In-Office Care
$29.99/month
Unlimited 24/7 virtual care for your household, with two local in-office visits included every year.
- Unlimited 24/7/365 virtual visits for everyone at home
- 2 local in-office visits included annually; additional visits $99 each
- Pediatric virtual care included for children under 13
- No copays for virtual visits · No insurance required
- Member pricing on labs, imaging and medications
$29.99/month · Billed monthly · 12-month commitment · Covers your household · 2 local in-office visits included annually, then $99 each · One-time $49 onboarding per person before a first in-person visit
See Membership Details
- Unlimited 24/7/365 virtual visits for everyone in the household, including pediatric virtual care for children under 13.
- Because kids get sick at night. Work runs late. Traffic is brutal. Whether it's 2:00 in the afternoon or 2:00 in the morning, your family still has access to care.
- Two local in-office visits are included each membership year for household members ages 13+. Additional in-office visits are $99 each.
- Children under 13 receive virtual care and referral to participating pediatric partners when hands-on care is needed.
- Member pricing on labs, imaging and medications through participating partners. Savings vary by service and facility.
- 12-month commitment, billed monthly. Membership is not health insurance.
12-month membership commitment · Billed monthly. Includes 2 local in-office visits per membership year for household members ages 13+; additional in-office visits are $99 each. Local Presence primary care is for ages 13+.
Individual Unlimited
Ages 19–44$79/month
Ages 45–64$89/month
Ages 65+$109/month
Make Presence your primary care home, with age-based pricing and local visits that aren't counted.
- Unlimited 24/7/365 virtual visits by phone or video
- Unlimited medically appropriate local primary care visits
- No per-visit charge for covered local primary care
- Same local provider for continuity of care
- Member pricing on labs, imaging and medications
$79/month ages 19–44 · $89/month ages 45–64 · $109/month ages 65+ · Billed monthly · 12-month commitment · One-time $49 onboarding before your first in-person visit
See Membership Details
- Unlimited virtual visits, 24/7/365, plus unlimited medically appropriate local primary care visits with no per-visit charge.
- Wellness and annual visits, sick visits, follow-ups, referrals and authorizations are included when medically appropriate.
- You see the same local provider each time, so your history, medications and goals carry forward between visits.
- A one-time $49 clinical onboarding and medical history review is completed before your first in-person visit.
- Local primary care is for ages 13+, scheduled at the Presence practice in North Richland Hills. Appointment availability varies.
- Age-based monthly pricing: $79 ages 19–44, $89 ages 45–64 and $109 ages 65+. 12-month commitment, billed monthly. Membership is not health insurance.
12-month membership commitment · Billed monthly. Ages 13+ for local primary care. One-time $49 clinical onboarding & medical history review before your first in-person visit.
COMPLETE FAMILY CARE
Family Unlimited
$219/month
Complete household care with unlimited local primary care visits.
- Unlimited 24/7/365 virtual visits for the household
- Unlimited medically appropriate local primary care visits (ages 13+)
- No per-visit charge for covered local primary care
- Family of up to 5 · each additional child after 5 is $29/month
- Member pricing on labs, imaging and medications
$219/month · Billed monthly · 12-month commitment · Family of up to 5 · Each additional child after 5 is $29/month
See Membership Details
- Unlimited 24/7/365 virtual visits for the household, plus unlimited medically appropriate local primary care visits for members 13+ with no per-visit charge.
- Covers a family of up to five. Each additional child after five can be added for $29/month.
- Children under 13 receive pediatric virtual care and access to participating pediatric partners when hands-on care is needed.
- A one-time $49 clinical onboarding and medical history review is completed before each member's first in-person visit.
- The same local provider follows your household's history, medications and preventive care over time.
- 12-month commitment, billed monthly. Membership is not health insurance.
12-month membership commitment · Billed monthly. Children under 13 receive pediatric virtual care and access to participating pediatric partners when hands-on care is needed.
Full terms, applicable in-office visit prices and the one-time $49 onboarding fee are on the pricing page. Presence is a healthcare membership, not insurance.
Questions people ask
Do I need insurance to become a member?
No. Membership is self-pay by design and does not require or bill insurance.
Can I use this with a high-deductible plan?
Yes, and many members do. You keep your plan for catastrophic risk and use the membership for everyday care below the deductible.
What does an in-person visit cost on each household plan?
Local visits are $129 each on Virtual Family Care. Virtual + Local In-Office Care includes two per household each membership year, then $99 each. A one-time $49 clinical onboarding applies per person before a first in-office visit.
Where is the in-person practice?
In the Fort Worth area, serving North Fort Worth, Haslet, Keller, Southlake, Colleyville and surrounding communities. See the service area page for details.
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.
Get a real primary care provider without insurance
Start a membership today, or call now if something needs attention before then.