For Employers · Construction & Trades
Healthcare benefits for construction and trades crews
Your crews start before clinics open and finish after they close. A benefit only works here if a foreman can use it from the truck at 5:40am and still be on site at 7.
Field-friendly · Household access · Predictable per-worker monthly cost
The short answer
- Who this is for
- General contractors, subs, and electrical, plumbing, HVAC, roofing and concrete companies running field crews across multiple jobsites.
- What crews get
- Unlimited 24/7/365 virtual visits by phone or video, so care happens before the shift instead of instead of the shift.
- Why it fits the trades
- No clinic hours, no jobsite-to-clinic drive, no half day lost to a waiting room, and the worker's family is covered on household plans.
- What it costs
- A flat monthly rate per worker. Quote is based on crew size and whether you fund it or offer it voluntarily.
- Next step
- Send crew count and we will return pricing.
This page sits under for employers — start there if you want the full picture first.
Illness in the trades is a scheduling problem before it is a medical one
A framer with a sinus infection does not skip the doctor because he does not care. He skips it because the appointment is at 2pm, the jobsite is 40 minutes the wrong direction, and leaving means the crew stops. So the infection runs for ten days, he works through it, and eventually somebody takes a full day off instead of twenty minutes.
The same math applies to a worker's kid waking up with a fever. Somebody in the household has to handle it, and if the only option opens at 8am, the crew is short by 6:30.
A benefit that requires a daytime clinic visit does not solve any of this. One that answers the phone at 5am does.
Before the shift, not instead of it
24/7/365 virtual visits by phone or video. A worker can be evaluated and have a prescription sent to a pharmacy near the jobsite before the crew rolls out.
Works across jobsites
Crews move. The membership does not depend on being near one clinic — it goes wherever the worker is that week.
Illness, not injury
This is for sickness, ongoing conditions and everyday medical questions. On-the-job injury still goes through workers' compensation, and we say so clearly to every crew.
What crews actually use it for
Respiratory and sinus infections, skin infections, stomach bugs, rashes and bites, blood-pressure and diabetes follow-up, medication refills, and the questions people otherwise sit on for weeks. Heat-related illness questions in a Texas summer come up often enough to matter.
For workers based in the Fort Worth area, membership also includes in-person primary care with the same provider each visit, at the member rate — which is how a crew member with high blood pressure finally gets consistent follow-up rather than an urgent-care visit every eight months.
Worker calls or opens video
Any hour, from the truck, the trailer or home. No appointment queue for included virtual care.
Licensed provider evaluates and treats
Prescriptions go to a pharmacy the worker can actually reach on the way home. Labs and imaging, when needed, are quoted at member pricing before anything is ordered.
Follow-up without a new bill
Virtual follow-up is included, so a recheck does not become another cost decision.
Local visit when hands-on care is needed
DFW-based workers can be seen in person at the North Richland Hills practice, with in-office visits at $129 each on the $19.99 plan or two included a year then $99 each on the $29.99 plan.
Funding it without wrecking the job cost
Most construction companies we talk to are not deciding between this and a rich group plan. They are deciding between this and nothing, usually because a group quote came back at a number that would have to come out of bid margin.
A per-worker monthly membership behaves like any other predictable job cost. You can fund it for the whole crew, fund the individual level and let workers add family at their own cost, or run it entirely voluntary through payroll deduction.
This tends to fit companies that
- Run field crews that start early or finish late
- Lose production days to illness that could have been handled in 15 minutes
- Have workers with no health plan at all today
- Want to keep skilled trades from leaving for a competitor with benefits
- Need a cost per worker that can be estimated into a bid
Be clear with your crews that this is not
- Health insurance or minimum essential coverage
- Workers' compensation or care for an on-the-job injury
- Emergency care — a serious injury or chest pain means 911
- In-person care outside the Fort Worth area
Membership levels your crews can choose from
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
Can a worker use this for a jobsite injury?
No. On-the-job injuries go through your workers' compensation process. Presence handles illness, ongoing conditions and general medical questions.
Do workers need a smartphone?
No. Virtual visits work by phone call as well as video, which matters for crews without reliable data on site.
What about Spanish-speaking crews?
Tell us your crew's language needs when you request pricing and we will confirm what we can support before you commit — we would rather say no than oversell it.
Can we add seasonal workers only during the busy months?
Yes. Memberships are billed monthly and headcount can move up and down with the season.
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 pricing for your crew
Send crew size and how you want to fund it. We will come back with a per-worker monthly rate you can put in a bid.