Tarrant County · Fort Worth
Direct primary care and 24/7 virtual care in Fort Worth
Fort Worth is where the full Presence membership works end to end — a licensed provider by phone or video at any hour, and in-person primary care with the same person who already knows your history.
Memberships from $19.99/mo · In-person primary care in the Fort Worth area · Not insurance
What Presence covers in Fort Worth
Fort Worth members can use both virtual and in-person care. Our in-person practice is based in the Fort Worth area, and local visits are scheduled by calling us directly. In-person primary care serves ages 13 and up.
Virtual care — broad coverage
Unlimited 24/7 visits by phone or video for members anywhere Presence is licensed in Texas, including everyday illness, follow-up and medication questions.
Scheduled in-office care — North Richland Hills
Scheduled in-office primary care with the same provider each visit at our practice in North Richland Hills (ages 13+).
Member pricing
Discounted rates on labs, imaging and many common medications, ordered by your provider and quoted before you commit.
Why this page exists: Fort Worth is the only geography where Presence delivers both halves of the model at full strength, so this page is the complete version: virtual access, the local relationship, and what each costs.
Healthcare access in Fort Worth, specifically
Fort Worth is a large consumer healthcare market with a small-city habit: people stay with a provider they trust for years. The problem is getting in with one. Establishing as a new primary care patient often means a wait measured in weeks, which quietly pushes routine care into urgent care and freestanding ERs.
The cost side compounds it. A single freestanding emergency visit in Fort Worth routinely exceeds a year of the $19.99 individual virtual membership, and the visit ends with a discharge sheet rather than a provider who follows what happens next.
Presence takes the opposite approach: a flat monthly price, direct scheduling by phone instead of a call tree, and one local provider carrying your record forward.
Virtual care available to Fort Worth members
- Unlimited 24/7/365 virtual visits by phone or video with a licensed provider, for members anywhere Presence is licensed to practice in Texas.
- Overnight and weekend access without a waiting room or a facility fee.
- Refill and medication questions handled between in-person visits.
- Triage you can trust: your provider will tell you when something genuinely needs to be seen in person or in an emergency department.
More detail on 24/7 virtual care and ongoing virtual primary care.
In-person care available to Fort Worth members
- In-person primary care in the Fort Worth area with the same provider each visit.
- Annual wellness and physical visits, hands-on evaluation, and chronic condition follow-up.
- Local in-office visits are $129 each on the $19.99 household plan; the $29.99 plan includes 2 a year, then $99 each; Unlimited plans include them with no per-visit charge.
- Unlimited plans include unlimited medically appropriate in-person primary care.
To schedule an in-person visit, call 817-900-6368. More on local direct primary care.
Who joins from Fort Worth
Membership tends to make immediate sense for people who are already paying cash for care, or whose schedule does not fit clinic hours.
- Adults without insurance who want a real primary care relationship instead of a string of one-off urgent care visits.
- Households on high-deductible plans who pay full price for routine care most of the year anyway.
- Hospitality, logistics, healthcare and shift workers whose hours rarely line up with 8-to-5 scheduling.
- Older adults who want an unhurried medication and history review with someone who remembers the last conversation.
- Fort Worth employers looking for a predictable per-employee benefit that works for hourly and part-time staff.
The Fort Worth version of continuity
Continuity is the part people notice after month three. Your medications, prior labs and goals are already on the screen, so a visit starts where the last one ended instead of restarting at the intake form.
That matters most for the boring things: a blood pressure that needs two adjustments, a thyroid dose that needs rechecking, a cholesterol conversation that only works if someone remembers what you tried last year.
What the money actually looks like
- $19.99/mo — unlimited 24/7 virtual care for the household, with local in-office visits at $129 each.
- $29.99/mo — household virtual care plus two scheduled local visits annually, then $99 each.
- $129 each on the $19.99 plan; $99 each after the two included visits on the $29.99 plan.
- Member pricing on labs, imaging and many common medications, quoted before you commit.
Membership options for Fort Worth
Fort Worth members use both halves of the membership, so the plan choice usually comes down to how often you want to be seen in person.
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.
All four plans, terms and the applicable in-office visit prices are on the pricing page. Presence is a healthcare membership, not insurance.
More detail
How local visits are scheduled
You call the practice number directly. There is no central intake queue and no patient portal ticket to wait on. Appointments are longer than a typical volume-based clinic slot because membership pays for time rather than visit volume.
Membership terms in plain language
- 12-month membership commitment, billed monthly.
- One-time $49 onboarding fee before your first in-person visit.
- Presence is a healthcare membership, not insurance, and does not cover hospital, specialty or emergency care.
Fort Worth questions we get
Do I have to live in Fort Worth to join?
No. Virtual care is available to members anywhere Presence is licensed to practice in Texas. Fort Worth is where in-person visits are scheduled.
Can I keep my insurance and still be a member?
Yes, and most members do. Insurance covers hospital, specialty and emergency care; the membership covers everyday access. Presence is not insurance.
How fast can I be seen after joining?
Virtual care is available 24/7/365 as soon as your membership is active. In-person visits are by appointment with the practice.
Is in-person care available for children?
In-person primary care serves ages 13 and up. Virtual care is available to the household through our 24/7 provider network.
Start with a Fort Worth provider who stays your provider
Call to ask anything before joining — we will tell you plainly whether membership fits your situation.