Northeast Tarrant County · Keller
Keller primary care membership for households already paying out of pocket
Keller is a high-deductible market. If your plan pays for almost none of your routine care until late in the year, a flat monthly membership is straightforward arithmetic rather than a leap of faith.
From $19.99/mo individual · $29.99/mo household · Pays alongside your existing plan
What Presence covers in Keller
Keller members can use both virtual and in-person care. Presence does not have a Keller office. In-person visits are scheduled at our practice in North Richland Hills, generally 15-20 minutes southeast of Keller.
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: Keller's deciding question is cost structure, not access. This page is written for people comparing a deductible against a membership fee.
Healthcare access in Keller, specifically
Plenty of Keller households carry good insurance and still pay full price for every routine visit, because a high deductible means the plan does not participate until something expensive happens. Primary care ends up funded exactly like it would be with no coverage at all.
Direct primary care searches spike in markets like this for a reason: once you are paying cash anyway, the question becomes whether to pay per visit at retail rates or a predictable monthly fee for included care.
Presence answers that with published pricing, unlimited virtual visits and a local provider — while your health plan stays in place for hospital, specialty and emergency care.
Virtual care available to Keller 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.
- Care during evenings, weekends and school-sports season chaos.
- Ongoing management of blood pressure, cholesterol and thyroid conditions within primary care scope.
- Member pricing on labs and imaging, which is usually what makes people follow through on a workup.
More detail on 24/7 virtual care and ongoing virtual primary care.
In-person care available to Keller members
- In-person primary care about 15-20 minutes from Keller at our North Richland Hills practice, with the same provider each visit.
- On the $19.99 plan in-office visits are $129 each; the $29.99 plan includes 2 a year, then $99 each.
- Unlimited plans include unlimited medically appropriate in-person primary care and priority scheduling.
- In-person primary care serves ages 13 and up.
To schedule an in-person visit, call 817-900-6368. More on local direct primary care.
Who this fits in Keller
Mostly insured households doing the math on what their plan actually pays for.
- Households with high-deductible or HSA-based coverage who pay out of pocket for routine visits.
- Families juggling school, sports and work schedules who need care outside clinic hours.
- Adults managing blood pressure, cholesterol or thyroid conditions who want consistent follow-up rather than annual re-establishment.
- Keller-area small employers who want to offer something meaningful without a group plan's cost.
Running the numbers honestly
- Individual membership: $19.99/mo — less than most single urgent care visits at retail cash rates.
- Household membership: $29.99/mo — one price regardless of how many sore throats the school year produces.
- In-office visit pricing published rather than quoted afterward: $129 on the $19.99 plan, or 2 included visits then $99 each on the $29.99 plan.
- Membership dues can be paid with an HSA, FSA, debit or credit card; whether membership fees are reimbursable depends on your plan administrator and tax situation.
Membership options for Keller
Household plans are the common starting point in Keller; individual plans are listed on the pricing page.
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+.
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
What membership does not do
It does not replace insurance, and we do not recommend dropping coverage. Membership covers access and everyday care; your plan covers catastrophic risk.
Terms
- 12-month membership commitment, billed monthly.
- One-time $49 onboarding fee before your first in-person visit.
Keller questions we get
Can I pay with my HSA or FSA?
Membership dues can be paid with an HSA, FSA, debit or credit card. Whether the fee is an eligible reimbursement depends on your plan administrator and your individual tax situation.
Does membership replace my insurance?
No. Presence is a healthcare membership, not insurance. Keep coverage for hospital, emergency and specialty care.
Will I see the same provider in person each time?
Yes — that is the model. In-person primary care is built around one provider who knows your history.
Predictable healthcare cost, starting this month
See exactly what is included before you join. Nothing is quoted after the fact.