Membership
Start with unlimited virtual care for your whole household
Every Presence membership includes unlimited 24/7 virtual visits. DFW households can add scheduled in-office care in North Richland Hills or choose an Unlimited local primary care plan.
Memberships start at $19.99/month · HSA/FSA eligible · 12-month membership commitment, billed monthly
The short answer
Presence membership starts at $19.99 a month per household and includes unlimited 24/7 virtual visits plus member pricing on labs, imaging and medications. Local visits are $129 each on that plan; the $29.99 household plan includes two annually, then $99 each. Every plan is a 12-month commitment billed monthly. A one-time $49 onboarding review is completed before a first in-person visit. Membership is not insurance.
- Who it is for
- People who want ongoing access and predictable pricing rather than paying per visit — individuals, couples, households and older adults.
- 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, billed monthly on a 12-month commitment. Local visits are $129 each on the $19.99 plan, two included annually then $99 each on the $29.99 plan, and included without a per-visit charge on Unlimited plans. A one-time $49 onboarding review applies before a first in-office visit.
- What to do next
- Choose the plan that matches your household, or read every price first.
In an emergency call 911 or go to the nearest emergency department.
Prices and material terms
- Virtual Family Care$19.99/month$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
- Virtual + Local In-Office Care$29.99/month$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
- Individual Unlimited$79/month$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
- Family Unlimited$219/month$219/month · Billed monthly · 12-month commitment · Family of up to 5 · Each additional child after 5 is $29/month
Every plan is billed monthly on a 12-month commitment. Local visits are $129 each on Virtual Family Care, included twice annually then $99 each on Virtual + Local In-Office Care, and have no per-visit charge on Unlimited plans. A one-time $49 clinical onboarding review is completed before a first in-person visit. Membership is not insurance and does not cover hospital, surgical, specialist or emergency care. Full terms are on the pricing page.
Choose the care that fits you
Two virtual-first memberships cover your whole household for everyday care, and two Unlimited memberships make Presence your primary care home with local in-office visits that aren't counted.
Virtual-first memberships (your whole household)
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+.
Unlimited primary care memberships
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.
What's included in every membership
Unlimited 24/7 virtual care
Licensed providers by phone or video, 365 days a year, for everyday illness and health questions.
Scheduled local care for DFW
Virtual Family Care members pay $129 per local visit. The $29.99 plan includes two visits a year, then $99 each. Unlimited plans have no per-visit charge for included local care.
Member savings
Member pricing on labs, imaging and medications through our healthcare partners.
A one-time $49 clinical onboarding and medical history review is completed before your first in-person visit, so your provider already knows your history. Local in-office visits are $129 each on Virtual Family Care, and $99 each after the two included visits on Virtual + Local In-Office Care.
Comparing options? See full pricing and member savings, or read about individual memberships and family memberships.
Ready to join Presence?
Call and we'll walk you through the plan that fits your household in a few minutes.