NO INSURANCE REQUIRED · NO COPAYS ON INCLUDED CARE · HSA/FSA ELIGIBLE

Pricing

Know what your healthcare costs before you need it

No copays for included care, no deductible games and no surprise urgent-care bill. Membership pricing is simple and billed monthly.

Pay by debit or credit card · 12-month membership commitment, billed monthly · Not insurance

The short answer

Every Presence price is published on this page. One-time virtual visits are $39 by phone and $49 by video, QuickCare starts at $19.99, and memberships run from $19.99 to $219 a month. Members pay $99 for an in-person visit in the Fort Worth area, after a one-time $49 onboarding review. Membership is not insurance.

Who it is for
Anyone who wants the full price list before speaking to us — one-time visits, memberships, local care and the one-time fees.
When it may not fit
Lab and imaging prices, which depend on the test and facility and are quoted before anything is ordered.
What it costs
Published on this page in full. Memberships are billed monthly on a 12-month commitment.
What to do next
Pick a plan, or call if a one-time visit is all you need.

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.

Membership pricing

Individual Direct Primary Care pricing changes with age because care needs and the time a visit deserves can change across adulthood. The goal is unhurried, attentive care at every age and stage.

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.

Become a Member

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+.

Become a Member

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.

Become a Member

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.

Become a Member
All four memberships side by side
What you getVirtual Family Care $19.99Individual Unlimited $79–$109 by ageVirtual + Local In-Office Care $29.99Family Unlimited $219
Who it coversYour householdOne adultYour householdFamily of up to 5 (+$29/mo per additional child after 5)
24/7 virtual visitsUnlimitedUnlimitedUnlimitedUnlimited
Included in-office visitsNone includedUnlimited, medically appropriate2 per household per yearUnlimited, medically appropriate (ages 13+)
Local in-office visit price for members$129 per visitNo per-visit charge$99 per visit after the 2 includedNo per-visit charge
Pediatric virtual care (ages 12 and under)IncludedNot includedIncludedIncluded
Member pricing on labs, imaging, medicationsYesYesYesYes

All plans: billed monthly · 12-month commitment, then month to month · one-time $49 clinical onboarding per person before a first in-person visit · local Presence primary care for ages 13+ (children 12 and under receive virtual care on household plans) · membership is not health insurance and does not cover hospital, emergency or specialty care.

Visit and onboarding pricing

$129 / $99 member in-office visit

Local in-office visits are $129 each on Virtual Family Care. Virtual + Local In-Office Care includes two visits a year, then $99 each. Unlimited memberships have no per-visit charge for covered local primary care.

$49 clinical onboarding

A one-time clinical onboarding and medical history review completed before your first in-person visit — not before you join.

$0 virtual visits

Unlimited 24/7 virtual visits are included in every membership with no per-visit telehealth charge.

Member savings vary by service, partner and facility. See details below.

Member Savings Details

Member pricing on labs, imaging and medications is provided through third-party healthcare partners and participating facilities, not by Presence directly.

Actual pricing depends on the specific test, medication, facility and location. Not every service or facility offers the same rate, and savings are not guaranteed for any individual test, image or prescription. Ranges shown compare member partner pricing to typical retail or hospital-billed pricing.

The membership fee covers access to member pricing. The service itself is paid separately at the applicable member rate.

Healthcare costs can be dramatically lower as a member

Your membership gives you access to available member pricing. The lab, imaging, medication or other service itself is paid separately at the applicable member rate.

Labs

Common labs at member pricing as low as $3–$25 instead of typical retail lab billing.

Medications

Many common generic medications at up to 80–90% off typical retail pricing.

X-rays & imaging

Imaging at member rates that are frequently 80–90% less than hospital-billed pricing.

Not ready for a membership?

You can still get care when you need it. One-time visits are available without joining.

One-time virtual sick visit — $49

Licensed virtual care for common illnesses and everyday health concerns.

One-time in-person sick visit — $149

Local in-person care when you need to be seen in the clinic.

Need care more than once? Membership starts at $19.99/month and includes unlimited 24/7 virtual care.

Pricing questions

Are there copays or per-visit fees?

No copays for care included in your plan, and no per-visit charge for included virtual care. 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.

What is the 12-month commitment?

Membership is billed monthly with a 12-month commitment, then continues month to month. The commitment is what keeps the monthly price this low.

Can I pay with an HSA or FSA?

Eligibility rules for membership fees vary by plan and change over time. Ask your plan administrator or tax advisor — we cannot give tax advice. Labs, imaging and medications paid at member rates are handled separately by those providers.

Do you bill my insurance or Medicare?

Membership dues are a private fee and are never billed to a plan, and membership is not insurance. Separately, Presence intends to accept commercial insurance and to serve Medicare patients for applicable services; contracts, network participation and Medicare enrollment are still being completed, so coverage and in-network status are verified for your plan before a visit rather than promised here. See how insurance verification works or Medicare and telehealth.

Can I switch plans later?

Yes. Members move between individual and household plans, or up to an Unlimited plan, as their care needs change. Call and we'll compare the real cost for how you actually use care.

Are the labs and imaging savings guaranteed?

No. Member pricing comes from participating partners and facilities, and actual savings depend on the specific test, medication, facility and location.

Simple pricing, real care

Call to confirm which membership fits your household, or start with a one-time visit today.