The short answer

Yes. Every setting in Dallas–Fort Worth will see a self-pay patient. What changes without insurance is that you are responsible for the whole price, so the price needs to be knowable before the visit rather than after it.

Choosing the setting for the problem

SituationWhere it usually belongs
Severe or frightening symptomsEmergency department, immediately — call 911 if it is severe
Needs hands-on examination, stitches, imaging in the momentIn-person care that day
Everyday illness, follow-up, medication question, results reviewA virtual visit, usually the fastest and least expensive route
Ongoing condition needing one provider over timeA primary care relationship rather than a series of one-off visits

If you are unsure which of those you are in, telehealth versus urgent care walks through the decision.

How it works at Presence

  1. Tell us what is happening

    Call and describe the problem. If a virtual visit cannot help you, we will say so and point you to the right setting instead of taking the booking.

  2. Choose one visit or a membership

    One-time virtual care starts at Quick Care from $19.99, with a $39 phone visit, $49 video visit and $69 extended video visit. A one-time in-office visit at our North Richland Hills practice is $149 for ages 13 and older.

  3. Be seen by a licensed provider

    Presence visits are delivered by licensed providers, including a board-certified Adult-Gerontology Primary Care Nurse Practitioner. You can read about your provider.

  4. Keep the relationship if it helps

    Household membership is $19.99 a month for unlimited virtual care for everyone in the home, with local in-office visits at $129 each, or $29.99 a month which includes two local in-office visits per membership year for the household and $99 for each additional local visit.

Being clear about the limits

  • No visit guarantees a prescription, a note or a referral — those follow a clinical finding.
  • Membership is not insurance and does not cover hospital, surgical, specialist or emergency care.
  • In-office care at Presence is for ages 13 and older; children 12 and under are cared for virtually on a household membership.
  • We cannot confirm payer or Medicare participation beyond what is published on insurance and Medicare information.