Family Virtual Health · Virtual Urgent Care
Virtual urgent care and online sick visits
It is 10:40pm, someone in the house is sick, and the choice should not be between an emergency room and waiting until morning. Members reach a licensed provider by phone or video in minutes, any hour of any day.
24/7/365 · Unlimited included visits · No copay for included virtual care
The short answer
- Who this is for
- Households anywhere Presence providers are licensed who need care tonight rather than a scheduled appointment.
- What you get
- Unlimited 24/7/365 virtual visits, prescriptions where clinically appropriate, and included follow-up until it resolves.
- Why it is better than a one-off telehealth app
- No per-visit fee, no new provider every time, and member pricing on labs, imaging and medications behind the visit.
- What it costs
- Included with Virtual Family Care at $19.99/month for the household, with a $29.99 DFW virtual-plus-local household option.
- Next step
- Call now, or join and use it the same day.
This page sits under family virtual health — start there if you want the full picture first.
Urgent care, or a virtual visit?
- Get care now
Everyday illness — throat, cough, sinus, urinary, a rash
Start virtually from $19.99. It costs a fraction of an urgent-care visit and starts sooner.
- When to be seen in person
Something that needs looking at, listening to or stitching
Urgent care or in-person assessment. A virtual provider will tell you this early rather than at the end.
- Emergency guidance
Chest pain, breathing trouble, weakness on one side, severe pain, confusion
Call 911 or go to the nearest emergency department now.
- See Whole Family Virtual Care
A child under 13, at any hour
Whole Family Virtual Care is the pathway for younger children, 24/7/365.
The 10pm problem
Almost nobody plans a sick visit. A fever climbs after dinner, an ear starts hurting on a Sunday, a rash appears the night before a flight. In those hours the options are an emergency room you do not need, an urgent care that closed at 8, or a wait-and-see that turns a small problem into a lost day.
Virtual urgent care exists for exactly that window. A licensed provider takes the call, evaluates the symptoms, treats what can be treated and — just as importantly — tells you plainly when this needs to be seen in person.
Any hour, no appointment
24/7/365 by phone or video. Nights, weekends, holidays and while travelling within licensed states.
Unlimited, not metered
Included virtual visits are unlimited. Nobody in your household has to decide whether a symptom is 'worth' a visit fee.
Follow-up included
If it is not better in two days, the recheck is part of the same membership.
What virtual urgent care handles well
Being specific here saves you a wasted visit — and being honest about the limits is how you know the rest of the page is true.
Commonly treated virtually
- Colds, flu-like illness, sinus, throat and ear symptoms
- Cough and chest congestion
- Urinary symptoms
- Rashes, skin infections, bites and allergic reactions
- Stomach bugs, nausea, vomiting and diarrhea
- Pink eye, cold sores and minor skin complaints
- Medication questions, side effects and refills
Not appropriate virtually
- Chest pain, stroke symptoms or severe shortness of breath — call 911
- Serious injury, deep wounds or suspected broken bones
- Severe abdominal pain or fainting
- High fever in a young infant
- Anything needing same-hour imaging, stitches or a procedure
Presence is not emergency care and does not replace it. See our emergency care notice for details.
Why this is not another pay-per-visit telehealth app
Single-visit telehealth solves one night and then disappears. You pay per visit, you get whoever is on shift, nothing carries forward, and the labs or prescriptions that follow are billed at whatever the pharmacy or lab charges.
A Presence membership includes the visit, includes the follow-up, and puts member pricing behind what comes next. For households in the Fort Worth area it also includes in-person primary care with the same provider — which is the difference between treating tonight's infection and actually managing your health.
Reach a provider
Call or start a video visit. No queue for included virtual care.
Get evaluated and treated
Prescriptions go to your pharmacy where clinically appropriate; you are told immediately if in-person care is needed instead.
Add labs or imaging only if needed
Quoted at member pricing through participating partners before anything is ordered.
Follow up as many times as it takes
Included. No second visit fee.
Memberships that include unlimited virtual visits
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.
Full terms, applicable in-office visit prices and the one-time $49 onboarding fee are on the pricing page. Presence is a healthcare membership, not insurance.
Questions people ask
Can children use it?
Yes — virtual visits are available for children on the couple/family memberships. Local in-person Presence primary care is for ages 13+.
Which states is virtual care available in?
Availability depends on provider licensure. Tell us where you live when you join and we will confirm before you pay.
Will I get a prescription?
Where clinically appropriate. A licensed provider decides based on your symptoms and history; we never guarantee a specific medication, and controlled substances are not prescribed virtually.
Is there a per-visit charge?
No. Included virtual visits have no copay and no per-visit fee.
About this information
Written by the Presence care team for patients considering care with us. Presence care is delivered by licensed providers, including a board-certified Adult-Gerontology Primary Care Nurse Practitioner — not by a physician, and not by software. Meet your provider.
This page explains how our service works. It is general information, not a diagnosis, and it is not a substitute for an evaluation of your own situation. Whether testing, treatment or a prescription is appropriate is decided during a visit.
If this is an emergency — chest pain, trouble breathing, stroke symptoms, severe bleeding, or thoughts of harming yourself — call 911 or go to the nearest emergency department. See our emergency care notice.
Talk to a provider now
Call to reach a licensed provider, or start a membership so the next 10pm fever is a fifteen-minute problem.