Online + labs · new or uninsured patients
Prediabetes
Borderline A1c? A clinician reviews your labs and risk and helps you plan steps to lower your chance of type 2 diabetes.
Refills, A1c and kidney lab orders, and dose adjustments for type 2 diabetes — between clinic visits, without the waiting room.
Yes, for adults 18 and older in Texas. Refills, A1c and kidney lab orders, and dose adjustments for type 2 diabetes — between clinic visits, without the waiting room. Review is by a Texas-licensed Passion Health clinician, 24/7 on weekdays and 7 AM–9 PM CT on weekends. The flat price is $89, or use insurance. If labs are needed, your clinician usually orders the Diabetes & Kidney panel (A1c, metabolic panel, cholesterol and urine albumin), $69, through Passion Health Blood Work, drawn at a Passion Health clinic or any CPL patient service center in Texas; with insurance, the lab bills your plan directly. Medicines a clinician may consider include metformin, SGLT2 inhibitors and GLP-1 medicines (to continue one you already take) — never controlled medicines, and a prescription is never guaranteed. If you have type 2 diabetes and use an insulin pump or take mealtime insulin, you need an in-person visit within a few days instead, and you don't pay the online fee. Already a Passion Health patient with insurance? We book you with your own clinician instead.
Medically reviewed by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health · October 22, 2026
Type 2 diabetes is a long-term condition in which the body doesn't use insulin well, so blood sugar stays too high. Over time, high sugar can damage the heart, kidneys, eyes and nerves. Family history, extra weight, inactivity and age raise the risk, and South Asian adults often develop it at younger ages and lower body weights.
Not near one of our clinics? Online Care is open to adults anywhere in Texas; our clinics are in Dallas–Fort Worth. If the safety questions or your clinician show you need to be examined, we tell you what kind of care you need and how soon — an emergency room, an urgent care center, or a clinician near you. If you've already paid, the full fee is refunded and you get a written summary of your visit to take with you.
Also call 911 for chest pain, trouble breathing, stroke signs, a sudden severe headache, fainting, a seizure, severe bleeding, new confusion, throat swelling, an overdose or thoughts of harming someone else — and call or text 988 for thoughts of harming yourself. If screening routes you before you pay, nothing is charged. If a clinician routes you after you've paid, the full fee is refunded.
If Passion Health is your primary care practice and you have insurance, book this with your own clinician — in person or by video, billed to your plan like any visit, with no online fee. Your clinician knows your history and can adjust your whole plan, not just this one problem. Online type 2 diabetes care is for new patients, uninsured patients and patients outside Dallas–Fort Worth; established patients without insurance pay the $39 renewal rate.
Upload prior results or home readings if you have them.
If labs would help, the order goes to a Passion Health clinic, or to any CPL patient service center in Texas.
Your clinician reviews them and contacts you with your plan.
Check-ins and repeat labs timed to your condition; 30 days of messaging.
| Metformin or metformin ER tablets30 tablets | $10.57–$11.32 |
| Dapagliflozin 5 or 10 mg tablets (Farxiga generic)30 tablets | $12.32–$12.68 |
| Oral semaglutide (Rybelsus), maker's self-pay priceper month, by dose · maker's self-pay price | $149–$299 |
| Glipizide 5 or 10 mg tablets30 tablets | $10.71–$11.05 |
Generic prices are mail-order cash prices listed by Mark Cuban Cost Plus Drug Company on October 15, 2026, including its $5.00 pharmacy fee and $5.25 standard shipping. A shorter course costs less.
Brand prices are the makers' self-pay prices, checked September 24, 2026. They change often and depend on dose and refill timing.
Other SGLT2 medicines can cost much more without insurance. For type 2 diabetes, these are often covered by insurance.
Shown so you can plan, not to point you to a pharmacy. Any Texas pharmacy can fill your prescription, and its cash price may be higher or lower. With insurance, your plan sets your cost, and a cash purchase usually doesn't count toward your deductible. If you have Medicare or Medicaid, ask the pharmacy to use your coverage first. Prices change. Passion Health doesn't sell medicine and receives nothing from any pharmacy or drugmaker. A prescription is never guaranteed.
Shown so you know what to expect. The reviewing clinician decides what, if anything, is appropriate for you — a prescription is never guaranteed, and controlled medicines are never prescribed online.
Using insurance: we're in network with BCBS of Texas, Aetna, UnitedHealthcare, Cigna, Humana and Healthcare Highways, and we verify eligibility for every plan before review — you see your estimated cost-share first. New patients have a short video visit, because plans pay for a visit, not a form. Same-day review applies to self-pay visits; insurance visits begin once we've verified your plan, which is the next business morning if you submit overnight or on a weekend. Medicare, Medicaid, CHIP and TRICARE are billed to the program, and the cash rate isn't offered for covered services.
Full refund if your case isn't accepted: if the clinician doesn't accept your case for online care, for any reason, the full fee is refunded to your card within 10 business days, and we help you get the care you need: a same-day visit at one of our Dallas–Fort Worth clinics or, if you're not near one, clear advice on where to be seen and a written summary of your visit. With insurance, no claim is submitted for the online review. Paying the flat price yourself? You can ask for a written Good Faith Estimate before your visit.
Labs your clinician orders are priced through Passion Health Blood Work if you self-pay, or billed to your plan directly by the lab (CPL) if you use insurance; imaging is billed by the imaging center and medication is paid at your pharmacy. Passion Health doesn't sell, ship or mark up medication.
A 48-hour check-in, 30 days of secure messaging, and lab follow-up when labs were ordered.
90-day refills require an A1c and kidney panel within the last 6 months. You also need an in-person check once a year, at a Passion Health clinic or with a local clinician who sends us the results, plus foot and eye exam referrals.
A1c, kidney function, cholesterol and urine albumin are the yearly diabetes checks. Ordered only if your clinician decides it's needed — the visit price never includes a test you don't need.
| Diabetes & Kidney panelA1c, metabolic panel, cholesterol and urine albumin | $69 |
Typical self-pay total: $89 visit + $69 labs = $158
Self-pay prices are billed by Passion Health. If you use insurance — including Medicare and Medicaid — the lab (CPL) bills your plan directly for the tests under your plan's lab benefits, and the prices above don't apply. Blood is drawn at a Passion Health clinic in North Texas or at any CPL patient service center in Texas; your clinician reviews your results and contacts you.
The flat cash rate is $89 for a standard evaluation, or use your insurance and pay your plan's cost-share — we show you an estimate before review starts. Labs and imaging are billed separately. Medication is paid at your pharmacy. If the clinician doesn't accept your case for online care, for any reason, the full fee is refunded to your card.
A Texas-licensed Passion Health clinician reviews every intake and decides your plan — not software. For type 2 diabetes, Texas law lets the clinician evaluate you from a condition-specific intake plus your photos and records, and they'll call or video you whenever something needs a conversation. New patients using insurance have a short video visit, because plans pay for a visit, not a form.
No. You're paying for a licensed clinician's evaluation and plan. Many visits end with a prescription; some end with a different plan, a test, or a referral. Controlled medicines — stimulants, benzodiazepines, opioids, testosterone, sleep aids like zolpidem — are never prescribed at an online visit.
If you have insurance, we'll book you with your own Passion Health clinician instead — in person or by video, billed to your plan like any visit, with no online fee. Your clinician knows your history and can adjust your whole plan. If you're an established patient without insurance, continuing a treatment we already prescribed uses the $39 follow-up rate; a new problem uses this page's price.
If your clinician orders labs, they're priced through Passion Health Blood Work: for type 2 diabetes that's usually the Diabetes & Kidney panel (A1c, metabolic panel, cholesterol and urine albumin), $69, through Passion Health Blood Work (self-pay prices, billed by Passion Health). If you use insurance, including Medicare or Medicaid, the lab (CPL) bills your plan directly and those prices don't apply. You can have blood drawn at a Passion Health clinic in Dallas–Fort Worth or walk into any CPL patient service center in Texas with a photo ID; your clinician reviews your results and contacts you.
Online diabetes care is mainly for new patients, uninsured patients, and people who live outside Dallas–Fort Worth. If Passion Health is already your primary care practice and you have insurance, the intake will point you to book with your own clinician, in person or by video, billed as a normal visit. Uninsured established patients may be offered a renewal visit instead.
Yes. 90-day refills need an A1c and a kidney panel from the last 6 months. Metformin isn't started without a recent kidney test, and isn't started if your eGFR is under 45. If yours are due, your clinician can order them at a Passion Health clinic or at any CPL patient service center in Texas, billed separately. You'll also need an in-person check once a year, at a Passion Health clinic or with a local clinician who sends us the results, with foot and eye exam referrals.
Yes, and please tell us. Fasting for Ekadashi, Karthika, Ramadan or other observances can cause low blood sugar with some diabetes medicines, especially glipizide or insulin. Your clinician can adjust doses or timing around your fasting days and tell you which readings mean you should break the fast.
GLP-1 medicines (such as semaglutide, tirzepatide or dulaglutide) and SGLT2 medicines (such as dapagliflozin or empagliflozin) aren't used in pregnancy or while breastfeeding, and some need to be stopped at least 2 months before you try to conceive. If you could become pregnant, tell us: your clinician will talk with you about birth control and a plan to switch medicines before you try. Tirzepatide can make birth control pills less reliable for 4 weeks after you start it and after each dose increase, so use a backup method such as condoms during those weeks. If you find out you're pregnant, don't take your next GLP-1 or SGLT2 dose until you've talked with a clinician, and contact us the same day.
If you're sick and can't eat or drink normally, for example with vomiting, diarrhea or a fever, pause your SGLT2 medicine (dapagliflozin, empagliflozin, canagliflozin or ertugliflozin) until you're eating and drinking normally again, check your sugar more often, and sip fluids. Metformin is usually paused too if you're vomiting or getting dehydrated. Keep taking long-acting insulin, and ask your clinician about the dose. SGLT2 medicines are also stopped 3 days before planned surgery or a procedure (4 days for ertugliflozin); tell the team doing it. If you have nausea, vomiting, belly pain, or fast or deep breathing while on an SGLT2 medicine, go to an emergency room, even if your sugar is normal.
Long-acting (basal) insulin can be refilled online if appropriate. A dose change needs a recent log of your fasting sugars (or a CGM report) and a call with your clinician. If you have type 2 diabetes and take mealtime insulin or use a pump, book a video or in-person visit instead. If you have type 1 diabetes, use our Type 1 diabetes follow-up visit.
This visit can continue a GLP-1 medicine you already take, if appropriate. Starting one for the first time is decided at a video or in-person visit, or through our WeightCare program if weight loss is the main goal, because it needs a fuller review of your history, labs and other medicines.
A clinician may form a valid patient relationship online using store-and-forward technology — your condition-specific intake, photos and records — paired with a call or video when needed, as long as the in-person standard of care is met (Tex. Occ. Code §111.005(a)(3), §111.007). Your clinician gives you guidance on follow-up care and, with your consent, sends new patients' visit notes to their primary care physician within 72 hours (§111.005(b)).
Chief Quality Medical Officer, Passion Health · Texas-licensed internal medicine physician
Reviewed for medical accuracy by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health, on October 22, 2026. Pages are reviewed again when clinical guidance or our visit rules change, and the date shown here is updated each time.
Book a same-day visit at a Passion Health clinic in Dallas–Fort Worth, or call and we'll point you to the right visit — or, elsewhere in Texas, to the right kind of care near you.