Bulging veins, aching legs, or ankle swelling? Send photos and a clinician reviews them, checks for vein problems, and plans next steps.
Yes, for adults 18 and older in Texas. Bulging veins, aching legs, or ankle swelling? Send photos and a clinician reviews them, checks for vein problems, and plans next steps. 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. Labs, if needed, can be drawn at a Passion Health clinic or at any CPL patient service center in Texas. A prescription goes to the pharmacy you choose only if it's appropriate; controlled medicines are never prescribed online. If you have an open sore or ulcer on your lower leg or ankle, 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
Varicose veins are swollen, twisted veins, usually in the legs, that you can see just under the skin. They form when tiny valves inside the veins weaken and blood pools. They are more common with age, in women, during pregnancy, with extra weight, and in people who stand for long periods or have a family history.
Chronic venous insufficiency means your leg veins can't move blood back to the heart well, so it pools in the lower legs. Signs include ankle swelling that's worse at the end of the day, aching or heavy legs, brownish or itchy skin near the ankles, and, in later stages, slow-healing sores. Compression, raising your legs and staying active often help, and an ultrasound can show how well the veins are working.
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 varicose veins 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.
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 and imaging, if needed, are billed separately, 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.
Compression and self-care usually need a few months to judge. Your clinician may check in after an ultrasound or a trial of compression and refer you on if symptoms persist.
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 varicose veins, 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, you can have them drawn at a Passion Health clinic in Dallas–Fort Worth, or at any CPL patient service center in Texas. With insurance, the lab bills your plan directly. Self-pay tests that are in the Passion Health Blood Work catalog are billed at Blood Work prices; tests that aren't are billed by the lab (CPL) at its self-pay prices, and we give you an estimate before you go. Your clinician reviews your results and contacts you.
For many people, yes. Graduated compression stockings support the leg veins and can ease aching, heaviness and swelling, though they don't make existing varicose veins disappear. A good fit matters, so measure your legs in the morning before swelling builds. Ask your clinician first if you have poor circulation in your legs or diabetes, because compression may not be safe for you; your clinician may check an ankle-brachial index (ABI), a quick test of the blood flow to your feet, before recommending firmer stockings (above 20 mmHg).
Most varicose veins are a comfort and appearance concern rather than a danger. Over time, though, poor vein flow can lead to skin changes, ulcers, or a clot in a vein near the surface. A leg that suddenly becomes swollen, red and painful can mean a deep vein clot and needs urgent care. Your clinician can tell you which signs to watch for.
Procedures to close or remove veins are done in person by vein specialists. Online, your clinician can review your photos and symptoms, look for other causes of swelling, advise on compression and self-care, and recommend an ultrasound or specialist referral if appropriate. Some health plans ask for a trial of compression before they cover a vein procedure.
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.