HSA | FSA solutions for ecommerce

Accept HSA/FSA payments with Medpaid — go live in under 30 minutes

Boost revenue with HSA | FSA payments. Get your products eligible through a Letter of Medical Necessity. Customer approvals happen fast, and your team gets analytics that prove incremental revenue.

  • API-first integration that can go live in under 30 minutes.
  • Most compliant HSA/FSA software with telemedicine and LMN workflows.
  • We match or beat competitor pricing for growing brands.
API-first integration Telemedicine + LMN workflow Live revenue dashboard
Medpaid HSA/FSA option inside checkout
Medpaid HSA/FSA mobile checkout
Everything included

All the benefits, in one place.

Included

Highest-converting cart with native-feeling HSA/FSA checkout.

Included

Boost AOV and LTV by unlocking pre-tax dollars at checkout.

Included

Live doctor approvals and provider-issued LMNs in flow.

Included

Audit-ready compliance, eligibility review, and customer portal.

Included

Live performance dashboard for revenue, approvals, and payouts.

Included

Launch support for messaging, creative, and operational enablement.

Akasha Superfoods
Goli
Solawave
Nebroo
Market opportunity

Unlock revenue with HSA | FSA payments.

Case study after case study shows that HSA | FSA payment support increases customer spending, lowers friction, and opens a new market segment for wellness-focused ecommerce brands.

$3,000+

Avg. annual HSA contribution per household.

50%+

Higher order values when customers use pre-tax funds.

$150B+

U.S. HSA/FSA spend opportunity still underused online.

40%

Americans estimated to have HSA/FSA account access.

HSA/FSA market

Tap into a $147B+ market that is still underused online.

Millions of account holders have pre-tax dollars earmarked for health and wellness, but most merchants still do not support the full HSA/FSA journey online.

  • Over 60M Americans can use HSA/FSA funds, yet online support remains limited.
  • Lower adoption means upside for brands that move early and explain savings clearly.
  • Supplements, wearables, recovery tools, and services can fit when medically necessary.
  • Medpaid centralizes eligibility rules, telemedicine, LMNs, and payments in one platform.
Reasons teams pick Medpaid

Why ecommerce brands choose Medpaid for HSA/FSA payments.

Checkout experience

Flexible payment options

Plug Medpaid into checkout without asking customers to leave the native cart flow.

Developer friendly

Go live in under 30 minutes

Straightforward docs, dev support, and low-maintenance APIs keep launch friction low.

Compliance

Built for dual-purpose wellness products

Eligibility review, telemedicine workflows, LMNs, audit logs, and privacy controls are built in.

Pricing

Price match on any provider

Medpaid matches or beats competitor pricing without sacrificing conversion or reporting.

Revenue insights

Dashboard your team will actually use

Track order volume, AOV lift, approval rates, and incremental revenue in one place.

Flexible flows

Card checkout or reimbursement

Use direct HSA/FSA card payments, post-purchase reimbursement, or hybrid workflows.

Checkout flow

A simple HSA/FSA checkout customers can complete in seconds.

Medpaid keeps the experience inside ecommerce checkout, from selecting the payment option to assessment review, card payment, and order confirmation.

1
Choose Medpaid at checkout

Choose Medpaid at checkout

Customers select Medpaid as their HSA/FSA payment method with clear messaging about pre-tax funds.

2
Complete a health assessment

Complete a health assessment

For LMN-required items, shoppers answer a short, product-specific assessment for provider review.

3
Pay with HSA/FSA and sync orders

Pay with HSA/FSA and sync orders

Customers enter their HSA/FSA card, complete payment, and keep the same order confirmation flow.

HSA/FSA savings example

Show customers how much farther their HSA/FSA dollars go.

Help shoppers understand the difference between spending after-tax income and using pre-tax HSA/FSA dollars on eligible wellness purchases.

Spending from a regular bank account

From your paycheck+$100
Lost to taxes-$30
Left to spend after tax$70

Spending HSA/FSA funds with Medpaid

Contributed pre-tax to HSA/FSA+$100
TaxesNo taxes deducted
Available for eligible expensesFull $100
Case study
Medpaid Nebroo

Nebroo boosted AOV by 55% and increased gross revenue by 13% in 14 days with HSA/FSA.

Medpaid did not just give our customers more ways to pay - it increased conversion and drove a real lift in order value.

55% Higher AOV
13% Increase in revenue
590% ROI in 14 days
Nebroo product showcase
Plans

Plans to unlock HSA/FSA spending power.

Choose the Medpaid solution that fits your store today and expand when you are ready.

Plugin

Core

Best for brands starting with reimbursement, assessments, and product eligibility workflows.

  • Product eligibility review
  • Post-checkout reimbursement
  • Post-checkout assessment
  • Letter of Medical Necessity
  • Product badges and metrics dashboard
  • Onboarding dev support
Book free demo
Get started with a demo

Meet with Medpaid specialists and see how the platform can increase AOV and reduce checkout friction.

Shopper selecting HSA/FSA card at checkout on mobile
Expand HSA/FSA access

Give your customers access to HSA/FSA funds.

By integrating Medpaid SaaS, brands tap into a large HSA/FSA market filled with shoppers actively searching for products they can buy with pre-tax dollars.

  • Connect your store with Medpaid's licensed medical team and eligibility engine.
  • Customers complete a brief health assessment to unlock eligibility.
  • Enable direct HSA/FSA card payments at checkout for qualified items.
  • Customers save up to 40% using pre-tax dollars.
  • Merchants unlock categories normally excluded from HSA/FSA payments.
Does your business qualify?

Merchandising categories Medpaid helps unlock.

Fitness Equipment
Category

Fitness Equipment

Many fitness equipment purchases qualify with an LMN issued through Medpaid.

Supplements & Nutraceuticals
Category

Supplements & Nutraceuticals

Natural health products and supplements can qualify when medically necessary.

Alternative Health Services
Category

Alternative Health Services

Saunas, cold plunges, red light therapy, acupuncture, and more can fit the workflow.

Gym & Fitness
Category

Gym & Fitness

Exercise programs can become more affordable for members and clients through LMNs.

Compliance center

HSA/FSA, telemedicine, and LMNs for ecommerce.

Give legal, compliance, and payments teams confidence that HSA/FSA payments are being handled correctly with audit-ready documentation, telemedicine workflows, and built-in controls.

How does Medpaid use telemedicine and LMNs for HSA/FSA eligibility?

Medpaid supports products that may qualify when medically necessary by collecting product-specific information through a structured health assessment. Licensed providers review the assessment and can issue a Letter of Medical Necessity when appropriate.

What can merchants safely say on product pages about HSA/FSA eligibility?

The safest language is that products may be eligible when medically necessary and that an LMN may be required. Avoid guaranteed-eligibility language or unsupported disease-treatment claims.

How does Medpaid keep checkout compliant with mixed carts?

Medpaid supports cart routing so only eligible items flow through the HSA/FSA pathway. Split-tender logic and validation help keep non-eligible items on the normal payment path.

How is customer privacy handled for assessments and LMNs?

Telehealth interactions use secure communication methods and controlled access to assessments and LMNs. Clinical details remain inside Medpaid systems rather than your storefront analytics stack.

Who is responsible if customers misrepresent information in a health assessment?

Customers must attest that their information is accurate and complete. Providers make clinical decisions based on that information, and reimbursement outcomes are ultimately decided by plan administrators or custodians. Merchants should avoid tax advice and direct customers to their HSA/FSA administrator for questions about reimbursement.