HSA | FSA PAYMENTS FOR ECOMMERCE & SHOPIFY
Medpaid is the HSA/FSA payment platform built for ecommerce and Shopify brands— the only solution with HSA/FSA inside Shop Pay, full telemedicine + LMN support, and an analytics dashboard that proves incremental revenue.
Ready to unlock pre-tax HSA/FSA spend on your eligible products? Talk to our team →
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Native-feeling HSA/FSA checkout flow customers recognize and trust.
Medpaid combines native-feeling HSA/FSA checkout, a fast integration path, and deep compliance so your revenue, legal, and engineering teams can all say yes.
Medpaid is the only HSA/FSA payment solution that plugs directly into Shop Pay for Shopify—no manual "checkout as guest" requirement = highest converting HSA/FSA cart in the industry.
Our HSA/FSA APIs are built for ecommerce teams. Typical merchants can stand up a working integration in under 30 minutes with clear docs, dev support, and low ongoing maintenance.
Product eligibility review, telemedicine assessments, LMNs, audit logs, and privacy controls are built in— so you can support dual-purpose wellness products without guessing at compliance.
Already using another HSA/FSA solution or getting quotes? We match or beat competitor pricing and back it with a live performance dashboard that shows incremental HSA/FSA revenue.
Track HSA/FSA order volume, AOV lift, ROI, and more in a single dashboard— ideal for growth, finance, and leadership reporting.
Use Medpaid for direct HSA/FSA card payments, post-purchase reimbursement, QR-based flows—all on one platform.
Curious how Medpaid compares to your current or proposed HSA/FSA solution?
Book a demo and compare providers →Millions of HSA and FSA account holders have pre-tax dollars earmarked for health and wellness. Medpaid helps ecommerce brands capture that spend with compliant HSA/FSA payments and telemedicine support.
HSA and FSA funds are pre-tax dollars reserved for qualified medical and wellness expenses. Medpaid makes it simple for ecommerce brands to accept HSA/FSA payments online and show shoppers their savings at a glance.
From your paycheck
+$100
Lost to taxes*
-$30
Left to spend after tax
$70
Contributed pre-tax to HSA/FSA
+$100
Taxes
No taxes deducted
Available for eligible expenses
Full $100
Medpaid keeps your HSA/FSA experience inside your ecommerce or Shopify checkout—from selecting Medpaid to LMN review to payment and order confirmation.
Customers select Medpaid as their HSA/FSA payment method alongside your existing options, with clear messaging about using pre-tax funds on eligible products.
For LMN-required items, customers answer a short, product-specific assessment that licensed practitioners review in real time to determine medical necessity and issue an LMN when appropriate.
Customers enter their HSA/FSA card and complete payment—typically in under 30 seconds end to end, with processing in about 10–15 seconds. Orders are created directly in your store, Medpaid acts as the MCC 8099 PSP with monthly HSA/FSA payouts, and your existing order confirmation page, emails, and workflows stay exactly the same.
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Give your legal, compliance, and payments teams confidence that HSA/FSA payments are being handled correctly—with telemedicine workflows, Letters of Medical Necessity (LMNs), and audit-ready documentation built into Medpaid.
Informational only. Not legal, tax, or medical advice. Merchants should consult their own counsel and plan administrators when making compliance decisions.
For products that may be eligible when medically necessary, Medpaid offers a structured health assessment that collects product-specific, clinically relevant information. Licensed providers review each assessment and can issue a Letter of Medical Necessity (LMN) when appropriate. This documentation supports plan substantiation that the expense is primarily for medical care rather than general wellness.
Best practice is language such as “May be eligible with HSA/FSA when medically necessary; LMN may be required.” Avoid “guaranteed eligible”, “IRS-approved”, or explicit disease-treatment claims unless you have the regulatory posture and substantiation to back those claims.
Medpaid supports a cart-routing pattern where only eligible items flow through the HSA/FSA pathway. Real-time SKU validation and split-tender logic help ensure non-eligible items stay on standard payment methods. Eligibility checks and routing events can be logged for audit support.
Telehealth interactions use secure communication methods, with controlled access to LMNs and assessment data. Medpaid collects the minimum necessary information to support clinical review and eligibility documentation, keeping clinical details within Medpaid systems and out of your storefront analytics tools.
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.
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