Accept HSA and FSA cards for eligible services

Many HSA and FSA cards can be accepted for eligible care. Common use for telehealth wellness brands: HSA/FSA acceptance for eligible care. Roots sets up acceptance and explains documentation requirements, such as letters of medical necessity.
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✓

Payment approved

$391.62 · Visa •• 4242

Payment solutions for telehealth clinics

How each solution supports telehealth clinics

See what each option adds to the way your business takes and tracks payments.

High-Risk Merchant Account

For telehealth clinics: Present your model for remote-care charges and pharmacy purchases to specialist processing partners, with product and fulfillment documentation prepared. Roots Payments places telehealth clinics with acquiring banks and processors that knowingly underwrite virtual medical visits and memberships, so the account is built to last instead of flagged after the first review. We work with virtually any legal business, subject to underwriting; pricing, limits, and terms depend on the acquirer's review. Reserves may apply, and any reserve is disclosed in your agreement before you sign.
  • Pre-underwriting review of your website, checkout, and documents (provider licenses in each state served, clinical protocols, and pharmacy partner agreements)
  • Application packaged and submitted only to acquirers with appetite for your category
  • Plain-English walkthrough of pricing, reserve, and termination terms before you sign
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E-commerce Payments

For telehealth clinics: Add online checkout for remote-care charges and pharmacy purchases, with order references carried through payment and fulfillment. Roots connects your store to a gateway and acquirer that approve your category, with fraud screening and 3-D Secure configured for card-not-present risk.
  • Check that your cart platform's own acceptable-use policy allows your products
  • Gateway setup, fraud-rule tuning, and test transactions before launch
  • Checkout disclosure review (refunds, shipping, age or eligibility limits)
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Chargeback Management

For telehealth clinics: Organize evidence for disputed remote-care charges and pharmacy purchases, including customer authorizations, delivery details and service records. Roots coordinates chargeback-management services to help your business handle disputes and organize responses.
  • Discuss your business goals on a free consultation
  • Coordinate your provider introduction and setup
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Recurring Billing

For telehealth clinics: Schedule and manage payments for care memberships and permitted refill charges, including renewals and customer account balances. Recurring charges are a leading dispute source for telehealth clinics when customers forget or can't cancel. Roots sets up billing with express consent capture, renewal reminders, simple online cancellation, and account-updater services, in line with ROSCA and state automatic-renewal laws.
  • Review of offer terms and checkout disclosures against ROSCA and state automatic-renewal laws
  • Billing platform setup and gateway integration
  • Descriptor and receipt design that customers recognize
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Text to Pay

For telehealth clinics: Send a payment request for remote-care charges and pharmacy purchases by text so customers can pay against a specific order or invoice. Keying card numbers from phone calls is costly and dispute-prone for telehealth clinics. Text-to-pay sends a secure link so the customer enters their own card, with 3-D Secure and a stored consent record.
  • SMS opt-in and TCPA-aware messaging setup
  • Template copy for links and receipts
  • Integration with your CRM or case system
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Custom Payment Integration

For telehealth clinics: Connect the payment flow for remote-care charges and pharmacy purchases with your software and the operational records behind patient invoice references, prescriptions and delivery records. Telehealth clinics often run custom platforms that off-the-shelf plugins don't cover. Roots builds and maintains the integration between your platform and your approved gateway, including webhooks, reconciliation, and dispute data.
  • Scoping and build by the Roots team
  • Testing and launch support
  • Ongoing maintenance
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Embedded Payments

For telehealth clinics: Put checkout for remote-care charges and pharmacy purchases inside your software, keeping payment events connected to customer and operating records. Software companies serving telehealth wellness brands can embed payments in their product and earn on processing. Common use for telehealth wellness brands: payments embedded in a telehealth platform. Roots provides the rails and integration support.
  • Integration planning and support
  • A named Roots contact for training and ongoing support, nationwide and remote-first
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HSA/FSA Payments

For telehealth clinics: Identify eligible services within remote-care charges and pharmacy purchases and organize health-benefit-card acceptance around those charges. Many HSA and FSA cards can be accepted for eligible care. Common use for telehealth wellness brands: HSA/FSA acceptance for eligible care. Roots sets up acceptance and explains documentation requirements, such as letters of medical necessity.
  • Setup and receipt configuration
  • A named Roots contact for training and ongoing support, nationwide and remote-first
✓

Payment approved

$391.62 · Visa •• 4242

HSA/FSA Payments questions

Questions telehealth clinic merchants ask about approval.
We review your merchant category, services or eligible products and checkout setup with a processing partner, then plan the acceptance workflow.
We help plan item classification and split-payment handling so staff can separate eligible purchases from purchases paid another way.
Bring your merchant category, eligible item catalog and checkout process. Roots uses these details to plan the workflow for telehealth clinics and prepare a clear setup scope.
Request a quote for your business and the setup you need. We review the scope and costs with you before you proceed. Consultations and payment reviews are free.

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Book a free 30-minute review. We’ll map your setup, explain the options and work through clear next steps.
Talk to a telehealth clinic payments specialistAll telehealth clinics solutions