Accepting HSA and FSA Cards for Medical Facilities and Billing Agencies


    Modern-day healthcare programs allow patients to pay for their medical bills through Health Savings Accounts and Flexible Spending Accounts, abbreviated as HSA and FSA, respectively. Even debt collection agencies can process HSA and FSA cards if the past due receivable is medical in nature. Even though there are many benefits to HSA and FSA card acceptance, it is surprising how few medical entities cannot accept the card type!

    If your business cannot process HSA and FSA cards, your current payment platform is to blame. Accepting HSA and FSA cards requires your business to have a specific Merchant Category Code (MCC). The MCC allows the card networks to identify your services and products as medical in nature. This code is established during the underwriting of your merchant account. Ensure your payment partner fully understands your business model and can garner an approval with an MCC matching your requirements before submitting a merchant application.

    The following list contains a few key medical MCC codes. Ensure your business receives the correct designation if in a healthcare field and wish to accept HSA and FSA cards.

    • 4119 – Ambulance Services
    • 7277 – Debt, Marriage, Personal – Counseling Service
    • 8011 – Doctors-not elsewhere classified
    • 8021 – Dentists, Orthodontists
    • 8041 – Chiropractors
    • 8043 – Opticians, Optical Goods, and Eyeglasses
    • 8050 – Nursing and Personal Care Facilities
    • 8062 – Hospitals
    • 8071 – Dental and Medical Laboratories
    • 8099 – Health Practitioners, Medical Services-not elsewhere classified

    If your business operates in a patient-related manner, HSA and FSA card acceptance is a must. Still weighing the pros and cons?  Here are some additional reasons to consider.

    Patients Want to Pay with HSA and FSA Card Types

    Patients today are aware of the convenience and benefits of paying through HSA and FSA cards. After all, they are setting up the accounts specifically for medical expenditures and reducing taxable income.  If your business operates in either a patient care capacity or medical billing and collections, offering an HSA and FSA payment option will positively increase the customer experience.

    Diversify Your Payments

    Make the process of paying convenient for your customer base. Allowing patients to pay when they want and how they want is key to a smooth receivables flow. Especially when medical payments are involved, it is imperative for patients to feel in control of the collection process. A wide gamut of payment methods, such as web acceptance, recurring billing, IVR, or text payment authorization, is just as important as the types of cards accepted. Credit cards, debit cards, ACH, and HSA/FSA – are important when serving customers in a medical capacity. If you’d like to read more about payment solutions to adopt, check out our recent blog.

    HSA Card Acceptance

    HSA and FSA Card Acceptance Ensures Timely Collections

    Streamline your receivables by accepting HSA and FSA cards. Doing so minimizes the chances of missing out on a payment due to a patient not having an accepted payment type on hand. Convenience is key to a healthy billing process – having unavailable payment types increases the workload on your end considerably. Whether having to send additional invoices or make dreaded collection calls – the less diverse your payment model, the harder it is to receive paid in full balances.

    Hopefully, you can conclude accepting HSA and FSA cards is beneficial to both medical entities and consumers alike. These cards are secure, convenient, and not more costly to accept. At Payment Savvy, our knowledgeable team knows the ins and outs of creating a perfect payment solution for medical facilities and billing agencies. Reach out to us today to receive a hassle-free quote and have all your questions answered!

    Chad is a serial entrepreneur and founded Payment Savvy in 2011 armed with the goal of providing high-risk establishments with a pioneering and tailored payment processing solution that allows them to flourish. Having decades of knowledge in the financial services and debt recovery industries, he ensures every client receives the same level of expertise, resourcefulness, and strategic vision no matter the size of the organization. Always willing to push the envelope, Chad’s forward-thinking and leadership skills are responsible for Payment Savvy being on the map as an industry-leading payment processor.


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