# Make HSA/FSA payments your next revenue driver

Increase AOV by 50% and checkout conversion by 30% with the only HSA/FSA payments infrastructure built for top health and wellness brands.

Flex is trusted by thousands of leading brands across the health and wellness industry

## Transform checkout. Drive more revenue.

See what leading brands achieve by accepting HSA/FSA payments with Flex.

### CONVERSION LIFT

+30%  
More shoppers complete checkout with HSA/FSA

### HIGHER AOV

+50%  
Customers spend more using health benefit funds

### FEWER RETURNS

-10%  
Fewer returns when buyers use pre-tax dollars

### REPEAT BUYERS

92%  
Of customers said they'll return because of HSA/FSA

## Your all-in-one HSA/FSA payments infrastructure

Everything you need to accept HSA and FSA payments and support complex enterprise operations at scale.

### HSA/FSA Payment

Not enough HSA/FSA funds? Split your payment.

```
1234 1234 1234 1234
MM / YY
CVV
```

### Pay with HSA/FSA

### Seamless HSA/FSA Payments

Accept HSA/FSA payments in-app or on your website. Flex handles the complexity and compliance for your business.

### Let's see if you qualify for a Letter of Medical Necessity! What's your DOB?

```
03/09/1990
```

What conditions are you seeking treatment for? Select all that apply.

- Heart Disease
- Anxiety

### Your Answer

### Simplified HSA/FSA Eligibility

Manage HSA/FSA eligibility before and after purchase, with physician-reviewed Letters of Medical Necessity when required.

### Subscriptions

Unlock recurring HSA/FSA revenue with subscription payments.

### Split Payments

Let customers split HSA/FSA payments with another method.

### Off-Session Payments

Save payment methods for seamless future charges.

### Reimbursements

Enable customers to easily submit HSA/FSA reimbursements.

### Advanced Analytics

Track HSA/FSA performance to understand customer behavior and drive more revenue.

### Streamlined Reporting & Exports

Generate HSA/FSA reports to track performance, reconcile transactions, and drive decisions.

Equinox at our core has always had a focus on preventive health and longevity. This is why we're excited about our partnership with Flex, which supports healthcare-aligned services without compromising the member experience.

**Parinda Muley**  
Strategy & Commercial Leader

## Flexible integration for modern e-commerce

Integrate Flex into your existing stack, support complex operations, and unlock new revenue with HSA/FSA payments.

```
curl --request POST \
  --url https://api.withflex.com/v1/checkout/sessions \
  --header 'Authorization: Bearer ' \
  --header 'Content-Type: application/json' \
  --data '{ \
  "checkout_session": {\
    "allow_promotion_codes": true,\
    "line_items": [\
      {\
        "price": ",\
```

### API-first and fully customizable

Flex integrates seamlessly with your tech stack, from custom checkouts to Shopify. Our HSA/FSA payments infrastructure adapts to how you sell.

### Built for enterprise scale

Handle high SKU counts, large transaction volumes, and evolving business models with infrastructure designed for enterprise brands.

### Fast, reliable implementation

Get up and running quickly with clear docs and a proven integration process.

### Hands-on support

Support for your team and your customers, from integration to ongoing operations.

### A new revenue channel

Flex connects you to high-intent HSA/FSA customers to drive new revenue.

## Integrate with any checkout or payment system

Flex works with your existing checkout and payment systems, so you can start accepting HSA/FSA with ease.

## See why leading brands choose Flex

See how health and wellness brands are unlocking new revenue with HSA/FSA through Flex.

“Flex empowers our customers to invest in fitness using their HSA/FSA funds.”

**Michael Maas**  
Chief Sales Officer

“Our partnership with Flex helps make holistic wellness more accessible to everyone.”

**Natasha Trindall**  
General Manager

“We chose Flex because it offers the most comprehensive solution for enabling HSA/FSA payments.”

**Lisa Thorson**  
Director Regulatory Affairs

“Flex improved our conversion rate and added trust at checkout.”

**Raechelle Hoki**  
VP of Marketing

“Since the launch of this collaboration, we've seen a notable increase in HSA/FSA transactions, driving both customer satisfaction and revenue growth.”

**Forrest Smith**  
CEO and Co-founder

“Flex helps make cutting-edge fitness more affordable and accessible.”

**Ulrich Dempfle**  
Co-founder

## Flex HSA/FSA payments frequently asked questions

Find answers about accepting HSA and FSA payments, and how Flex helps grow your business.

### How does HSA and FSA payment processing work?

### Is the process to accept HSA & FSA card payments the same as other payment methods?

### Is my business eligible to accept HSA & FSA payments?

### Do Flex HSA/FSA payments adhere to the IRS guidelines?

### Do I need a different tool to provide Letters of Medical Necessity to my customers at checkout?

### What if my customer wants to split their purchase between their HSA/FSA card and a credit or debit card?

### Can Flex HSA/FSA payments handle subscriptions and memberships?

### Does the Flex HSA/FSA checkout integration work with coupons and promotions?

### Does Flex integrate with any ecommerce website?

### Does Flex offer an API for integrating HSA/FSA payments into my checkout?

### How do I get started accepting HSA/FSA payments?

## Start accepting HSA/FSA payments to drive more revenue

- Identify if you need payments or reimbursements  
- See how Flex looks in your checkout flow  
- Easily integrate Flex with no changes to your stack

[Get Started](/content/contact/index.html)
