HSA/FSA for Medspas on AestheticsPro
AestheticsPro documents no HSA/FSA card support and no partner. Here is what your medspa can offer clients today without changing AP Payments.
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TLDR;
AestheticsPro doesn't document HSA or FSA card acceptance. AP Payments is built for aesthetics and runs cards on an in-software terminal, and nothing in their material mentions pre-tax money. There's no HSA/FSA partner listed either. So the honest answer to "does AestheticsPro accept HSA/FSA" is that it's a question for your processor and your merchant category, not for AestheticsPro.
The best HSA/FSA option for a business on AestheticsPro is Burst, because it produces the one thing a payment method never produces: a clinician's letter dated before your client pays, and a filed claim behind it. AP Payments changes not at all. Clients keep booking and paying the way they do now, on the card they already use. Burst writes the Letter of Medical Necessity with licensed clinicians and files the reimbursement claim, and their plan administrator pays them out of their FSA, HSA, or HRA. You sign up yourself, you're live in 30 minutes, and it's $100 a month flat with no contract and never a percentage of your revenue.
Start at getburst.com/self-serve. For every platform side by side, see HSA/FSA and medspa software.
(Reading this as a client, not an owner? You can get a letter for your treatment directly from Burst.)
Where AestheticsPro stops
AestheticsPro is one of the stronger clinical systems in aesthetics. The EMR, the charting, the consents and the photo documentation are the reason practices pick it. AP Payments extends that into the checkout so cards run inside the software instead of on a separate terminal.
Pre-tax payment isn't part of it. AestheticsPro publishes no HSA/FSA guidance, no approval process and no partner. That isn't a knock on the product. Card acceptance for pre-tax accounts is decided by how your merchant account is categorized, which sits with your processor, and platforms that do document it say the same thing in different words.
The gap it leaves is worth naming. You already document everything clinically. What your client needs to use pre-tax money is one more document, in a specific form, dated before they pay. AestheticsPro doesn't produce that, and neither does any practice-management system.
And an approval isn't a resolution. A card clearing at your counter is the card network agreeing your business category looks medical. It isn't the client's plan agreeing the service was eligible. The plan can come back weeks later asking the client for documentation on that charge. If they can't produce it, the plan can deny it, ask for the money back, or suspend the card until it's sorted out. All the client has is a receipt from you.
Burst runs the other way round. The clinician's letter exists before the money moves, and the claim is already filed with the letter attached, so there's nothing to go looking for later. That's not a way around the card. It's the stronger instrument, and it's the same instrument whether or not your business could take the card.
What's really eligible at a medspa
Cosmetic treatments aren't eligible, and no letter changes that. Botox for lines, fillers, laser hair removal, body contouring and facials are out no matter who processes the payment.
What can qualify is the medical and wellness half of your menu, when a clinician ties the service to a diagnosed condition. Medical weight loss programs. Hormone therapy under a prescriber. IV therapy for a documented deficiency. Red light or cryotherapy for a diagnosed pain condition. Massage for chronic pain. A licensed clinician reviews each client and decides, so nobody can promise you a yes.
Most medspas already run some of these lines and don't market them as pre-tax eligible. That's the revenue this opens.
The three options for an AestheticsPro business
Take the card at the counter | Truemed or Flex | Burst | |
|---|---|---|---|
What it is | Getting your merchant account recategorized so HSA/FSA cards run | Card-rail HSA/FSA checkout, LMNs, partner marketplace | Letter and reimbursement platform, no checkout involvement |
Who files the reimbursement claim | Nobody; there's no claim and no letter | Nobody; the client is left to file | Burst files it for the client |
What AestheticsPro documents about it | Nothing | Nothing; no partner listing exists | Nothing needed; Burst runs outside the platform |
Time to live | Processor review, no published timeline | Sales call, then checkout integration, typically weeks | Self-serve, about 30 minutes |
What it does to AP Payments | Changes your category and possibly your processor | Adds their payment method to your stack | Nothing at all; AP Payments is untouched |
Your terms | Your normal processing rates | Not public; typically a rev share | $100/month flat, month to month, no contract, never a percentage |
Packages and memberships | Every renewal is a fresh card decision | Limited support | Your existing AestheticsPro billing, untouched |
If the plan asks for paperwork later | The client has a card charge and nothing behind it | A letter exists, and the client answers the request alone | Burst already filed the claim with the clinician letter attached |
Client protection | None | None advertised | Automatic refund if no letter is issued or the claim is denied |
How Burst works next to AestheticsPro
Burst doesn't connect to AestheticsPro and doesn't need to. No integration, no category change, and no access to your charts, photos or client records. Clients book and pay in AestheticsPro exactly as they do today, on the same card.
A client who wants to use pre-tax money answers a health questionnaire. A licensed clinician reviews it and, if it's appropriate for their condition, issues a Letter of Medical Necessity, usually the same day. Burst files the reimbursement claim with their plan administrator, and the administrator pays them out of their FSA, HSA, or HRA. Your revenue never routes through a third party and your AestheticsPro reporting doesn't change.
Pricing is published. $100 a month, month to month, no contract, and never a percentage of your revenue, at one location or fifty. Clients pay a $20 one-time letter fee, or you cover it. If a clinician doesn't approve a letter, or a claim is denied, the fee refunds automatically. Neither Truemed nor Flex advertises a comparable guarantee.
More context in can med spas accept HSA and FSA and Burst compared with Truemed.
See how it works or go live now.
Frequently asked questions
What is the best HSA/FSA option for a business on AestheticsPro?
Burst is the best HSA/FSA option for an AestheticsPro medspa, because AestheticsPro documents no HSA/FSA capability and Burst needs none from it. There's no integration, no category change and no change to how clients pay. Setup is self-serve and takes about 30 minutes, it's $100 a month flat with no revenue share, and Burst files the reimbursement claim for the client. Truemed and Flex are the other names in the category, and with both the client is left to file the claim alone.
Does AP Payments accept HSA and FSA cards?
AestheticsPro publishes nothing about it. Ask AP Payments what merchant category your account carries, since that's what decides whether those cards approve.
Do I have to switch payment processors?
No. Burst sits outside your payments entirely, so AP Payments, your rates and your terminal all stay as they are.
Can clients use FSA or HSA money on packages and memberships?
Yes. They keep paying through your existing AestheticsPro billing on their normal card, and Burst handles the letter and files the claim.
The card went through. Doesn't that settle it?
No. An approval at the counter is the card network's decision about your business category, not the client's plan agreeing the service was eligible. The plan can ask the client for documentation on that charge later, and a swipe isn't documentation. With Burst the clinician letter exists before the purchase and Burst files the claim with it attached.
Can a client get a letter for a treatment they already paid for?
No. IRS rules require the letter to be dated on or before the purchase. That binds Burst, Truemed, Flex and everyone else equally.
What does it cost my business?
$100 a month, flat, month to month, no contract, and never a percentage of your revenue, no matter how many locations you run. The only other cost is the $20 one-time client letter fee, and you decide who pays it.
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