Best HSA/FSA Option for BigCommerce Stores
BigCommerce gets mentioned in the docs and skipped in the products. How to offer HSA/FSA reimbursement without waiting for anyone to ship an app.
7 minute read
Short answer
For a BigCommerce store, the best HSA/FSA option in 2026 is Burst. Your checkout stays exactly as it is, nothing gets installed, and you're live in 30 minutes. It's $100 a month with no contract, plus a $20 one-time letter fee that the customer or you can pay, and Burst writes the letter of medical necessity and files the reimbursement claim.
BigCommerce is the platform everyone in this category mentions and nobody prioritizes. You'll find it referenced in documentation and in logo grids, and then find there's no maintained app to install. Burst needs nothing installed on any platform, so the gap stops mattering.
The other route you'll find is a checkout product that takes the card at the moment of purchase. Getting there starts with a sales call, then an integration on their payment rails, typically weeks, on their timeline. The merchant terms aren't published and typically include a rev share. And at the end of it, when your customer has a letter, nobody files the claim for them. The customer is left to do it alone.
To offer it this week, start at getburst.com/self-serve.
(Reading this as a customer, not a BigCommerce store? You can get a letter for your own order directly from Burst.)
Why BigCommerce keeps getting skipped
It's a volume decision by the vendors, not a technical limit. The HSA/FSA app ecosystem built for Shopify first because that's where the merchant count is, and everything else gets a documentation mention and a place in the roadmap.
If you're on BigCommerce and have been waiting for one of these products to properly support you, the wait isn't the constraint you think it is. The reimbursement route never needed platform support in the first place.
That's also true if you're headless, on a custom stack, or selling through more than one storefront. There's no platform dependency to satisfy.
What a card-rail option would require here
Every card-rail product works the same way underneath. The customer's HSA or FSA card has to run at a business the networks will approve, so the transaction moves onto the provider's rails and your checkout hands off.
The limits come with the model, not the vendor. Express wallets generally can't carry those transactions because they can't pass item-level data. A mixed cart fails as one charge. Subscription renewals are the weak case, because each renewal needs its own real-time check. And the customer is still left to file the claim.
The named options, side by side
Truemed | Flex | Burst | |
|---|---|---|---|
What it is | Card-rail HSA/FSA checkout, LMNs, partner marketplace | Card-rail HSA/FSA checkout, LMNs, partner marketplace | LMN and reimbursement platform, no checkout involvement |
Who files the reimbursement claim | Nobody; the customer is left to file | Nobody; the customer is left to file | Burst files it for the member |
Getting live | Sales call, then checkout integration, typically weeks | Sales call, then checkout integration, typically weeks | Self-serve, live in 30 minutes, no integration |
What it costs you | Not public; typically a rev share | Not public; typically a rev share | $100 a month, month to month, no contract |
Customer letter fee | Not published | Not published | $20 one-time, paid by the customer or by you |
If no letter is issued, or the claim is denied | No published guarantee | No published guarantee | The $20 is refunded automatically |
Business types accepted | Partner application | Partner application | Any BigCommerce store, no application |
Contract | Set in their sales process | Set in their sales process | Month to month |
The row that decides this for most stores is the last one. A letter is half a reimbursement, and somebody has to do the other half.
Why Burst is the best HSA/FSA option for a BigCommerce store
Burst files the claim. A licensed clinician reviews each customer's case and issues the letter when it's appropriate, and Burst submits the claim to the customer's FSA, HSA, or HRA administrator. The customer does no paperwork. With Truemed and Flex, the customer does all of it.
The customer's fee is refunded if it doesn't go through. No letter, or a denied claim, and the $20 comes back automatically. Neither Truemed nor Flex advertises a comparable guarantee. Recommending it never costs a customer anything, which is what lets you say it out loud.
The price is published. $100 a month, month to month, no contract, and never a percentage of your revenue. You know the cost before you talk to anyone.
Your platform stops being part of the decision. Because nothing installs and the checkout is untouched, it works the same on any builder, on any plan, with any payment provider.
See how it works or go live now.
What does it look like for a customer?
A customer orders through your existing checkout, then follows your Burst link to a two-minute intake about the condition they're managing. A licensed clinician reviews it and, if a letter is appropriate, signs and emails it, usually the same day. Their order and any subscription keep running exactly as they were. Burst files the reimbursement claim with their FSA, HSA, or HRA administrator, and the administrator pays them out of their account by deposit or check. No letter, or a denied claim, and the $20 fee refunds automatically.
One timing rule. The letter has to be dated on or before the order it covers, so put the link on the product page, because the letter has to predate the order. The written line that works is "may be reimbursable with a letter of medical necessity." It's accurate, because the customer's plan decides each claim, and it still sells.
What it costs
Burst is $100 a month, month to month, no contract, and never a percentage of your revenue, plus a $20 one-time letter fee per customer that you or the customer pays.
Neither Truemed nor Flex publishes what it charges a merchant. Terms come out of their sales process and typically include a rev share, which grows with every order you win, including the ones you sourced yourself.
How to set this up
Sign up at getburst.com/self-serve. About 30 minutes, and you don't install a plugin and you don't touch your checkout.
Decide who pays the $20 one-time letter fee: customers, or you on higher-ticket orders.
Add your Burst link on the product page near the price, in the cart, and in the order confirmation email.
Keep your store exactly as it is. Customers enroll, get their letters, and Burst files their claims.
All of it is content, not code, so nothing here needs a developer or a staging site.
Frequently asked questions
What is the best HSA/FSA option for a BigCommerce store?
Burst. Nothing installs, your checkout is untouched, you're live in 30 minutes, it's $100 a month flat with no revenue share, and Burst files the customer's reimbursement claim. Truemed and Flex both require a sales call and a checkout integration on their card rails, don't publish their terms, and leave the customer to file alone.
Is there an HSA/FSA app for BigCommerce?
Not a maintained one from the major card-rail providers. It isn't a blocker: reimbursement runs alongside your existing checkout on any platform, including headless and custom storefronts.
Do I have to install a plugin?
No. There's no plugin, no theme edit and no script. You place a link where customers already look.
Does it work with my payment provider?
Yes, with all of them, because it doesn't touch the payment. Every method you accept keeps working.
Does it work with subscriptions?
Yes. Renewals keep running on the card on file through whatever tool you use, and claims are filed as the charges land.
Can a customer be reimbursed for an order they already placed?
No. The letter has to be dated on or before the order it covers.
Is the letter a guarantee the customer gets paid back?
No. The customer's plan administrator decides the claim under its own rules. Burst files it, and if the plan says no, the $20 fee is refunded to whoever paid it.
More on this: Best HSA/FSA Option for Shopify Stores, HSA/FSA Integration for Brands: API, App, or None, How to Accept HSA/FSA Without an Integration, and Best HSA/FSA Platforms for Brands.
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