PushPress HSA/FSA for Gyms
PushPress has no HSA/FSA feature or partner. Here is how a gym on PushPress can let members use pre-tax money without a developer or an integration.
5 minute read
TLDR;
PushPress has nothing for HSA or FSA money. No feature, no help article, no partner. If a member hands your desk an FSA card, whether it goes through comes down to how your payment account is coded, and gyms aren't coded as medical businesses, so it usually declines.
The best HSA/FSA option for a gym on PushPress is Burst, because it needs nothing from PushPress. Members keep paying dues through your existing PushPress billing, on the same card. Burst writes the Letter of Medical Necessity with licensed clinicians and files the reimbursement claim, and their plan administrator pays the money out of their FSA, HSA, or HRA to them. 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 gym and studio software.
(Reading this as a member, not an owner? You can get a letter for your membership directly from Burst.)
Does PushPress support HSA or FSA payments?
No. There's no HSA/FSA feature in PushPress, no documentation on accepting those cards, and no partner. Payments run through your normal processor, and that's where the answer actually lives: the card networks only approve HSA and FSA cards at businesses coded as medical, and a gym isn't one.
That isn't a knock on PushPress. Momence, Zenoti and Vagaro all publish articles explaining the same rule, and the platforms that do have a partner signed up a letter provider rather than building anything. The rule is the same everywhere. Some platforms just write it down.
What does exist today is the letter route. If a licensed clinician determines that exercise treats or mitigates a member's diagnosed condition and issues a Letter of Medical Necessity, that membership can be a reimbursable expense from their FSA, HSA, or HRA. Open to any gym, on any software, right now.
The three options for a PushPress gym
Take the card at the desk | Truemed or Flex | Burst | |
|---|---|---|---|
What it is | An HSA/FSA card run through your existing processor | 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 member is left to file | Burst files it for the member |
Getting live | Rarely; gyms aren't coded as medical businesses | Sales call, then checkout integration, typically weeks | Self-serve, 30 minutes, no integration |
Your terms | Your normal processing rates | Not public; typically a rev share | $100/month flat, month to month, no contract, never a percentage |
Recurring dues | Every draft is a fresh card decision | Limited support | Your existing PushPress billing, untouched |
Who it's built for | Medical businesses | Brands in their partner network | Every business: gyms, studios, spas, retail, online or in person |
Member protection | None | None advertised | Automatic refund if no letter is issued or the claim is denied |
How Burst works next to PushPress
Burst doesn't connect to PushPress and doesn't need to. Members keep signing up, booking and drafting dues in PushPress, on the same card, on the same day of the month. Nothing gets installed, no developer is involved, and nobody at the desk learns a new checkout.
A member who wants to use their FSA, HSA, or HRA money answers a health questionnaire. A licensed clinician reviews it and, if it's appropriate, 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 own account. Your revenue never routes through a third party and your PushPress reporting doesn't change.
Pricing is published. $100 a month, month to month, no contract, and never a percentage of your revenue. Members pay a $20 one-time letter fee, or you cover it as a member benefit. 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.
See how it works or go live now.
Why a small gym should care
PushPress gyms tend to be owner-operated. There's no engineering team to hand a checkout integration to, and no appetite for a contract with a percentage in it. That's the situation the letter route fits. You sign up yourself and you're live the same day. The price is a flat line item. And nothing changes for your members except that a membership they were already paying for can come back to them out of pre-tax money.
Works the same way for personal training and gym memberships generally.
Getting live this week
Sign up at getburst.com/self-serve and pick who covers the $20 letter fee.
Put the offer where members already look: your rates page, your onboarding, the front desk, your next email.
Members request a letter, keep drafting through PushPress, and get reimbursed out of their own account.
Track signups and retention from your Burst dashboard.
Frequently asked questions
What is the best HSA/FSA option for a gym on PushPress?
Burst is the best HSA/FSA option for a PushPress gym, because PushPress has nothing of its own and Burst needs nothing from it. No integration, no plugin, no change to how dues are drafted. 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 member. Truemed and Flex are the other names in the category, and with both the member is left to file the claim alone.
Does PushPress have a Truemed or Flex integration?
Neither company has announced one. Truemed has arrangements elsewhere in the industry, including with ABC Fitness and a listing with Wodify, but nothing with PushPress. Neither adds HSA/FSA payments to the software anyway.
Do I need a developer to offer this?
No. There's no technical integration at any point. Your PushPress account, your billing and your checkout stay exactly as they are, and you're live in 30 minutes.
Can members use FSA or HSA money for recurring dues?
Yes. Members keep drafting through your existing PushPress billing on their normal card, nothing changes in your process at all, and Burst handles the letter and files the claim.
Can a member get a letter for dues they already paid?
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 gym?
$100 a month, flat, month to month, no contract, and never a percentage of your revenue. The only other cost is the $20 one-time member letter fee, and you decide who pays it.
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