ReleaseProduct Updates

Expand healthcare payment options with HSA and FSA cards

Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) provide tax advantages for qualified medical expenses. For healthcare providers, pharmacies, and wellness businesses, accepting HSA and FSA payments gives customers a way to use these accounts to pay for eligible expenses. Our API supports HSA and FSA card payments and healthcare expense data, giving healthcare ISVs a way to support these payment methods directly in their integrations.

YT
Yi-Chen Teh
Technical Writer · October 5, 2026

What you can do with HSA and FSA payments

Take payments with HSA and FSA cards

You can support HSA and FSA card payments through our API or Payroc Cloud.

  • Take payments using our API – Use the Create Payment method to run a sale. In the request, add the healthcareExpenses object to specify the category and amount of the healthcare expenses.
  • Take payments using Payroc Cloud – Use the Submit Payment Instruction method to run a sale on a connected payment device. In the request, add the healthcareExpenses object to specify the category and amount of the healthcare expenses.

After you take a payment, our gateway returns the healthcareIndicator field to show whether we processed the payment, including whether we processed it as a healthcare expense and whether the card supports healthcare expenses. You can also use the Retrieve Payment method to check the healthcareIndicator field on an existing transaction to confirm how we processed it.

Check HSA and FSA card information

You can check if a card is linked to an FSA or HSA before you run a sale.

  • Look up BIN information – Use the Look Up BIN Information method to check if a card is linked to an FSA or HSA.
  • Verify card – Use the Verify Card method to verify a customer's card details and check whether the card supports healthcare expenses.

Check DCC eligibility

You can use the Verify DCC Eligibility method to check if the HSA or FSA card is eligible for dynamic currency conversion (DCC).

Get started

New to creating payments with us? Start with our Payments or Payroc Cloud guide, depending on your integration. Or build with AI at docs.payroc.com.

Already creating payments through our API or Payroc Cloud? Add the healthcareExpenses object to your next Create Payment or Submit Payment Instruction call.

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