🇺🇸 Built for US Telehealth
Custom payment stack · Live in 7 days

A payment funnel built around your practice

We don't ship a one-size-fits-all gateway. Each telehealth merchant gets a tailor-made stack — assembled from 12+ payment products and launched in under a week. Specialty MIDs, HSA/FSA, recurring billing, chargeback shield, BIN routing — bundled around your category, volume and tech stack.

Free · 30 seconds · No commitment
Reply within 30 minutes · Trusted by US telehealth, mental health and weight-loss platforms
HIPAA-ready
PCI DSS
HSA/FSA card acceptance
50-state compliance
Initial payments
$248K ▲ 12%
Rebill / mo
345
96% success rate
Approval rate
72% ▲ 18%
Built specifically for US telehealth

MIDs that won't drop you

Stripe, Square and Mercury freeze telehealth accounts overnight — especially GLP-1, men's health, mental health and compounded pharmacy. Germius gets you specialty merchant accounts that are built to survive in your category.

Pain we solve: sudden MID freezes, 90-day rolling reserves, account terminations

HSA / FSA + ACH + Cards

Most processors can't route HSA/FSA cards to telehealth merchants. Germius runs all three rails — credit/debit, HSA/FSA, and ACH for recurring memberships — through specialty BIN routing, so every patient can pay the way they want.

Pain we solve: HSA/FSA declines, broken subscriptions, missed ACH retries

Recover 92% of chargebacks

Telehealth chargeback rates run 3–5× higher than e-com. RDR, CDRN, Order Insight and Compelling Evidence 3.0 — via our Ethoca and Verifi integrations — catch and resolve disputes before they hit your MID and tank your reputation with Visa/Mastercard.

Pain we solve: VAMP/VDMP thresholds, MATCH-list risk, friendly fraud

Live in 7 days · 100% custom

No one-size-fits-all checkout. Our team designs your payment funnel from scratch — pick the modules that fit your category, volume and tech stack. Cards, ACH, HSA/FSA, 3DS2, recurring, BIN routing, fraud scoring, analytics — wired into your CRM and EHR in under a week.

Discovery call · stack design · MID approval · go-live — typically 5–7 business days
— What's in the box —
12+ payment products. Bundled around your practice.
Specialty MIDs Payment orchestration Smart BIN routing HSA / FSA acceptance ACH for memberships Recurring billing engine Chargeback shield (RDR + CDRN) Decline recovery 3DS2 / SCA Apple Pay · Google Pay Fraud scoring & tokenization Real-time analytics dashboard
+0%
Average approval-rate
lift after switching
0%
Chargebacks recovered
via RDR + CDRN
0
US states
licensed & compliant
0 min
First response from
a payments specialist