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.
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.
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.
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.
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.
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