Flex for

footwear Brands

Unlock new revenue by making your footwear products HSA/FSA eligible  

Boost checkout conversion by 30% and AOV by 50% with the only HSA/FSA payments solution built for leading footwear brands

Trusted by top footwear brands

icarus logo
fitmyfoot logo
andiem logo
kizik logo
andiem logo
fitmyfoot logo
andiem logo
kizik logo
minnemals logo
naboso logo
minnemals logo
naboso logo

The Problem

The missed opportunity in footwear health benefit spending

The missed opportunity in footwear health benefit spending

Foot pain and mobility issues are common, but few consumers realize orthopedic and recovery footwear may qualify for HSA/FSA spending. Even informed shoppers face confusing payment processes, reimbursements, and paperwork—creating friction and lost sales for brands.

Frustrated customers

Eligibility confusion

Frustrated customers

Eligibility confusion

Abandoned carts

Manual claims

Abandoned carts

Manual claims

Out-of-pocket spend

Reimbursement wait

Out-of-pocket spend

Reimbursement wait

No LMN access

Payment declines

No LMN access

Payment declines

Lost HSA dollars

Checkout drop-off

Lost HSA dollars

Checkout drop-off

Automatic eligibility

Instant LMN

Automatic eligibility

Instant LMN

Direct HSA/FSA pay

Seamless checkout

Direct HSA/FSA pay

Seamless checkout

Lower customer costs

Satisfied customers

Lower customer costs

Satisfied customers

Completed purchases

Faster approvals

Completed purchases

Faster approvals

Streamlined access

Captured HSA dollars

Streamlined access

Captured HSA dollars

The Solution

Your all-in-one HSA/FSA payment solution for footwear

Your all-in-one HSA/FSA payment solution for footwear

Flex helps footwear brands tap into the $150B+ HSA/FSA market with seamless checkout, instant eligibility checks, and automatic Letters of Medical Necessity. Customers can pay directly—no paperwork or reimbursement. You gain a powerful new buyer segment while shoppers save on products that relieve pain and help them move better.

Effortless HSA/FSA payments

Enable seamless HSA/FSA payments for footwear products in-app or on your website. We handle the complexity of split cards, subscriptions, and more.

Compliance you can rely on

Flex helps manage HSA/FSA eligibility for footwear products before and after purchase. When a Letter of Medical Necessity is required, we guide customers through a secure telehealth review so physicians can determine eligibility and issue documentation when appropriate.

Smarter insights

Access powerful dashboards and insights to identify your customers' spending trends and generate more revenue.

Why Flex

HSA/FSA eligibility made simple for footwear

HSA/FSA eligibility made simple for footwear

Boost conversion and increase order value

Flex’s streamlined checkout drives up to 30% higher conversion and 50% higher AOV by letting customers pay for footwear and foot health products directly with their benefits.

Monthly Overview

Monthly Overview

Ura footwear

Ura footwear

Time Period

Time Period

Q3, FY25-26

Q3, FY25-26

Conversion %

Conversion %

12.4%

12.4%

29%

29%

AOV

AOV

$1034.00

$1034.00

48%

48%

Top Benefit Plans Opted

30%

20%

10%

40%

footwear Membership

End-to-end solution to accept HSA/FSA payments for footwear

Flex automatically verifies foot health product eligibility, processes HSA/FSA cards, and generates LMNs in under a minute—removing the paperwork and frustration that cause drop-off.

Latest Orders

Cart

John Doe

Invoice #32414

Letter of Medical Necessity

Letter of Medical Necessity

Checkout

Checkout

Payouts

Payouts

Easy-to-integrate solution for enterprise and smaller brands

Whether you’re on Shopify, another ecommerce platform, or running custom checkout flows, Flex fits seamlessly into your stack. Most footwear brands launch in less than a day.

Trusted, experienced team

From setup to scale, our team ensures you get live quickly, implement best practices, and capture demand. Plus, we’ll feature your brand across our channels to our high-intent HSA/FSA shoppers.

The Impact

Why our customers love Flex

Conversion Lift

+30%

More shoppers complete checkout with HSA/FSA

Conversion Lift

+30%

More shoppers complete checkout with HSA/FSA

AOV Lift

+50%

Customers spend more using health benefit funds

AOV Lift

+50%

Customers spend more using health benefit funds

AOV Lift

+50%

Customers spend more using health benefit funds

Fewer Returns

-10%

Fewer returns when buyers use pre-tax dollars

Fewer Returns

-10%

Fewer returns when buyers use pre-tax dollars

Fewer Returns

-10%

Fewer returns when buyers use pre-tax dollars

Repeat Buyers

+92%

Of customers said they'll return because of HSA/FSA

Repeat Buyers

+92%

Of customers said they'll return because of HSA/FSA

Repeat Buyers

+92%

Of customers said they'll return because of HSA/FSA

FAQs

Need more help? Reach out to a Flex Specialist today.

What is HSA/FSA?

Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) are tax-advantaged accounts that allow individuals to set aside pre-tax dollars for qualified medical expenses. Many Americans use these accounts to pay for everyday health-related purchases—including eligible sleep wellness products like mattresses, bedding, sleep tech, and clinical sleep aids.

How do I know if my footwear products are eligible?

Flex automatically verifies the eligibility of each footwear product you sell, and will flag which ones can be made HSA/FSA eligible—with or without a Letter of Medical Necessity (LMN).

Can Flex help my customers get a Letter of Medical Necessity (LMN) for footwear products during checkout?

Yes. If a footwear purchase requires a Letter of Medical Necessity (LMN), Flex prompt a telehealth consultation during checkout. A healthcare practitioner reviews the customer’s information and, if approved, the LMN is typically emailed within about 2 hours.

What types of footwear products can I sell that are typically eligible for HSA/FSA reimbursement?

Orthopedic & Therapeutic Footwear

Designed to relieve foot pain and support mobility


With Letter of Medical Necessity

  • Orthopedic shoes

  • Diabetic shoes

  • Arch support footwear

  • Plantar fasciitis relief shoes

  • Wide-toe box shoes

  • Impact-reducing sandals

Inserts & Accessories

Medical-grade add-ons that provide targeted foot support and pain relief

With Letter of Medical Necessity

  • Compression socks

  • Custom orthotics

  • Heel cups

  • Arch supports

  • Toe separators


Do I need to change my existing checkout or payments system?

No. Flex is designed to work with your existing stack—whether you’re on Shopify or using a custom ecommerce platform. Integration is fast and flexible.

How long does it take to get set up?

Most footwear brands can launch with Flex in less than a day. Our team provides hands-on support to guide integration, compliance, and launch best practices that are tailored to the footwear industry’s needs.

Get a Demo

Ready to accept footwear HSA/FSA payments?

Let us guide you through this process. Share a few details and our customer service specialist will reach out to you within 24 hours.