Recurring Payment Plans for Patient Balances

Recurring patient payment plan calendar with card on file installments

Split a $1,200 deductible or $5,000 elective procedure balance into 3–12 monthly installments using the same card on file — no third-party financing, no patient credit check, no merchant discount fees.

Why offer in-house payment plans?

Third-party patient financing (CareCredit, Affirm Health, Sunbit) charges practice fees of 5–15% on every approved plan and rejects 30–40% of applicants. In-house plans backed by card on file or ACH cost 2.4% + $0.10 per installment, approve every patient, and keep the patient inside your billing system.

How is the plan structured against the card on file?

The patient signs a plan agreement specifying balance, term, installment amount, and authorization to charge the saved token monthly. The agreement attaches to the token; missed installments trigger a defined retry-then-outreach workflow rather than instant collections.

What is the failed-installment retry strategy?

Smart retry tuned to NACHA / card decline codes recovers 8–12% of failed installments without manual intervention. Email + SMS dunning recovers another 6–10%. Most practices keep total plan failure rate under 7% with proper retry and updater services.

How does this compare to CareCredit?

CareCredit charges the practice 5–10% MDR plus deferred-interest fees, and rejects roughly a third of applications. In-house plans cost ~2.4% + $0.10 per installment, approve 100% of patients, and let the practice keep the financing relationship.

Frequently asked questions

How fast can you get approved?

Most healthcare practices are approved within 24 hours of complete application submission. Specialty MIDs (dental DSO, behavioral health groups, DME) may take 48–72 hours while underwriting reviews trailing statements and licensure.

What does it cost?

Interchange-plus pricing — typically 2.4% + $0.10 per card transaction with no setup fee and no monthly minimum. ACH is 0.5–1.0%. You see interchange cost, assessments, and our markup on a single itemized statement.

Is the platform HIPAA-compliant?

Yes. We sign a BAA, tokenize all card and bank data before it touches your systems, and segregate PHI from payment metadata. EHR / PMS integrations move only the minimum necessary data for posting.

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