Affirm
Affirm is a large general-purpose buy-now-pay-later and installment lender that pays merchants up front and assumes default risk, used by some med spas through Zenoti and Stripe-based POS rather than built for aesthetics.

The ubiquitous healthcare credit card, now AmSpa's exclusive partner
CareCredit offers unmatched acceptance and an exclusive AmSpa partnership, but its deferred-interest model, high merchant fees, hard-pull application, and poor consumer ratings make it a cautious choice rather than a default — best paired with clear patient disclosure.
CareCredit, issued by Synchrony Bank, is the long-established healthcare credit card used to pay for elective and aesthetic care. Accepted at a reported 250,000+ provider locations and now the exclusive financing partner of the American Med Spa Association (AmSpa) with preferred member merchant rates from January 2026, it offers the widest acceptance footprint of any option in the category. Unlike the newer aesthetics-built installment lenders, CareCredit is a revolving credit line: patients can reuse it across many providers, with credit limits up to about $25,000.
The critical distinction is its cost structure. The standard purchase APR is around 32.99%, with reduced-APR plans of 17.90–20.90% on longer terms, and heavily marketed deferred-interest promotions (0% if paid in full within 6, 12, 18, or 24 months on purchases of $200+). Those promotions charge **retroactive interest** back to the purchase date if the balance isn't cleared in time — a model that has drawn sustained consumer complaints and CFPB scrutiny of deferred-interest practices industry-wide. Patients prequalify with a soft pull but a full application triggers a hard credit inquiry. Practices are paid up front minus a merchant discount rate that ranges widely from about 1.9% to 14.9%, with roughly 10% common on the 0%-deferred plans. It integrates with Zenoti and PatientNow.
Ideal customer
Med spas that want the broadest patient acceptance and the AmSpa preferred-rate relationship, and whose patients may already carry a CareCredit card — provided staff can clearly explain the deferred-interest terms to patients.
CareCredit is the incumbent of healthcare financing. Issued by Synchrony Bank and accepted at a reported 250,000+ provider locations, it is the most widely held and widely accepted option in the category — many of your patients may already carry the card. As of January 2026 it is also the exclusive financing partner of AmSpa, with preferred merchant rates for members, which makes it impossible to ignore for med spas weighing the association relationship.
Unlike the newer aesthetics-built installment lenders, CareCredit is a revolving credit card. Patients get a reusable line with limits up to about $25,000 that works across many providers, not a single fixed-term loan tied to one treatment. That breadth is its defining advantage — and its structure is also where the trouble starts.
Choose CareCredit if breadth of acceptance and the AmSpa relationship matter most, and especially if many of your patients already hold the card. But go in clear-eyed: the deferred-interest structure, high merchant fees on 0% plans, hard-pull application, and poor consumer-satisfaction record make it a weaker default than aesthetics-built, no-deferred-interest options. If you offer it, train your front desk to explain the retroactive-interest terms plainly, and consider running a soft-pull installment lender alongside it.
By Med Spa Vendor Hub Editorial Team. Last reviewed July 28, 2026. Independent editorial review — how we score.
CareCredit publishes patient-facing rates but no merchant pricing whatsoever — its provider FAQ declines to state a rate, saying it depends on several factors, and quotes come via its sales team. Any specific merchant discount range attributed to CareCredit is not sourced from CareCredit. Verified 28 July 2026.
Deferred-interest promotion
No interest if paid in full
promotional period
Interest accrues and is charged retroactively if the balance is not cleared within the promotional period.
Reduced-APR plans
17.90%–20.90% APR
per loan
Published reduced-APR promotional plans on longer terms.
Standard purchase APR
~32.99% APR
per loan
Standard revolving purchase APR.
Merchant discount rate
Not published — by quote
per transaction
CareCredit publishes no merchant fee. Its provider FAQ explicitly declines to give one, stating the processing rate depends on several factors.
Pricing is researched from public sources and verified periodically; confirm current rates with the vendor.
Independent ratings from third-party review platforms, cited with sources. These are not our score.
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