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.

Full-spectrum, no-credit-score-gate financing for credit-challenged elective patients
PrimaHealth Credit is a strong full-spectrum, no-score-gate financing option that approves credit-challenged aesthetic patients prime lenders decline, backed by a long history and BBB A+ accreditation — but thin third-party validation and higher subprime costs make it best used as a second-look option with terms confirmed in writing.
PrimaHealth Credit is a patient-financing platform for elective care — cosmetic, med spa, and dental — that lends across the full credit spectrum rather than gating approvals on a single credit score. Founded in 2011, it analyzes more than 200 data points per applicant, which lets it approve a meaningfully higher share of credit-challenged patients than score-driven programs, while still offering 0% promotional plans to qualified borrowers. The practice is funded up front and carries no repayment risk, making PrimaHealth a natural second-look or primary option for aesthetic clinics whose patients are frequently declined elsewhere.
The platform is explicitly marketed toward aesthetics and elective care, positioning it in the subprime and near-prime segment where prime-focused competitors leave conversions on the table. That access-first orientation is its core value: a med spa can offer a financing path to patients who would otherwise walk away after a Cherry or CareCredit decline. The main caveat for buyers is transparency of third-party validation — PrimaHealth is BBB-accredited with an A+ rating (accredited since roughly 2013), but there is no verifiable, high-volume star rating on Trustpilot, Capterra, or similar sites, so practices should lean on the BBB signal and their own due diligence rather than an aggregate consumer score, and should confirm the exact merchant fee and patient APR schedule in writing before enrolling.
Ideal customer
Med spas and aesthetic practices with credit-challenged or near-prime patients who are frequently declined by prime-focused programs, and that want a full-spectrum financing option with high approval rates and up-front funding.
PrimaHealth Credit is a patient-financing platform built for the part of the market prime-focused programs underserve: credit-challenged and near-prime patients. Founded in 2011, it lends across the full credit spectrum and, crucially, does not gate approvals on a single credit score — it analyzes more than 200 data points per applicant. For a med spa, that makes it a strong second-look (or primary) option for patients who would otherwise walk away after a Cherry or CareCredit decline.
It's marketed squarely at cosmetic, med spa, and dental elective care, and the commercial model is familiar: the practice is funded up front and carries no repayment risk, with qualified patients able to access 0% promotional plans.
Choose PrimaHealth Credit if a meaningful share of your patients are credit-challenged and you're losing cases to declines from prime-focused lenders. Its full-spectrum, no-score-gate approach and aesthetics focus make it a strong access play, backed by a long history and BBB A+ accreditation. Because there's no large third-party rating to lean on and full-spectrum lending costs more, treat this as a second-look or complementary option, verify the merchant fee and patient APR schedule in writing, and be scrupulous about disclosing patient terms.
By Med Spa Vendor Hub Editorial Team. Last reviewed June 29, 2026. Independent editorial review — how we score.
PrimaHealth Credit funds the practice up front and carries no repayment risk, in exchange for a per-transaction merchant fee. Patients see 0% promotional options if qualified, otherwise installment plans priced by a 200-plus-data-point model rather than a single score. Because full-spectrum and subprime lending typically carries higher merchant fees and patient APRs than prime-only programs, and the published schedule is limited, confirm the exact merchant fee and patient APR range in writing before enrolling.
0% promotional plan
0% APR (patient)
per transaction
Qualified patients get a 0% promotional installment plan; the practice is funded up front.
Full-spectrum installment plan
Risk-based APR
per transaction
Installment plans for near-prime and credit-challenged patients, priced by a 200-plus-data-point model rather than a single credit score.
Merchant fee
Per-transaction fee
per transaction
The practice pays a per-transaction merchant fee and is funded up front, carrying no repayment risk. Confirm the exact schedule in writing.
Pricing is researched from public sources and verified periodically; confirm current rates with the vendor.
A vendor-neutral guide to choosing patient financing for a med spa—covering why financing drives conversion, the six provider models, the deferred-interest trap, merchant economics, and how to match a provider to your patients.
Patient financing has no subscription - the practice pays a merchant discount fee (a % of each financed sale) and the patient pays APR or deferred interest. Here's a transparent 2026 breakdown of real merchant fees and patient rates by lender.
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.
Afterpay, owned by Block (Square), is a mainstream buy-now-pay-later provider offering interest-free Pay-in-4 on smaller purchases. Some beauty businesses and med spas use it for retail and lower-ticket services, but it is not a healthcare-built financing product for higher-ticket aesthetic procedures.
Alphaeon Credit is a purpose-built healthcare credit card for aesthetic, cosmetic, dermatology, and plastic surgery practices, offering deep aesthetics fit but carrying a deferred-interest model and strongly negative consumer sentiment.