Med spas and aesthetics

Med spa membership billing: how to run monthly plans without chasing cards

Updated 10 September 2026 · 7 min read

Med spa membership billing means charging a client the same amount every month for a bundle of treatments or credit, automatically, on a card they authorise once. On Enterprise Pay Gateway each member sits on a recurring plan through your own Stripe account, failed cards are retried and emailed automatically, and you pay a monthly subscription from $49 plus a platform fee of 0.20%–0.75% on top of Stripe's own processing rate.

Why memberships beat one-off treatments

A member is a client who has already decided to come back. Instead of selling every tox appointment from scratch, you collect a predictable amount each month and the client walks in with a balance already paid.

The practical effect is on cash flow. Twelve members at $149 a month is $1,788 a month arriving without a single sales conversation, which is what makes it possible to plan staffing and stock injectables with confidence.

Designing tiers people actually keep

Two or three tiers is plenty. A common shape is a facial tier, an injectable-credit tier and a premium tier that bundles both plus retail discounts. Anything more and the front desk cannot explain it in thirty seconds.

Let unused value bank rather than expire where your state rules allow it. Members cancel when they feel they have wasted money; a visible banked balance is the single strongest argument against cancelling.

What happens when a card fails

Roughly one in ten recurring cards fails at some point in a year through expiry, a reissue after fraud, or a temporary decline. Without automation each one becomes a phone call.

Enterprise Pay Gateway retries the payment on a schedule, emails the member a link to update their card, and shows the failed payment in your dashboard so the front desk can see it before the member's next visit rather than after.

What med spa payment processing costs for memberships

Stripe charges its published processing fee on each renewal, billed to you directly. Enterprise Pay Gateway charges your monthly subscription plus a platform fee of 0.20%–0.75% depending on plan, itemised separately.

Enterprise Pay Gateway is software, not a bank or a lender. Stripe processes the card under your own Stripe agreement and pays out to your bank account.

Frequently asked

Can members pause a membership instead of cancelling?
Yes. A plan can be paused from the dashboard, and billing resumes on the date you set without the member re-entering a card.
Do memberships work alongside prepaid packages?
They do. A client can hold a monthly membership and a separate prepaid treatment package, and both balances show on the same customer record.
Who owns the member's card details?
Stripe stores the card under your own Stripe account. Enterprise Pay Gateway never sees or stores full card numbers.

Start taking payments for your med spas and aesthetics

Create a free account, connect payments through Stripe, and take your first payment the same day. Enterprise Pay Gateway is software, not a bank or lender — Stripe processes payments under your own Stripe agreement and pays out to your bank.

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