Selling home health instruments on Shopify. Payments is the hard part.
Home health instruments trigger review because they sit on Stripe's restricted list, and disputes over therapeutic claims push acquirers to cut the merchant account.
Move all of it into a new store, from $247
One-time packages, no per-record metering, no quotes. The order form unlocks the moment you pay, counts are matched against your old store, and the entire migration then runs a second time — the second pass has to create nothing.
And then there is the part that actually loses businesses
If you do need a new store, the payments problem turns out to be the easy half. This is what is sitting in your current store right now, and what happens to each piece when someone tries to move it by hand:
Why this category in particular
A home health store's catalog is dangerous to move by hand because compliance metadata lives in custom metafields. Device certifications, regulatory registration numbers, warranty terms, clinical study references and safety warnings are often stored as metafield values—and a manual CSV export-and-import loop cannot carry metafield definitions or their values at all. If copied naively, the fields render as blank on the new store, so a customer sees a product page without its certification badge, warranty terms or safety information. On a regulated device, that is not cosmetic.
| What you own | How much of it | What breaks doing it by hand | What we do instead |
|---|---|---|---|
| Product images | 3,040images≈ 13 hrsbulk re-upload, ~15 sec each | By handthe CSV carries image URLs and alt text, but they point at your OLD store's CDN — so the moment the old store goes, every image 404s. Re-upload and Shopify appends a dedupe suffix to the filename, which breaks every theme section and product description that referenced the original URL | Automatedevery file re-uploaded through the API with its alt text and variant attachment intact, its content type preserved so image-restricted fields still accept it, and every reference to the old URL rewritten |
| Product descriptions | 380descriptions≈ 2 hrsone pass to repair inline image links — the CSV carries the text | By handdescriptions are full of inline images and links pointing at the old store's CDN. Paste them into the new store and the text survives perfectly while every embedded image quietly dies — which you usually discover from a customer, not from a report | Automatedbodies copied verbatim, then a second pass rewrites every source-CDN URL inside them to the re-uploaded file on the new store |
| Product attributes & variants | 1,520variants≈ 45 minthe CSV carries these; the time is verifying option order | By handoption ORDER is part of the product's identity. Rebuild "Size, Colour" as "Colour, Size" and every theme swatch, saved customer URL and app that keys on variant position breaks — silently, because the product page still renders | Automatedvariants upserted by SKU with option names and order preserved, so swatches, deep links and app data keep working |
| Metafields & metaobjects | 3,040metafields≈ 20 hrsonly the reference, JSON and metaobject fields, ~1 min each | By handthe product CSV carries simple text and number metafields — but not metaobjects, and not reference or JSON types, which is exactly where app data and theme content live. Reference fields are the real trap: copy the value and it still points at objects in the OLD store, so the page renders and the custom block is silently empty | Automatedwritten in dependency order after their targets exist, with embedded references re-pointed at the new store's objects — and any value whose reference cannot be resolved is dropped rather than written broken |
| SEO data & redirects | 690records≈ 5 hrsredirects one at a time, plus a handle audit | By handany handle that changes becomes a dead URL with no redirect, and existing 301s are not in the product CSV at all. Years of accumulated ranking and backlinks end up pointing at pages that no longer resolve — the most expensive thing on this page to get wrong, and the slowest to notice | AutomatedSEO titles, meta descriptions and handles carried across, and every existing 301 recreated, so nothing that used to rank starts 404ing |
| Your custom theme | 1theme≈ 6 hrs2–10 hrs depending on how customised it is | By handa theme is not just its files. The settings, section content and block ordering are stored against the store, so a file copy gives you the layout and none of the content. Hardcoded asset URLs and tracking snippets also still point at the old store | Automatedyour live theme pulled and pushed as-is, then scanned for tracking snippets and hardcoded URLs that need re-pointing |
| Product videos | 45videos≈ 3 hrsre-upload and re-attach, ~4 min each | By handthe product CSV does not carry video or 3D media, so every one is a manual re-upload. They also cannot be pulled straight from a remote URL — the bytes have to be downloaded and staged first, and a wrong content type lands the file as a generic attachment that media-restricted fields then reject | Automatedvideo bytes downloaded, staged through a proper upload target, re-attached to the right product, and verified as processed rather than silently failed |
| Customers | 1,850customers≈ 2 hrsCSV import, then cleaning up the rows that fail | By handthe importer works, but marketing consent is the exposure: the CSV carries the current opt-in state and NOT the timestamp or source behind it. Re-opting someone in is a compliance breach, dropping them burns list revenue you paid for, and you cannot prove which happened afterwards. Default-address designation is also lost | Automatedcustomers upserted by email with every address, the default-address designation, and email and SMS consent states and timestamps preserved exactly as they were |
| Order history | 3,200orders≈ 8 hrsa paid third-party importer, plus a day of mapping and reconciliation | By handShopify's own CSV importer cannot create orders at all, so the hours here assume you buy a third-party importer — key them in by hand instead and 9,400 orders is closer to 390 hours, which is why nobody does that and why order history is simply abandoned in most DIY moves. Then support cannot answer a warranty claim, repeat-purchase segments are empty, and every returning-customer flow starts from zero. Getting the mapping wrong duplicates orders or re-dates them to today, and both are worse than not importing at all | Automatedfull order history recreated through the API with line items, properties, customers re-associated, original dates and tracking numbers intact |
| Navigation menus | 3menus≈ 1 hrsabout an hour to rebuild and relink them all by hand | By handmenu items store resource IDs, not paths, so nothing about them is portable — every link has to be re-pointed at the equivalent collection, page or product on the new store | Automatedmenus rebuilt with their nesting, and every item re-pointed at the equivalent object on the new store |
| Discount codes | 35discounts≈ 1 hrsabout 1 hr via the discount CSV, or ~3 hrs rebuilt by hand | By handthe discount CSV covers basic codes, but automatic discounts, quantity breaks and combination rules are not in it and have to be reconstructed by hand. A subtly wrong rule is worse than a missing one, because nobody notices until it has been over-discounting for a fortnight | Automateddiscounts recreated through the API with their rules, usage limits and dates intact, including automatic and free-shipping types |
| Blogs & pages | 30articles & pages≈ 2 hrsrecreated one at a time, ~4 min each | By handno CSV route for either. Articles also have no SEO fields of their own — their title and description tags live in metafields — so a hand-rebuilt blog loses its SEO even when every word of the text is right | Automatedarticles and pages recreated with authors, tags and publish dates, their SEO written to the metafields Shopify actually stores it in, and inline image URLs rewritten |
| Apps & app data | 10apps≈ 10 hrsabout 1 hr per app to reinstall, reconfigure and re-test | By handmost app data lives in metafields on your products and customers, so reinstalling the app gets you an empty app: reviews gone, subscription plans gone, loyalty balances gone, bundles gone. Flows and automations have to be rebuilt by hand and re-tested, and anything with its own billing has to be re-subscribed | Automatedthe metafield data your apps rely on migrates with the products and customers it hangs off, so a reinstalled app finds its data waiting instead of an empty store |
See these numbers for YOUR store, free
Those are typical figures for this category. The read-only scan counts what is actually in your store, so you know the real scale before you decide anything. No card, and it works even if your storefront is already offline.
▶ Run the free demo scanWhy it happened — specifically for home health instruments
Stripe's policy lists health instruments as a restricted category, which means Shopify Payments will not decline you outright at signup, but will review for therapeutic claims and refund patterns. The primary trigger is marketing language: if your product description says it treats, cures, prevents or relieves a condition—pain, inflammation, circulation, sleep—an underwriter reads it as an unapproved medical device, which moves the category from restricted to prohibited. The secondary trigger is chargeback and return rates. High-value devices attract disputes because customers expect results and refund when they do not see them. Once your chargeback ratio climbs, the processor is exposed and will cut the account.
Rule out the easy fix first — then deal with the real one
Rule this out first: there is no documented Shopify-specific route for home health instruments. Most merchants try to stay with Shopify Payments by softening the claims in their product descriptions, and some succeed for a time. But the underlying issue—that you are selling high-ticket items where customers have outcome expectations—does not go away. When the first significant wave of returns and chargebacks hits, Shopify Payments will review your merchant data again, find the category designation, and terminate. A better path is to apply to a high-risk acquirer now, before the disputes, and move to a gateway that accepts the category. That way you are not applying after a termination, which is far harder to reverse.
It only helps if all of these are true:
- Your product descriptions use no therapeutic language—only structure and function claims or device specifications.
- Your chargeback and return rates remain below the acquirer's threshold—typically under 1–2% of volume.
- You have not been terminated by Shopify Payments or flagged in a processor network.
- Your home country does not prohibit the specific device type you sell.
If any one of them does not hold, you are where everyone else on this page is: you need a store built around a gateway that will actually accept you — and everything you have built has to move into it without losing the catalog, the customers, the order history or the rankings.
What you actually have to fix
Underwriters do not change their minds because you asked. They change them because the facts changed. For home health instruments, these are the facts that move the decision:
Rewrite product descriptions to remove all therapeutic claims
This is the single highest-yield fix and the one merchants resist most, because therapeutic language is what sells high-ticket health devices. Anything that says or implies your product treats, prevents, cures or relieves a condition—pain, inflammation, circulation, sleep quality—reads to an underwriter as marketing an unapproved medical device. Audit every product page, your homepage, blog posts, email sequences and customer reviews for this language. Replace it with structure-and-function claims: what the device does mechanically or physiologically, not what condition it addresses.
Document your refund and dispute history for the past year
Acquirers underwriting home health instruments ask for monthly chargeback rates, refund rates and the reasons customers cite for returns. Pull this data from your Shopify admin and be honest about patterns. If your return rate is high, you must understand why and have a plan to lower it—better product descriptions, clearer expectations, improved customer support or a different customer segment. Do not hide the numbers; they will ask anyway and will decline if you withhold them.
Prepare device certifications and regulatory compliance documentation
Home health instruments are regulated differently by jurisdiction. Gather any CE markings, FDA 510k filings, TGA listings or equivalent certifications your devices carry. If your devices are not certified in your home market, that will be disclosed during underwriting anyway, and transparency helps. If you sell devices into Japan, note that the category is restricted there and plan accordingly—you may not be able to process Japanese sales.
Verify beneficial ownership and business registration documents
High-risk acquirers require clear ownership documentation: articles of incorporation, a register of beneficial owners, and director/shareholder identification. If your business is new or has had ownership changes, have these ready. If you operate under a DBA or multiple legal entities, each will need to be disclosed, because acquirers screen them separately against MATCH and other networks.
What underwriting will ask you for
- Detailed product compliance summary showing claims made (or not made) and the basis for any therapeutic positioning
- Device certification or registration documents (CE, FDA 510k, or equivalent for your jurisdiction)
- Customer refund and chargeback history for the past 12 months
- Supplier contracts and product sourcing documentation
- Marketing samples: website screenshots, email campaigns, social media posts showing the exact claims you make
- Proof of business registration and beneficial ownership
- Processing history from any prior merchant accounts
Getting underwritten for home health instruments
High-risk acquiring is an entire industry that exists for businesses Stripe declines, and several of them publicly underwrite home health instruments. What none of them will tell you up front is the number that actually matters: what your business gets offered, once they have seen your volume, your claims and your history. Rate, reserve and settlement terms vary enormously between applicants in the same category.
Get real quotes from high-risk processors that accept home health instruments
Six taps and three details. We put it in front of the high-risk acquirers that actually underwrite your category and come back with what they will offer you — rate, reserve and settlement terms — so you are comparing real numbers instead of cold-emailing brokers for a fortnight.
New company, new merchant account — the honest version
A new legal entity does not reset a MATCH listing or clear your processing history. If you have been terminated by Shopify Payments or another acquirer, those records follow you as an individual and as your business for five years, regardless of company restructuring. The honest answer is that you do not need a new entity to fix this category—you need honest underwriting from an acquirer willing to accept home health instruments, combined with product descriptions that do not trigger medical-device scrutiny. Starting fresh with a new entity and hiding your history will be discovered during KYC and will result in immediate decline.
What a MATCH listing actually is
- A listing lasts five years from the date it is added, then ages off automatically. There is no performance-based early release.
- It lists the principals — name, tax ID, address — as well as the business, which is exactly why a new company with the same owners is not a fresh start.
- Only the acquirer that listed you can remove it, and only in two situations: the listing was made in error, or the reason code was PCI non-compliance and you have since become compliant.
- Reason codes are specific and they matter: excessive chargebacks reads very differently to an underwriter than laundering or illegal transactions.
- It is not a card-network ban. High-risk acquirers knowingly board MATCH-listed merchants — at worse rates, with larger reserves, and with volume caps.
- You are entitled to ask the terminating acquirer whether you were listed and under which code. Do that before you apply anywhere else, because you will be asked.
What a new merchant account requires
The entity
Formation documents, EIN or company number, and a business bank account in the company's name with a voided cheque or statement.
The people
Government ID and personal details for every beneficial owner. Underwriting is done on the humans as well as the company — which is why a new company with the same owners does not present as a new applicant.
The history
Three to six months of processing statements if you have any, plus bank statements. A prior termination is disclosed here. Concealing it is the fraud, not the termination.
The website
A live, compliant storefront: clear billing descriptor, contact details, terms, refund and shipping policies, SSL, working checkout, and no claims that contradict your category.
The product
Supplier agreements, certificates of analysis for anything ingestible, licences for anything regulated, and evidence of how you fulfil.
The numbers
Expected monthly volume, average order value and your chargeback history. Understating volume to get approved is a fast route to a frozen account.
A MATCH screen
Run against both the business and its principals. This is the step that decides the application, and there is no way around it — only through it, by disclosing and finding an acquirer who underwrites anyway.
If you do need a new entity, these are the routes people actually use
Costs and timelines below are indicative and go out of date — treat them as a starting point, not a quote.
Wyoming is the default for an ecommerce LLC: ~$100 to file, ~$60/yr to maintain, no state income tax and strong owner privacy. Delaware is the investor standard and costs $300/yr in LLC franchise tax for governing law most DTC stores will never rely on. If you are not raising money, Wyoming is almost always the right answer.
Move everything for a fixed price
One-time packages — no per-record metering, no quotes. The migration order form unlocks the moment you pay, and the whole migration re-runs a second time before any cutover.
How the migration runs
- Book & pay — fixed price, secure Stripe checkout. The order form unlocks immediately after payment.
- Submit your stores — domains and details in the order form; then provide revocable API tokens in your customer area (we never ask for your Shopify password).
- We migrate everything — your live store keeps selling throughout; it is only ever read from.
- Verified twice — the entire migration re-runs and must change nothing; you get the count-matched verification report before any cutover.
See exactly what would move — before you spend anything
The demo scan connects read-only to your current store and counts every product, variant, image, customer, order and metafield in it, then tells you what a migration would carry across. It never writes to your store, and it works even if your storefront is already offline.
▶ Run the free demo scanIf it has already happened
Whatever Shopify has actually done — disabled the gateway, opened a review, frozen your payouts, closed the store — the recovery differs. Find the one that matches your notice:
Shopify Payments Disabled for a Home-Health Store? How to Recover
Shopify Payments disabled — what it means specifically for home health instruments.
Shopify Payments Account Under Review for a Home-Health Store? How…
Account under review — what it means specifically for home health instruments.
Shopify Payments Not Available for a Home-Health Store? How to Recover
Application rejected — what it means specifically for home health instruments.
High Chargeback Rate Warning for a Home-Health Store? How to Recover
High chargeback rate — what it means specifically for home health instruments.
High-Risk Payment Gateway for Shopify for a Home-Health Store? How…
Finding a high-risk payment gateway — what it means specifically for home health instruments.
Migrate a Shopify Store to a New Account for a Home-Health Store?…
Migrating to a new Shopify store — what it means specifically for home health instruments.
New Company for a New Merchant Account for a Home-Health Store? How…
New company, new merchant account — what it means specifically for home health instruments.
Shopify Payouts on Hold for a Home-Health Store? How to Recover
Payouts on hold — what it means specifically for home health instruments.
Shopify Payments Prohibited Business for a Home-Health Store? How to…
Prohibited business type — what it means specifically for home health instruments.
Shopify Payments Terminated for a Home-Health Store? How to Recover
Shopify Payments terminated — what it means specifically for home health instruments.
Shopify Store Suspended for a Home-Health Store? How to Recover
Shopify store suspended — what it means specifically for home health instruments.
Shopify Payments Rolling Reserve for a Home-Health Store? How to…
Rolling reserve imposed — what it means specifically for home health instruments.
How to Reactivate Shopify Payments for a Home-Health Store? How to…
Appealing a Shopify Payments decision — what it means specifically for home health instruments.
Frequently asked
Will Shopify Payments process home health instruments?
Shopify Payments is underwritten by Stripe, which lists health instruments as restricted. You will not be declined at signup, but the account is under review from the start. It will remain active until your chargeback or return rate spikes, at which point Shopify Payments will terminate it. If you are reading this, your account has likely already been cut. The way forward is a high-risk acquirer—not a return to Shopify Payments.
Which payment gateways and processors accept home health devices?
Several high-risk acquirers publicly underwrite health instruments: Authorize.net via a high-risk MID, PaymentCloud, Soar Payments and Easy Pay Direct are the most common. Each has different underwriting criteria, reserve requirements and pricing. The gateway—Shopify Payments, Stripe, PayPal—is not the constraint; the merchant account behind it is. You will need to apply to one of these acquirers and have them approve you before you migrate your store.
What reserve should I expect?
High-risk acquirers typically hold a rolling reserve of 5–10% of your monthly volume, held for 90–180 days. The exact percentage and duration depend on your processing history, chargeback rate and volume. If you have been terminated before, expect the higher end. Ask each acquirer for their specific terms before you commit.
Will my product certifications and warranty data survive the move?
Only if you migrate using an API-based tool that can read and write metafields. Shopify's own CSV export cannot carry metafield data at all, so certification numbers, warranty terms and regulatory registration data will be left behind. A proper migration tool will copy them, but you must verify the count and spot-check a sample of products after the move to ensure nothing was silently dropped.
Move everything, verified twice, from $247
Pick a package and the migration order form unlocks immediately. Your existing store is only ever read from — we never write to it, so nothing you still have can be made worse.