Ecommerce OS · Telehealth8 min readUpdated November 2, 2026

Order Bumps for Telehealth Companies

Order bump ideas for telehealth brands, what must never be a checkbox (medication, treatment plans), neutral naming, placement and measurement.

Nick Bonnassies, CMO at Tagada · checked against 8 sources

Article summary

TL;DR

An order bump is a small add-on the patient ticks on the checkout page before paying. For a telehealth brand, it must stay non-medical: faster shipping, a companion product, a follow-up visit priced upfront. Never put a prescription medication or treatment plan in a checkbox, since the clinician decides after checkout. Never pre-check it, and name it without health data.

The FTC has sued companies for "sneaking unwanted products into consumers' online shopping carts" (staff report, 2022). Leave the box unchecked.
In July 2026 the FTC alleged that Hims & Hers enrolled consumers in treatment subscriptions "shortly after receiving consumers' intake forms". A bump must not do the same.
Stripe lists "high-pressure upselling" and "negative option membership clubs" with unclear pricing among the practices it does not support (read November 2, 2026).
20% of US shoppers who abandon a checkout cite slow delivery (Baymard, updated September 2025): faster shipping is a natural bump.
Stripe's contract says you "must not provide Protected Health Information to Stripe". Bump names travel with the order.

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On this page

This guide is part of our playbook on the best ecommerce platform for telehealth companies. The general guide, for any store: order bumps. Bumps are one of the levers in how to increase AOV for a telehealth company.

Order bump ideas for a telehealth brand

A good bump is cheap next to the main order, useful from day one, and has nothing to do with the clinical decision.

#	Bump	Fits when the order has	Why it works
1	Faster shipping	Any order the pharmacy ships	Removes the delivery worry; 20% of abandoners cite slow delivery5
2	Shipping protection	Higher-value orders	Covers loss or damage in transit
3	A follow-up visit, priced upfront	A first consultation	The patient knows the cost of a next step; the clinician still decides what it covers
4	A non-prescription companion product	A plan that ships monthly	Travel case, organizer or another item from your store, sold on its own merits
5	Gift card for a friend or family member	First orders	NoClinical content, easy to understand
6	Printed welcome kit	A first order	Instructions for the account, the portal and refills, not medical advice
7	Priority support	Membership or plan orders	Faster replies on account and billing questions, not faster medical review
8	Extended returns or guarantee on non-prescription items	First-time buyers	Lowers perceived risk; state the terms

Fig. 1The bump on a telehealth checkout, on a phone

Checkout · mobileOrder summary, then the bump, then the pay button

Order summary: Consultation and plan
Bump, unchecked: Add faster shipping on your first order for $9
Express payment: Apple Pay and Google Pay
Pay button: Under the bump, visible without scrolling

Illustrative layout.

Unchecked, priced, nothing clinical.

Illustrative example.

Avoid bumps that compete with the main order or add a decision the patient wasn't ready for.

What should never be an order bump

A telehealth checkout has a rule that ordinary stores don't: the clinician decides the treatment after the patient pays or authorizes the card. A checkbox can't take that decision.

Bump	Why not
A prescription medication or a second treatment	Only the clinician can prescribe it. Card-not-present prescription-only products are a separate restricted line at Stripe3; selling the medication itself is covered in online pharmacy payment processing
A treatment plan on subscription	The FTC alleges Hims & Hers charged consumers for and subscribed them to a prescription "without having a chance to review or approve it"2
A paid membership hidden in one line	A recurring charge needs clear terms before billing and express consent (ROSCA)4; Stripe lists "negative option membership clubs" with unclear pricing3
A pre-checked box	The FTC has sued companies for "sneaking unwanted products into consumers' online shopping carts"1
A bump with health claims	NoResult, outcome or benefit claim in the bump copy. If you wouldn't say it on the product page, don't say it in a checkbox

Watch out

"faster review by a clinician" is not a bump. It ties money to the clinical decision and reads as paying for a prescription. Sell faster support or faster shipping instead.

A membership or a longer plan can be offered, but as a clear choice with its own terms, not as a tick: see memberships for telehealth companies.

Where the bump sits in a telehealth checkout

Quiz and consent. The patient answers the intake and agrees to the terms.
Checkout. The order summary shows the consultation or plan; the bump sits under it, unchecked.
Payment authorization. The card is authorized, not always charged.
Clinician review. A licensed clinician approves or declines.
Capture or release. The order is charged on approval; on a decline, nothing clinical is charged.

The bump is chosen at step 2; it is charged only at step 5.

Decide upfront what happens to a bump when the clinician declines. The simplest rule: if the main order is declined, the bump is refunded or never charged, and the patient is told so before paying.

Fig. 2What happens to the bump after the clinician's decision

Clinician approves

CheckoutPlan plus faster shipping
thenClinician reviewApprovedApproved
thenCaptureOrder chargedApproved

Order and bump charged

Clinician declines

CheckoutPlan plus faster shipping
thenClinician reviewDeclinedDeclined
thenReleaseNothing clinical charged

Bump refunded or never charged

Told to the patient before paying.

Illustrative example.

This is how a telehealth stack with storefront, doctors, pharmacy and payments like Tagada Rx works: "The card is only captured once a doctor approves"7.

Name bumps so no health data leaks

The bump's name and description leave your checkout. They reach your processor, your receipts and often your ad pixels.

Processor
Stripe's agreement says the user "must not provide Protected Health Information to Stripe"6. Use neutral product names ("Faster shipping", "Follow-up visit"), never a condition or a treatment.
Descriptor and receipts
Your brand name, not what the patient is treated for.
Pixels and events
The FTC alleges Hims & Hers shared health information with "third-party advertising platforms such as Meta and Snap"2. Send purchase events without product details that reveal a condition: server-side tracking for telehealth companies.

The payment side of this rule: do you need a HIPAA BAA with your payment processor.

Price, copy and placement

Price it well below the main order, so the decision takes a second.
Show the price in the bump line, and say whether it is one-time or recurring.
One sentence on what it is: "Add faster shipping on your first order for $9."
Place it under the order summary or just above the pay button, visible on mobile without scrolling.
One bump only. 17% of abandoners already find checkouts too long or complicated5.

Fig. 3Two abandonment reasons a bump must not feed

Delivery was too slow20%
Checkout too long or complicated17%

Source: Baymard Institute, September 22, 2025

Baymard Institute, reasons for abandonment, updated September 22, 2025.

Measure your bump

No public benchmark for telehealth bump take rates has a stated method, so measure your own.

Metric	Formula	What it tells you
Take rate	Orders with bump ÷ orders	Is the offer relevant?
AOV lift	AOV with bumps vs. without	What it adds per order
Checkout completion	Orders ÷ checkouts started	Does the bump slow patients down?
Refunds on bump items	Bump refunds ÷ bumps sold	Did patients really want it?
Disputes on orders with a bump	Disputes ÷ orders with bump	Did patients recognize the charge?

Test bump against no bump, one change at a time: A/B testing for telehealth companies.

Order bump vs. one-click upsell

	Order bump	One-click upsell
When	On the checkout page, before payment	Right after payment
Size	Small add-on	A bigger, separate offer
Action	Tick a box	Click "Add to my order"
Telehealth fit	Shipping, non-prescription items, a follow-up visit	A longer prepaid plan or a membership, with full terms

Upsells in detail: one-click upsells for telehealth companies.

How Tagada helps

Bumps and upsells on the Tagada checkout

Tagada puts the offer tools on the checkout itself, with payments on TagadaPay: "Native 3DS2, device intelligence, and rules engine: approve real customers, block the rest."8

Order bumps on the checkout page and one-click upsells after payment
A/B tests on bumps, offers and checkout
Apple Pay and Google Pay
Server-side tracking to Meta (Conversions API)

Building the whole telehealth brand? With Tagada Rx, a clinician licensed in the patient's state reviews each case, "The card is only captured once a doctor approves", and "If the doctor declines, the card hold is released and the patient pays nothing"7. US patients only, by selection.

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Bumps and upsells on the Tagada checkout

Updated on November 2, 2026

Nick Bonnassies

CMO at Tagada

CMO at Tagada. Before Tagada, Nick built direct-to-consumer brands that generated over $115M in sales, raised over $25M in crowdfunding and sold two of them. He also works as a fractional CMO on marketing operations and AI systems.

Frequently asked questions

What is a good order bump for a telehealth brand?

A small, non-medical add-on the patient can understand in a second: faster shipping, shipping protection, a follow-up visit with its price shown, or a non-prescription item from your store. Keep it cheap next to the main order and unrelated to the clinician's decision.

Can an order bump add a prescription medication?

No. Only the clinician decides what is prescribed, after reviewing the case. A checkbox that adds a medication or a treatment plan takes that decision away from them. The FTC's 2026 complaint against Hims & Hers alleges subscriptions to prescriptions charged before patients could review them.

Should an order bump be pre-checked?

No. Let the patient tick it. The FTC has sued companies for sneaking unwanted products into online shopping carts, and charges patients didn't notice come back as refunds and disputes. In a telehealth checkout, a surprise line item also damages trust in the clinical side.

Can an order bump be a membership or subscription?

It can, but then it needs clear recurring terms before billing details are collected and the patient's express consent, as ROSCA requires. Most telehealth brands offer memberships as a separate, clearly priced choice rather than a checkbox.

Sources

Checked November 2, 2026

Tagada

A bump the patient ticks, never a treatment in a checkbox

Funnels, one-click upsells, subscription billing and payment routing, on one customer record.

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