Service · Malta

Multi-currency and FX account for telehealth providers with a Maltese company

Yes, a telehealth business registered in Malta can get a multi-currency and FX account from specialist payment institutions. Success depends on demonstrating licensed clinicians, clear patient data handling policies, and well-documented currency requirements. We build a complete narrative for your Maltese entity, map your specific FX needs, and introduce you to providers with an established appetite for the telehealth sector.

Profile at a glance
Service
Multi-currency and FX account
Industry
Telehealth provider
Typical MCC
8099 or 8011
Entity
Private limited liability company
Authorities
Malta Business Registry; MFSA; Malta Gaming Authority
Currencies
EUR
Prerequisite
Licensed clinicians in each served market
Reserves
Depends on prescribing model; indicative
Timeline
Typically 1 to 5 weeks

How we arrange FX accounts for Maltese telehealth companies

We arrange multi-currency accounts for Maltese telehealth providers by preparing a comprehensive file and introducing it to appropriate financial institutions. Our process begins by mapping your currency corridors, anticipated FX volumes, and typical counterparties. This allows us to select the right type of provider, focusing on EEA-licensed payment institutions that understand the telehealth model and have the currency capabilities you require, such as USD, GBP, and EUR.

For a Malta-based telehealth operation, we construct a detailed Know Your Business (KYB) package. This includes not just the standard corporate documents from the Malta Business Registry, but also a specific flow-of-funds narrative. This document explains how your business collects patient fees in various currencies and makes payments to clinicians, suppliers, and for operational expenses. We highlight your data protection policies and how you adhere to regulations regarding patient privacy, which is a key concern for underwriters.

We manage the introduction process and support you through the provider's onboarding, ensuring all questions about your business model are answered promptly and accurately. The goal is to secure a primary multi-currency account and, where appropriate, scope out a secondary provider to ensure operational resilience.

What underwriters check for telehealth providers

Underwriters assessing a Maltese telehealth company for multi-currency services focus on several key risk areas. They will first verify the credentials and licensing of your clinicians in every jurisdiction you serve. The file must contain copies of these licences and a clear prescribing policy that explicitly prohibits controlled substances unless specific licensing is held and presented.

Compliance teams will scrutinise your currency flows and exposure to high-risk jurisdictions. They need to understand where your patients are located and where your payments are being sent. We work with you to provide a clear breakdown of these corridors. Your policies on Anti-Money Laundering (AML) and Counter-Terrorist Financing (CTF) will be reviewed, especially in the context of cross-border patient payments.

Patient data protection is another critical checkpoint. Underwriters will want to see your data protection policy and evidence of compliance with GDPR, given your Maltese incorporation. Finally, they will review your commercial contracts with both patients (terms of service) and clinicians to ensure the business model is transparent and lawful. The residency of the ultimate beneficial owners (UBOs) is also a standard part of due diligence.

How we run it

  1. 1.Currency corridors, volumes and counterparties mapped
  2. 2.Institution types chosen by currency coverage and sector appetite
  3. 3.KYB pack and flow-of-funds narrative prepared
  4. 4.Introduction and onboarding managed to account issuance
  5. 5.FX handling and a backup provider scoped

Documents to prepare

  • Certificate of registration
  • Memorandum and articles
  • Beneficial ownership extract
  • Clinician licences
  • Prescribing policy
  • Data protection policy
  • Passport and proof of address for each UBO and director

How a Maltese entity shapes your FX application

Using a Maltese company for your telehealth business has specific implications for your FX account application. Malta is a full EU member, providing a respected corporate structure and access to the single market. The Malta Business Registry (MBR) maintains a public register of beneficial owners, which provides transparency that financial institutions value. We ensure your MBR filings, memorandum and articles of association, and certificate of incorporation are correctly prepared for the application.

The local banking environment in Malta is conservative and generally slow to embrace business models outside of specific licensed sectors like gaming or financial services. Consequently, Maltese telehealth companies often find more success with EU-licensed Electronic Money Institutions (EMIs) and specialist payment providers rather than traditional local banks. These providers are better equipped to handle multi-currency flows and understand digital business models.

While Malta is an attractive jurisdiction, providers will expect a degree of local substance, particularly if the company is licensed by the Malta Financial Services Authority (MFSA) or another local body. For a telehealth business, this might not require a large physical office, but demonstrating management and control from Malta strengthens the file. We ensure your corporate structure is presented in a way that aligns with provider expectations for a legitimate, well-run Maltese enterprise.

Why telehealth multi-currency accounts are declined or closed

Multi-currency accounts for telehealth providers are often declined when the application fails to address regulatory and operational risks adequately. A primary reason for rejection is poor documentation of clinician licensing. If an underwriter cannot verify that your medical staff are licensed to practise in the regions they serve, the application will be halted. We prevent this by ensuring all relevant licences are collated and presented clearly in the initial file.

Another common issue is an unclear or poorly justified business model. Vague descriptions of currency flows or a failure to explain how patient data is protected can be red flags. Providers are wary of regulatory and reputational risks associated with healthcare, particularly around prescription controls and patient privacy. Our process pre-empts these concerns by building a detailed narrative that explains your operating procedures, prescribing policies, and data handling from the outset.

Accounts may be closed post-onboarding if the actual activity does not match what was described in the application. For example, if you declare you will be processing payments from the EU and UK but then receive significant volume from high-risk jurisdictions, this will trigger a review. We help you accurately forecast your transactional patterns to ensure the account remains in good standing. Failure to show clear separation from any pharmacy operations that dispense controlled substances without appropriate licensing will also lead to closure.

Timeline, onboarding, and maintaining your FX account

The timeline for securing a multi-currency FX account for a Maltese telehealth company is typically between one and five weeks from the submission of a complete application file. The initial phase involves our team working with you to gather all necessary corporate documents, clinician licences, and business policies, which can take a few days to a week. Once the file is prepared and submitted to the chosen institution, the provider's review and onboarding process begins.

Onboarding involves a thorough due diligence check by the provider’s compliance team. They will review the entire KYB package and may come back with further questions about your business model, expected volumes, or currency corridors. Prompt and precise responses are crucial to keeping the process on track. Our team manages this communication to ensure clarity and avoid delays.

After your account is live, maintaining a good relationship with the provider is essential. This involves using the account as declared, providing updates if your business model changes significantly (e.g., expanding to new countries), and being responsive to any compliance enquiries. We also advise on establishing a relationship with a backup provider. This creates redundancy and protects your operations from unexpected account freezes or closures, ensuring your Maltese telehealth business can continue to pay suppliers and receive patient fees without interruption.

Malta compared for telehealth providers

JurisdictionEntityCurrenciesBanking reality
MaltaPrivate limited liability companyEURLocal banks are conservative; licensed gaming and fintech operators often bank with EU EMIs and specialists
Hong KongPrivate company limited by sharesHKD, USD, CNHTraditional banks are selective; virtual banks and licensed stored-value providers are common first accounts
BVIBVI business companyUSD, EUR via international institutionsAccepted by international banks and EMIs when the operating story and substance elsewhere are documented
CaymanExempted company or foundation companyUSD, KYDWell understood by institutional counterparties and fund banks; operating accounts usually sit with international banks

General information, not legal or tax advice. Requirements change; confirm with your counsel.

What we will not do

  • Place pharmacies without prescriptions
  • Support controlled substances without licensing
  • Open accounts for unlicensed activity where a licence is required
  • Help conceal beneficial ownership or source of funds
  • Work with sanctioned persons, countries or goods
  • Promise approval: every institution makes its own decision

Xavion Capital is not a bank, acquirer or payment institution. We prepare files and introduce lawful, properly licensed businesses to regulated institutions.

Frequently asked
Can a Malta telehealth company get a USD account?
Yes, a telehealth company registered in Malta can obtain USD accounts. These are typically provided by EEA-licensed EMIs or international payment institutions rather than domestic Maltese banks. The providers we work with are accustomed to offering named accounts in major currencies like USD, GBP, and EUR to companies operating internationally from an EU base. The key is to demonstrate a legitimate commercial need for collecting and paying in USD, such as serving patients or paying clinicians in the United States. We prepare your application to clearly justify this need.
What documents are needed for a telehealth payment account in Malta?
You will need standard Maltese corporate documents: the certificate of registration, memorandum and articles of association, and a recent beneficial ownership register extract from the MBR. For the telehealth industry specifically, you must provide copies of all clinician licences for the jurisdictions you operate in, your prescribing policy (if applicable), and your patient data protection policy (e.g., GDPR compliance). We will also prepare a flow-of-funds diagram and a supporting narrative to explain your business model to underwriters.
Is a multi-currency account for telehealth considered high risk in Malta?
The risk level depends on the specifics of the telehealth service, not the Maltese jurisdiction itself. Underwriters consider telehealth to be a medium to high-risk industry due to factors like patient data privacy, clinician licensing, and the regulation of prescribed medications. An application can be considered lower risk if it demonstrates strong internal controls, robust data protection, clear licensing for all clinicians, and a policy against prescribing controlled substances. Our role is to present these strengths effectively to financial institutions.
Why use a Maltese company for a telehealth business instead of Hong Kong?
A Maltese company offers the significant advantage of being based within the European Union, providing direct access to the SEPA payment system and a clear regulatory framework under GDPR. This is often viewed favourably by EEA-based payment providers. While Hong Kong is a major financial hub, a Maltese entity can simplify serving European customers and clinicians. Providers often find the transparency of the Malta Business Registry and the EU legal framework more straightforward to underwrite compared to some international financial centres.
What are the typical reserve requirements for a telehealth merchant account?
Reserve requirements for telehealth providers are determined by the acquiring partner and depend heavily on your specific business model. A subscription-based service may face higher reserves due to the elevated risk of future chargebacks compared to a pay-per-consultation model. Reserves are typically held as a rolling percentage of processing volume for a set period. While we do not quote specific figures, an indicative range is often between 5% and 10% for 90 to 180 days, but this is always at the discretion of the acquirer.
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