HIPAA-compliant alternatives to Gmail
Gmail (free) is not HIPAA compliant for patient information. The cheapest alternative in our data with a named BAA plan is Proton for Business ($6.99/mo per user).
Why Gmail (free) isn't compliant
No
Google offers its HIPAA Business Associate Amendment only to Google Workspace and Cloud Identity customers, and an administrator must accept it in the Admin console. Google says customers who have not signed a BAA 'must not use PHI' in its services. A free personal Gmail account has no Admin console, so it cannot accept the BAA. Source: knowledge.workspace.google.com. Full answer: Is Gmail (free) HIPAA compliant?
Alternatives that sign a BAA
Google Workspace
Paid plans only Plan not stated · $8.40/mo per user
A super admin must accept the BAA in the Admin console. It covers only the 'Included Functionality' list (Gmail, Meet, Drive, Calendar, Chat and others). Signing the BAA doesn't encrypt email beyond TLS; message-level encryption to outside recipients needs Enterprise Plus or an add-on.
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Paubox
Yes, self-serve Standard plan · $32/mo per account
The SOC 1/2/3 and ISO 27001 reports Paubox cites belong to its AWS infrastructure, not to Paubox itself.
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Hushmail for Healthcare
Yes, self-serve Healthcare Basic plan · $11.99/mo per user
Healthcare Basic covers email only. Secure forms need Healthcare Essentials or a higher plan.
Visit Hushmail for Healthcare (opens in a new tab, affiliate link)Affiliate link. It doesn't change our order.Verified · Source · We don't rank by commission: how we verify
Proton for Business
Yes, self-serve Free plan · $6.99/mo per user
You must request the BAA by email; it is not signed automatically. Proton gives two contact addresses: privacy@support.proton.me on its healthcare page and enterprise@proton.me in its therapist guide. Clients outside Proton read password-protected email in a browser portal.
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Quick picks for email
Cheapest with a BAABest for solo
Proton for Business
$6.99/mo per user · Free plan
Why this pick: Lowest published price ($6.99/mo) among plans that name a BAA. Lowest cost for one user you can sign up for today: $6.99/mo.
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Best for teamsCertified
Paubox
$32/mo per account · Standard plan
Why this pick: Lowest estimated cost for 5 users: $32/mo (flat price, up to 5 users). Cheapest self-serve vendor naming HITRUST CSF.
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Switching checklist
- Pick a service that signs a BAA on the plan you'll buy, and sign the BAA before any patient email moves.
- Use an address on your own domain, so patients and referrers keep one address if you switch again.
- Point your domain's MX records to the new service; your provider's setup guide lists the exact records.
- Import or archive old mail that contains patient information, then stop using the free account for it.
- Turn on two-factor sign-in for every user, and decide how encrypted messages reach patients who don't use the same service.
- Update the email address on your website, intake forms and email signature.
Help me choose email
Paubox BAA plan: Standard · $32/mo per account
Lowest estimated cost for 5 users: $32/mo (flat price, up to 5 users).
Visit Paubox (opens in a new tab)Proton for Business BAA plan: Free · $6.99/mo per user
Lowest estimated cost for 5 users: $34.95/mo (5 × $6.99 per user).
Visit Proton for Business (opens in a new tab)Microsoft 365 BAA plan: Microsoft 365 Business Basic · $7/mo per user
Lowest estimated cost for 5 users: $35/mo (5 × $7 per user).
Visit Microsoft 365 (opens in a new tab)
Ranked by our published rules: BAA clarity first, then estimated monthly cost from the vendor's own price. Commission never changes the order. Estimates multiply per-user prices by team size (just me = 1, 2–10 = 5, 10+ = 10). Flat account prices count once, and only when the vendor states the plan covers that many users. How we verify.
Questions
Is Gmail (free) HIPAA compliant?
No. Google offers its HIPAA Business Associate Amendment only to Google Workspace and Cloud Identity customers, and an administrator must accept it in the Admin console. Google says customers who have not signed a BAA 'must not use PHI' in its services. A free personal Gmail account has no Admin console, so it cannot accept the BAA. Source: knowledge.workspace.google.com.
What is a HIPAA-compliant alternative to Gmail?
Google Workspace, Paubox, Hushmail for Healthcare, Proton for Business are in our email comparison. Of these, Proton for Business has the lowest published price with a named BAA plan ($6.99/mo per user, Free plan).
See every option in the full email comparison.
General information, not legal advice. Confirm BAA terms with the vendor before moving patient information.