If your healthcare team relies on email daily, securing patient data is critical. With high volumes of sensitive information shared through inboxes, a HIPAA-compliant email solution is mandatory. A HIPAA-compliant email solution ensures that PHI sent electronically is protected from unauthorized access, tampering, and data breaches.
Standard free email services do not protect health information. They lack the required encryption, access controls, and compliance agreements. Consequently, your risk of exploitation or a data breach is high. To prevent such costly breaches, it is essential to invest in the right solution.
This guide breaks down what HIPAA-compliant email really means, the key features to look for, and who needs it most. Additionally, we have compiled a list of the top secure email solutions available today.
What Is HIPAA-Compliant Email?
The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that protects the privacy and security of Protected Health Information (PHI). PHI covers any information that can help identify a patient, such as their name, test reports, medical records, and billing details.
Whenever information related to a patient is shared electronically, HIPAA requires healthcare organizations to use secure methods that keep the data protected at all times. HIPAA-compliant email is one such method that keeps PHI private and safe. This email service includes strong security features like encryption, access controls, and audit logs to achieve this goal.
If you believe free versions of Gmail, Yahoo, or Outlook are secure enough for sending PHI, you are mistaken. They lack specific security features and do not provide a Business Associate Agreement (BAA) by default. HIPAA-compliant email fills these security gaps, making sure sensitive patient information is handled safely and legally.
Key Features to Look For in a HIPAA-Compliant Email Provider
When choosing a HIPAA-compliant email solution, you must identify the features that keep patient information safe and help organizations meet regulatory requirements. The following features are essential:
- End-to-End Encryption: This feature ensures that emails are protected not just while they are being sent but also while they are stored. With strong encryption, PHI stays unreadable to anyone except the intended recipient.
- Access Control: HIPAA requires strict access controls. Verify if your email provider offers settings like multi-factor authentication, role-based permissions, automatic session timeouts, and zero-trust access policies. These protections help prevent unauthorized access, whether from a stolen password or someone using an unsecured device.
- Audit Trails and Monitoring: A compliant email platform must keep detailed logs of everything that happens, including login attempts, sent and received messages, forwarding activity, admin changes, or any unusual behavior. These records are critical as they help find security issues, respond to incidents faster, and prepare for HIPAA audits.
- Business Associate Agreement (BAA): A BAA is a legal document stating that the vendor accepts responsibility for protecting PHI according to HIPAA rules. Every HIPAA-compliant email provider must sign a Business Associate Agreement (BAA). Without a signed BAA, even the most secure email system cannot legally be used for patient information.
Use Cases for HIPAA-Compliant Email
HIPAA-compliant email is essential across the healthcare industry. Each type of organization must rely on a secure communication method to keep operations running smoothly while protecting patient data.
- Hospitals: Used for sharing clinical updates, coordinating between departments, or communicating with labs, pharmacies, and specialists. With many people involved in patient care, encrypted email keeps information protected.
- Clinics and Private Practices: From sending follow-up instructions to managing referrals, appointment reminders, and day-to-day admin work, a secure email system helps providers stay connected without risking patient privacy.
- Telehealth Providers: Since virtual care runs entirely on digital communication, encrypted email ensures that diagnostic reports, prescriptions, images, and remote monitoring data are exchanged safely and legally.
- Insurance Companies and Payors: Claims processing, benefits verification, prior authorizations, and appeals involve PHI. Using a compliant email platform helps protect patient data while speeding up coordination between insurers, providers, and patients.
Secure email is the foundation of efficient healthcare communication. Review the best HIPAA-compliant Email Solutions in the market and compare them before making a final investment.
Top 10 HIPAA-compliant Email Solutions
Here are top HIPAA-compliant email providers that help you stay compliant and protected.
Paubox
Paubox is an AI-powered email security solution that helps healthcare organizations protect PHI. The solution comes with built-in email encryption and AI-powered inbound threat protection features that make sure all health information, billing details, and data are safe and secure at all times. It is a HITRUST CSF-certified HIPAA-compliant email service that is easy to set up and supports integration with other platforms, including Office 365 and G Suite. It even comes with the ability to detect and block evolving email attacks, thanks to its advanced AI features.
Virtru
Virtru is another trusted email provider that makes the whole process of sharing health information seamless and secure with its encryption, access control, and other security features. It further allows secure collaborations and audit data sharing. Healthcare Organizations looking for a HIPAA Compliant Email and File Transfer system must opt for this as it further includes signed BAA, encrypted file sharing up to 15 GB, granular audit trails, and more.
LuxSci
LuxSci is a HIPAA compliant, multi-channel solution that offers email security, PHI-powered personalization, and seamless integration with CDP, EHR, and RCM systems. It is built specifically for organizations that need strong security without sacrificing usability. You no longer need to worry about outgoing messages as it automatically encrypts every outgoing message, so protected health information stays secure. You require no extra steps or plugins to achieve results.
Beyond secure email, LuxSci also provides compliant web and email hosting, giving healthcare organizations an all-in-one environment. Their secure web forms add even more flexibility, offering options like ink-style signatures, custom fields, and dynamic form features.
NeoCertified
NeoCertified is an all-in-one email solution built for healthcare teams. If you as an healthcare organization are looking for a HIPAA-safe email, the platform offers both a fully secure email portal and seamless integration with familiar tools like Gmail and Outlook.
With NeoCertified, youāll find audit-ready access controls, identity authentication, strong transmission security, and the required Business Associate Agreement (BAA), all backed by a support team available 24/7. Their military-grade encryption ensures that every message, attachment, and interaction remains protected. Whether sending from a secure web portal, through Outlook/Gmail, or via the mobile app when you are on the go, NeoCertified keeps PHI safe from phishing, interception, and other threats.
MailHippo
If you are looking for something more than just a secure email provider, MailHippo is the right choice. It is an affordable HIPAA-compliant email solution designed to protect privileged medical data. You do not require any configuration or setup. With MailHippo secure email services, you can seamlessly work across multiple devices and ensure secure encrypted emails and HIPAA compliance. Interested users can even try the 30-day free trial before opting for paid solutions.
Proton Mail
Proton Mail is well-known for its strong focus on privacy, but when it comes to HIPAA-related use cases, there are a few important things to understand. By default, Proton Mail automatically encrypts messages only when both the sender and recipient use Proton accounts. If you need to send an encrypted message to someone outside Proton, youāll have to set a password for the email and share that password with the recipient so they can open it, adding a small extra step to the process.
Yet, most healthcare organizations opt for it because it offers strong end-to-end encryption, storage in secure data centers, and self-destructing emails. When using this email service, no personally identifiable data is tracked or logged that to its zero-access encryption feature.
Aspida Mail
A popular HIPAA-compliant email solution built for simplicity and security. It is best for healthcare teams who want encrypted communication without the technical assistance. You also get a Business Associate Agreement (BAA) and clear email policy support. The platform further uses AES-256 encryption, both in transit and at rest, keeping sensitive health information well-protected.
Behind the scenes, Aspidaās system automatically checks your message for sensitive data like social security numbers or subscriber IDs and encrypts it if needed, helping avoid accidental PHI disclosure. For data protection and compliance, Aspida retains all your emails for six years in accordance with HIPAA requirements and offers unlimited backup during that period.
Mimecast
Over 42,000 customers trust Mimecast for its excellent solutions and services. It is an all-inclusive secure email solution for HIPAA compliance that uses AI to protect and secure your emails. It further offers encryption and data leak prevention capabilities. With this tool in hand, you can protect PHI from phishing, ransomware, and business email compromise (BEC) attacks. Additionally, it offers granular message control, option to set email expiration dates, and maintain readily accessible backups.
Protected Trust
Protected Trust offers a streamlined way for healthcare organizations to communicate securely and compliantly. They offer encrypted email communication and seamlessly integrate with existing email setup. Recipients donāt need to pay or sign up to read encrypted messages, which makes it easier for patients, partners, or vendors to engage. They also provide a secure virtual printer for Windows.
With a fingerprint-secure app, Protected Trust provides access to your email through integration with multiple devices. As a community-driven platform, customers are able to contribute to modifications and improvements.
MaxMD
MaxMD offers HIPAA-compliant communication and security tools designed specifically for the healthcare industry.Ā It is an Electronic Healthcare Network Accreditation Commission (EHNAC) accredited Health Information Service Provider (HISP), Registration Authority (RA), and Certificate Authority (CA), one of the first companies to achieve such accreditation. Their flagship solution, Max Direct mdEmailĀ®, gives healthcare organizations an easy way to send and receive PHI securely. The platform includes all the technical safeguards required under HIPAA, such as strong encryption, detailed audit controls, identity verification, and strict access management.
MaxMD also provides a signed Business Associate Agreement (BAA), ensuring your organization stays fully compliant while exchanging sensitive patient information.
Top HIPAA-Compliant Email Providers (2026 Comparison Table)
Here is a side-by-side comparison of the best HIPAA-compliant email services, highlighting their security features, encryption options, BAA availability, and pricing to help you choose the safest solution for protecting PHI.
| Provider | Key Features | Encryption | BAA Included | Free/Paid |
| Paubox | AI threat protection, automatic encryption, HITRUST certified | Yes (Default, no portals) | Yes | Free trial is available. Paid plans start at $29/mo |
| Virtru | Encryption, access control, secure file sharing (15GB), audit logs | Yes | Yes | You can book a demo or opt for paid palns – Starter: $119/month Business: $219/month CMMC / FedRAMP / ITAR: $399/month Enterprise: Custom pricing |
| LuxSci | Automatic outbound encryption, PHI personalization, secure forms, hosting | Yes | Yes | Contact sales team |
| NeoCertified | Secure portal + Gmail/Outlook integration, 24/7 support, audit controls | Yes | Yes | Standard plan: $99/year per user Gold Plan: $199/Year/User Non-profit plan: 59/Year/User |
| MailHippo | Easy setup, affordable, encrypted email, multi-device support | Yes | Yes | 30-day free trial is available. Basic plan: $4.95 Per Month / User Pro Plan: $7.95 Per Month / User |
| Proton Mail | Strong E2E encryption, zero-access model, self-destructing emails | Yes (with conditions for external recipients) | No (must be arranged separately) | Opt for free plan or go with paid plans: Mail Plus: ā¬2.49 /month Proton Unlimited: ā¬6.49 /month Proton Duo: ā¬14.99 /month |
| Aspida Mail | AES-256 encryption, automatic PHI detection, 6-year retention | Yes | Yes | Starting at $10/mo |
| Mimecast | AI security, DLP, anti-phishing, backup, message expiration | Yes | Yes | Custom pricing |
| Protected Trust | Secure email, virtual printer, easy for recipients (no signup) | Yes | Yes | Contact Sales team |
| MaxMD | EHNAC-accredited HISP/RA/CA, secure PHI exchange, identity verification | Yes | Yes | Contact Sales team |
Atlantic.Netās HIPAA Hosting Solution
When you are handling sensitive patient information, keeping every part of your infrastructure HIPAA-compliant is not an option. Selecting a secure, HIPAA-compliant email provider becomes important, but if you think that’s all, remember it is only half of the equation. The other half is choosing a hosting platform that protects the storage, processing, and long-term handling of PHI without gaps. This is where Atlantic.Net comes in.
Atantic.Net’s HIPAA Hosting platform gives healthcare organizations the flexibility to self-host secure email systems or integrate with trusted providers like Paubox. These integrations may help build a fully secured, end-to-end email and hosting environment tailored to your needs.
What sets Atlantic.Net apart is the infrastructure behind the promise. We offer high-performance bare metal servers, encrypted storage, secure cloud environments, and data center facilities, all designed with healthcare compliance at the core. Every deployment includes the safeguards required under HIPAA and HITECH, backed by industry-recognized certifications such as SOC 2 Type II and SOC 3 Type II. The environment is also independently audited to ensure that your PHI stays protected at every stage.
If youāre planning to upgrade your compliance posture or evaluate a new hosting provider, you can follow our detailed HIPAA Hosting Checklist that will help you compare requirements, features, and best practices. You can download it and use it as a guide while planning your next steps. For more information about customized HIPAA-compliant hosting and email solutions,Ā contact our sales team today!
FAQs
- What is a HIPAA-compliant email service?
It is a secure email platform that protects electronic Protected Health Information (ePHI) from threats and breaches. It follows the HIPAA Security Rule requirements, including encryption, access controls, signed BAA, and more.
- Do I really need a HIPAA-compliant email provider?
Yes, all healthcare organizations that send, receive, or store any patient information electronically must invest in these solutions as regular emails like Gmail, outlook, etc. are not compliant by default.
- Are services like Gmail or Outlook HIPAA compliant?
No, the email services like Gmail and outlook are not HIPAA compliant by default but they can be made by signing a BAA with Google or Microsoft, configuring security settings, and using third party email providers to secure emails.
- What is a Business Associate Agreement (BAA) and why is it important?
A BAA is a mandatory legal contract between a healthcare provider and a service vendor. This agreement states that the vendor follows HIPAA standards and protects patient data. Without a BAA, using the service for PHI is not compliant, even if the platform is secure.
- Are HIPAA-compliant email systems difficult to set up?
Most modern providers make setup simple. Tools like Paubox, MailHippo, and NeoCertified require little to no configuration, while enterprise tools like Mimecast may need assistance.









