Best HIPAA-Compliant Video Conferencing for Clinics

HIPAA compliance is a contract, not a product label

Every vendor on this page can be used for PHI only after the covered entity signs the vendor’s BAA and configures the product accordingly. A platform marketed as “HIPAA-compliant” on a homepage is shorthand; the compliance lives in the contract and in how your workforce uses the tool. The federal telehealth enforcement discretion that briefly allowed consumer tools ended in April 2023.

With that said, here is the honest shortlist.

The five platforms clinics actually evaluate

Zoom for Healthcare. Zoom offers a HIPAA-eligible tier with a BAA. It is the closest thing to a default choice for clinics that need familiar UX and don’t want their clinicians to learn a new tool. Recording, cloud storage, and scheduling integrations are all available. The consumer free tier does not carry the BAA.

Doxy.me. Purpose-built for telehealth. Browser-based, no patient download. Free tier exists but the BAA comes with paid plans. Tradeoff: fewer enterprise features, but a simpler model for small clinics where the video call is the whole point.

Microsoft Teams. HIPAA-eligible as part of Microsoft 365 business and enterprise plans that qualify for Microsoft’s BAA amendment. A strong choice if your clinic already runs on Microsoft 365. The BAA is an amendment you execute, not a default.

Google Meet. HIPAA-eligible when you are on Google Workspace and have signed the Workspace BAA amendment. Not available for consumer @gmail.com accounts. A good fit for clinics standardized on Google Workspace for email and calendar.

Updox. Healthcare-specific. Combines video visits with secure messaging, patient forms, and fax. Oriented toward clinics that want a single vendor for several patient-communication surfaces rather than stitching Zoom plus a messaging tool plus an intake form.

The comparison that actually matters

Platform	BAA	Recording	Storage	Pricing model
Zoom for Healthcare	Included on healthcare plan	Yes, configurable	Zoom cloud or local	Per-user seats
Doxy.me	Included on paid plans	Paid tiers	Doxy.me cloud	Per-provider seats
Microsoft Teams	BAA amendment on qualifying M365	Yes, OneDrive or SharePoint	Microsoft 365	Per-user seats
Google Meet	BAA amendment on Workspace	Yes, Google Drive	Google Workspace	Per-user seats
Updox	Included on paid plans	Yes	Updox cloud	Per-provider seats

All five use per-user or per-provider pricing. That is the category norm and it is fine for video conferencing specifically. It is also why the rest of your HIPAA stack should not follow the same model.

The buying decision is about fit, not about which is “most compliant”

If you already run Microsoft 365, Teams is probably the right answer. If you already run Google Workspace, Meet is. If your clinic is telehealth-first and you want browser-based simplicity, Doxy.me. If you want the broadest feature set and familiar UX, Zoom. If you want video plus messaging plus fax under one vendor, Updox.

What the video platform does not cover: your compliance program. The BAA register, recurring training, device inventory, incident log, and access reviews live somewhere else. For that operating layer, see PHIGuard pricing or the broader HIPAA software comparison. For the rules behind the BAA requirement, see HIPAA basics. For how telehealth changes your compliance program operationally, see HIPAA software for telehealth providers.

One rule that applies to all five: do not use the consumer version. Ever. Sign the BAA before the first patient session.