Best HIPAA-Compliant Video Conferencing Platforms (2025)
Telehealth and virtual consultations require HIPAA-compliant video conferencing to protect patient privacy. Not all video platforms meet HIPAA requirements. This guide compares the top HIPAA-compliant video conferencing solutions including purpose-built telehealth platforms and general-purpose tools that can be configured for compliance.
Several video conferencing platforms are HIPAA compliant with BAAs. Doxy.me is purpose-built for telehealth with no downloads required. Zoom for Healthcare offers a comprehensive BAA. Microsoft Teams and Google Meet are compliant through enterprise plans with BAAs. Each requires specific configuration.
Compliance Assessment
Purpose-built HIPAA-compliant telehealth platform. BAA included on all plans including the free tier. No downloads required for patients.
Specialized healthcare SKU with BAA, pre-configured HIPAA settings, and EHR integration. Available on Business+ and Enterprise.
HIPAA compliant with Microsoft 365 BAA on Business and Enterprise plans. Requires disabling certain features.
HIPAA compliant via Google Workspace BAA. Requires paid Workspace plan and security configuration.
HIPAA-compliant telehealth platform with BAA, designed for healthcare with virtual waiting rooms and EHR integration.
All compliant platforms offer AES-256 encryption in transit. Some offer optional end-to-end encryption.
Essential for telehealth — prevents patients from joining before the provider. Available on all recommended platforms.
Cloud recording of telehealth sessions must be properly secured or disabled. Configure recording policies per HIPAA requirements.
Purpose-built platforms (Doxy.me, VSee) offer better patient UX with no downloads. General platforms require patients to install software.
Doxy.me, VSee, and Zoom for Healthcare offer EHR integrations. Teams and Meet require third-party connectors.
Business Associate Agreement (BAA)
Doxy.me includes a BAA on all plans including the free tier. Zoom offers a BAA on Healthcare, Business+, and Enterprise plans. Microsoft provides a BAA for Teams via Microsoft 365 Business/Enterprise. Google provides a BAA for Meet via Google Workspace. VSee includes a BAA on all healthcare plans.
How to Make HIPAA-Compliant Video Conferencing HIPAA Compliant
Sign a BAA with your chosen video conferencing provider before conducting any telehealth sessions.
Enable waiting rooms or virtual lobbies to control patient entry into video sessions.
Disable or restrict cloud recording, or ensure recordings are stored in a BAA-covered environment with access controls.
Configure meeting passwords and access controls to prevent unauthorized joining.
Disable AI transcription and meeting summary features unless explicitly covered under the BAA.
Train clinical staff on proper use of video conferencing features during patient sessions.
Limitations
- Free tiers of general platforms (Zoom Free, free Google Meet) are not HIPAA compliant. Doxy.me's free tier is an exception.
- End-to-end encryption may disable features like recording, transcription, and phone dial-in.
- Patient adoption varies — some patients struggle with video conferencing technology.
- Internet connectivity issues can disrupt telehealth sessions, requiring backup communication plans.
- Screen sharing during telehealth sessions can inadvertently expose other patient data if not managed carefully.
Alternative Tools & Related Assessments
Frequently Asked Questions
What is the best HIPAA-compliant video conferencing platform?
Doxy.me is the best purpose-built telehealth platform with a BAA on all plans including free. Zoom for Healthcare is the best general-purpose option with strong healthcare features.
Can I use FaceTime for telehealth?
Apple does not sign BAAs, so FaceTime is not technically HIPAA compliant. While Apple encrypts FaceTime calls end-to-end, the lack of a BAA, audit logging, and admin controls makes it non-compliant.
Is Doxy.me free for healthcare providers?
Yes. Doxy.me offers a free tier that includes a BAA, making it one of the only free HIPAA-compliant video conferencing options. Paid plans add features like screen sharing, group calls, and virtual waiting room customization.
Do patients need to install software for telehealth?
It depends on the platform. Doxy.me and some other telehealth platforms are browser-based with no patient downloads. Zoom, Teams, and Meet may require app installation for full functionality.
Can I record telehealth sessions?
Recording is allowed under HIPAA with proper safeguards: patient consent, encrypted storage, access controls, and retention policies. Many providers disable recording by default for compliance.
Is Skype HIPAA compliant?
Skype consumer is not HIPAA compliant — Microsoft does not offer a BAA for Skype. Microsoft Teams (with a Microsoft 365 BAA) is the compliant alternative from Microsoft.
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