Who Paubox is best for
Paubox sells HIPAA-compliant email to healthcare organizations. Its Email Suite encrypts outbound mail by default from Google Workspace or Microsoft 365, and recipients read messages in their usual inbox. Paubox says more than 9,000 healthcare organizations use it.
Best for
- Small and mid-sized practices already on Google Workspace or Microsoft 365
- Clinics that email patients, labs and referral partners and want to avoid portal logins
- Organizations that want inbound phishing and spoofing protection from the same vendor
- Digital health teams that need a HIPAA-compliant transactional Email API
Not ideal for
- Practices on other email platforms
- Teams that want secure texting, fax or telehealth rather than email
- Organizations needing a full HIPAA compliance program (risk assessments, policies, training)
Paubox pros and cons
Pros
- Encrypts outbound email by default with no recipient portal, password or plugin
- Published pricing and a 14-day free trial
- Business associate agreement included with every account at no extra charge
- HITRUST r2 certification, valid through 2027 per the vendor
- HIPAA-compliant forms included free with paid plans
Cons
- Five-sender base pricing means very small offices pay for senders they may not use
- If a recipient's server lacks modern TLS, the message arrives as a secure link instead
- Inbound security, archiving and DLP require the Plus or Premium plans
Paubox pricing
Paubox publishes Email Suite pricing per sender (one email address). As of October 2026, the base bundle of up to 5 senders costs:
- Standard: $32 per month billed annually ($41.60 monthly). Default outbound encryption and HIPAA-compliant forms.
- Plus: $65 per month billed annually ($84.50 monthly). Adds AI inbound security, malware protection and ExecProtect+ display name spoofing protection.
- Premium: $75 per month billed annually ($97.50 monthly). Adds archiving and data loss prevention.
Extra senders are priced individually (for example, $10.50 per sender per month on Standard, billed annually, for senders 6 to 50). Paubox Marketing and the Email API are priced separately.
Key features
- Paubox Email Suite: outbound encryption by default using TLS 1.2 or higher
- Inbound Security: AI-based protection against phishing, spoofing, spam and ransomware
- Data Loss Prevention: blocks emails with sensitive data, including attachments
- Archiving: search, view and export archived email for audits
- Paubox Forms: HIPAA-compliant patient intake forms
- Paubox Marketing: HIPAA-compliant email campaigns
- Paubox Email API: transactional email for developers
- Security Awareness Training: a newer add-on for staff training
HIPAA, security and integrations
Paubox includes a BAA with all accounts at no additional charge. It holds a HITRUST r2 certification, first earned in 2019 and renewed in 2025, which the vendor says is valid until 2027; the certification letter describes the Paubox web app as hosted on Amazon Web Services. Paubox works with Google Workspace and Microsoft 365, and its Email API lets other software send encrypted transactional email. It does not integrate with EHR charts directly.
Paubox alternatives
- Spruce Health — secure messaging, phone, fax and video in one app instead of encrypted email.
- XenFax — HIPAA-compliant cloud fax for practices that still exchange records by fax.
- Compliancy Group — HIPAA compliance program software and coaching rather than an email tool.
- Accountable — HIPAA risk assessments, policies and staff training for small practices.
