HIPAA-Compliant ChatGPT Alternatives for Small Practices (2026): BastionGPT vs CompliantChatGPT vs ChatGPT, Claude, Gemini & Copilot
AI chat assistants that offer a BAA for admin drafting and summaries, compared on published pricing, which plans the BAA covers, and best fit for solo and small practices.
Key takeaways
- Consumer AI chat plans do not come with a BAA: OpenAI excludes ChatGPT Free, Plus and Business, and third-party sources report that Claude's BAA is limited to Enterprise or eligible API arrangements. Never paste patient details into those plans.
- BastionGPT and CompliantChatGPT are built for healthcare and sign a BAA. CompliantChatGPT publishes $19.99–$63.99/user/mo (annual) with a BAA on every plan; BastionGPT is reported at $20–$75/user/mo with a 7-day trial.
- If you already pay for Google Workspace, Gemini in Workspace is covered once you accept Google's BAA in the Admin console on an eligible plan (Gemini in Chrome is excluded). Microsoft 365 Copilot is $30/user/mo on top of a qualifying license, under Microsoft's BAA for in-scope services, with web-search queries excluded.
- ChatGPT for Healthcare / Enterprise and Claude Enterprise are sales-led: ask for the BAA and a written quote, and confirm which features and connectors the BAA covers.
- Use these tools for admin work only: drafting letters and appeals, summarizing payer policies, writing templates and FAQs. A person reviews and sends every message, and nothing here replaces clinical judgment.
- Turn off chat history or model training where the vendor allows it, limit who has access, and keep a copy of the signed BAA with your HIPAA records.
 BastionGPT |  CompliantChatGPT |  ChatGPT for Healthcare / Enterprise |  Claude Enterprise (Anthropic) |  Google Workspace + Gemini | MMicrosoft 365 Copilot | |
|---|---|---|---|---|---|---|
| Pricing | Reported $20–$75/user/mo; 7-day trial | Starter $19.99/user/mo; Pro $35.99/user/mo; Full $63.99/user/mo (annual rates shown); Enterprise custom; BAA included on every plan (vendor pricing) | Sales contact | Sales contact | Business Starter $7/user/mo annual ($8.40 flexible); Business Standard $14/$16.80; Business Plus $22/$26.40; custom sales plans higher (Google Workspace help / pricing) | Microsoft 365 Copilot $30/user/mo (annual) plus a qualifying Microsoft 365 license (vendor Copilot pricing) |
| What it does | HIPAA-compliant medical ChatGPT alternative with signed BAA. Browser-based; confirm EHR write-back and other integrations with vendor (vendor site). | HIPAA-oriented medical AI chat with PHI anonymizer. Full plan integrates with Healthie EHR and Zoom; custom integrations on Enterprise (vendor pricing). | OpenAI's HIPAA-eligible ChatGPT workspaces for drafting and admin tasks. | Claude Enterprise/API with BAA only on Enterprise or eligible API arrangements—not Free/Pro/Max consumer plans. Integrates via API and workspace tools (vendor site). | Google Workspace productivity suite with Gemini AI. Integrates across Gmail, Docs, Drive and Calendar; use only HIPAA-covered services after accepting Google’s BAA (vendor help). | Copilot AI across Microsoft 365 apps. Integrates with Outlook, Teams, Word, Excel and OneDrive under Microsoft’s DPA/BAA for in-scope commercial services; web-search queries excluded (vendor docs). |
| HIPAA BAA | Yes – signed BAA (vendor site) | Yes – standard BAA included on every plan (vendor pricing) | Yes – only on listed eligible products; not Free/Plus/Business (OpenAI Help Center) | Only on Enterprise or eligible API; not Free/Pro/Max/Team (third-party) | Yes on eligible Workspace plans when BAA accepted in Admin console; Gemini in Workspace covered, Gemini in Chrome excluded (vendor HIPAA help) | Yes – Microsoft BAA via DPA for in-scope services (Microsoft Learn) |
| Best fit | unverified | unverified | unverified | unverified | unverified | unverified |
BastionGPT
Inbox & EmailHIPAA-compliant medical ChatGPT alternative with signed BAA. Browser-based; confirm EHR write-back and other integrations with vendor (vendor site).
CompliantChatGPT
Inbox & EmailHIPAA-oriented medical AI chat with PHI anonymizer. Full plan integrates with Healthie EHR and Zoom; custom integrations on Enterprise (vendor pricing).
ChatGPT for Healthcare / Enterprise
Inbox & EmailOpenAI's HIPAA-eligible ChatGPT workspaces for drafting and admin tasks.
Claude Enterprise (Anthropic)
Inbox & EmailClaude Enterprise/API with BAA only on Enterprise or eligible API arrangements—not Free/Pro/Max consumer plans. Integrates via API and workspace tools (vendor site).
Google Workspace + Gemini
Inbox & EmailGoogle Workspace productivity suite with Gemini AI. Integrates across Gmail, Docs, Drive and Calendar; use only HIPAA-covered services after accepting Google’s BAA (vendor help).
Microsoft 365 Copilot
Inbox & EmailCopilot AI across Microsoft 365 apps. Integrates with Outlook, Teams, Word, Excel and OneDrive under Microsoft’s DPA/BAA for in-scope commercial services; web-search queries excluded (vendor docs).
Disclaimer: This site covers administrative and operational workflows only. It is not clinical, legal, or compliance advice. Pricing and BAA status come from vendor sites or third-party reviews as of the date shown and can change – confirm directly with each vendor and your compliance advisor before using any tool with protected health information.