Twilio (Voice, ConversationRelay, Flex) alternatives that sign a HIPAA BAA
Twilio (Voice, ConversationRelay, Flex): only on some plans or setups. See the plan-by-plan breakdown.
Before you switch from Twilio (Voice, ConversationRelay, Flex)
You may not have to. Twilio signs a BAA for Twilio (Voice, ConversationRelay, Flex) on Security Edition or Enterprise Edition. If you’re on another plan, upgrading may be simpler than moving your team. Even then, these stay outside the BAA: AI Assistants / Agent Copilot.
| Tool | BAA | Plans with a BAA |
|---|---|---|
| Assort HealthAssort Health | Some plans only | Healthcare provider customer agreements |
| Bland AIBland AI | Some plans only | Healthcare / Enterprise deployments |
| SynthflowSynthflow | Some plans only | Enterprise (sales-led annual agreement) |
| VapiVapi | Some plans only | Usage-only or any Success Package, with the HIPAA add-on |
| Amazon ConnectAmazon Web Services | Signs a BAA | Any AWS account that accepts the AWS BAA |
| Google Cloud Contact Center AI / Customer Engagement SuiteGoogle Cloud | Signs a BAA | Google Cloud customers who accept the Google Cloud BAA |
| HyroHyro | Signs a BAA | All Hyro customers under the End User License Agreement |
| InfinitusInfinitus Systems | Signs a BAA | Infinitus customer agreements (enterprise) |
| Retell AIRetell AI | Signs a BAA | Enterprise; Pay-as-you-go |
Listed tools offer a BAA on at least one plan according to their own published terms. A BAA alone doesn’t make your use HIPAA compliant: you still need the right plan, configuration and policies. Not legal advice.