ChatGPT vs Claude: which signs a HIPAA BAA?

Both can be covered by a BAA, on different terms. OpenAI signs one for ChatGPT only on Enterprise; Edu; ChatGPT for Healthcare; ChatGPT for Clinicians; ChatGPT FedRAMP. Anthropic signs one for Claude only on Enterprise (self-serve or sales-assisted).

Business associate
OpenAI
Tool
ChatGPT
Plans with a BAA
Enterprise; Edu; ChatGPT for Healthcare; ChatGPT for Clinicians; ChatGPT FedRAMP
Checked
Some plans only
OpenAI signs only for the plans listed.
Business associate
Anthropic
Tool
Claude apps (Claude.ai)
Plans with a BAA
Enterprise (self-serve or sales-assisted)
Checked
Some plans only
Anthropic signs only for the plans listed.

Side by side

ChatGPTOpenAIClaudeAnthropic
BAASome plans onlySome plans only
Plans with a BAAEnterprise; Edu; ChatGPT for Healthcare; ChatGPT for Clinicians; ChatGPT FedRAMPEnterprise (self-serve or sales-assisted)
How to get itThrough sales; Accept or sign onlineAccept or sign online
AI features outside the BAA partly covered excluded
  • Custom GPTs, workspace agents, Team Automations (Partly covered)
  • Codex (local: desktop app, IDE, CLI) (Partly covered)
  • Codex in the cloud, Computer History, Codex Security administration (Excluded from the BAA)
  • Cloud browser use, cloud network access, Sites, improved memory (Excluded from the BAA)
  • Third-party GPTs and connected apps (Clinicians) (Excluded from the BAA)
  • File creation and code execution (Partly covered)
  • Claude Code (terminal via Enterprise sign-in, Desktop tab) and Cowork in Claude Desktop, local mode (Partly covered)
  • Claude Code on web/cloud/mobile, Remote Control, Cowork in the cloud, Code Review, Security, computer use (Excluded from the BAA)
  • Claude Code VS Code / JetBrains extensions, gateway or custom base URL setups, and Claude Code via Bedrock / Agent Platform / Foundry (Excluded from the BAA)
  • MCP servers and connectors, Enterprise Search, Claude in Chrome, Skills (Excluded from the BAA)
  • Beta features (Claude in Office, Claude Design, Claude Slides, Claude Docs) (Excluded from the BAA)
Sources5 sources4 sources
Last checkedOct 11, 2026Oct 11, 2026

Every plan

ChatGPT

  • Free / Plus / ProOpenAI's HIPAA guide says the consumer ChatGPT services are not Eligible Services and may not be used with PHI.No BAA
  • Business (formerly Team)OpenAI states that it does not offer a BAA for ChatGPT Business.No BAA
  • EnterpriseOnly sales-managed Enterprise accounts are eligible. The HIPAA-eligible product list names 'ChatGPT for Enterprise with Regulated Workspace', and Enterprise is eligible only if the BAA lists it as an Eligible Service.Conditions apply
  • EduSales-managed Edu accounts may get a BAA, and Edu is eligible only if the BAA lists it. The HIPAA-eligible products page does not list Edu as a product, though it lists Study Mode as covered functionality for Edu.Conditions apply
  • ChatGPT for HealthcareListed as a HIPAA-eligible product with a BAA. It is a workspace for healthcare organizations, obtained by contacting OpenAI's team. This is also the route for multi-user clinician BAAs with central controls.Signs a BAA
  • ChatGPT for CliniciansFree at launch for verified US clinicians (MD/DO, NP, PA, pharmacists) with a valid NPI and a verifiable license. Each clinician reviews and signs the BAA in the product under Settings > Agreements. Individual accounts only.Signs a BAA
  • ChatGPT FedRAMPListed as a HIPAA-eligible product available with a BAA. How to obtain it is not described.Signs a BAA

Claude

  • Free / Pro / MaxAnthropic says individual plans can't enable HIPAA, and its API docs list consumer products as outside HIPAA coverage.No BAA
  • TeamAnthropic says Team plans can't enable HIPAA.No BAA
  • Enterprise (self-serve or sales-assisted)Only the Primary Owner can accept the BAA, under Organization settings > Data and privacy > HIPAA Compliance, with no sales or legal cycle needed. Standard Enterprise has no BAA coverage until this is done. To cover Claude Code and Cowork (local mode), the separate HIPAA configuration must be applied, and it cannot be removed afterward.Signs a BAA

If you handle patient data

Either can work. Choose on features and price, then make sure you’re on a plan listed above and the BAA is signed before anyone enters protected health information. Keep PHI out of the AI features listed as outside the BAA.

More comparisons

A signed BAA is necessary but not sufficient for HIPAA compliance, which also depends on configuration, access controls, and your own policies. Verdicts summarize the vendor's own published terms as of the date checked; confirm with the vendor and your counsel before sending protected health information. Not legal advice.