Does ElevenLabs sign a BAA?

Only on some plans or setups

ElevenLabs signs a BAA only for Enterprise customers. It names ElevenAgents as a HIPAA-eligible service when Zero Retention Mode is on, with a restricted list of LLMs. ElevenLabs does not say whether its standalone text-to-speech and speech-to-text APIs fall under the BAA.

Based on 2 sources, all from ElevenLabs unless marked.

Not fully covered by the BAA: ElevenAgents without Zero Retention Mode; MCP tool support in agents.

Business associate
ElevenLabs
Tool
ElevenLabs
Plans with a BAA
Enterprise
Checked
Some plans only
ElevenLabs signs only for the plans listed.

By plan

PlanBAAHow to get itConditions
EnterpriseSigns a BAAThrough salesBAAs are arranged through your account representative. For ElevenAgents, Zero Retention Mode must be on as well as the BAA. Without Zero Retention Mode, no PHI should be sent and the agent is not a covered service.[1],[2]
Non-Enterprise tiersNo BAANot offeredElevenLabs says BAAs are available only on Enterprise subscriptions, and Zero Retention Mode is also Enterprise-only.[1],[2]

Are the AI features covered?

Vendors often sign a BAA for the core product but leave some AI features out. Here is what ElevenLabs says about each one.

AI featureUnder the BAADetails
ElevenAgents with Zero Retention ModeEnterpriseCoveredElevenAgents is named as HIPAA-eligible. Under Zero Retention Mode the allowed LLMs are Gemini, Claude, OpenAI GPT models (only in Enterprise BAA workspaces) and ElevenLabs-hosted Qwen and GLM. Other LLMs are blocked. A custom LLM requires telling ElevenLabs support and having your own BAA with that provider. Analytics are limited to non-sensitive metadata.[1]
ElevenAgents without Zero Retention ModeEnterpriseExcludedAn agent without Zero Retention Mode is no longer a covered service under the BAA, and no PHI should be sent to it.[1]
MCP tool support in agentsEnterpriseExcludedMCP is not available to users on Zero Retention Mode or those requiring HIPAA compliance.[2]
Text to Speech, Speech to Text, Text to Dialogue and Voice Changer APIsEnterpriseNot statedThese APIs support Zero Retention Mode, but the HIPAA page covers only ElevenAgents. No official page says whether the BAA covers them.[1],[2]
Dubbing, voice cloning, Music, Studio, Image & VideoEnterpriseNot statedThese products are not eligible for Zero Retention Mode. ElevenLabs does not address their BAA status.[2]

Speech-to-text and voice APIs that offer a BAA

All BAA-ready alternatives to ElevenLabs

Sources

  1. HIPAA compliance - ElevenAgentsElevenLabs, Documentation. Checked Oct 11, 2026.
  2. Zero Retention Mode (Enterprise)ElevenLabs, Documentation. Checked Oct 11, 2026.

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.