eFax alternatives with a signed BAA under $10 a month (2026)

Of seven providers compared, only Fax Pigeon has a plan with a signed BAA under $10 a month: $4.99 billed annually for 200 pages, against eFax Business at $33.33.

A doctor at a desk considering a document on a computer screen

Of the providers in the table, only Fax Pigeon has a plan with a signed BAA under $10 a month: Basic is $4.99 billed annually ($5.99 month to month) for 200 pages and Standard $9.99 ($11.99) for 500, while eFax's cheapest plan with the BAA printed on it, Business, is $33.33 billed annually ($39.99) for 500 pages.

What are the cheapest eFax alternatives with a signed BAA?

The cheapest eFax alternatives with a signed BAA at 500 pages a month are Fax Pigeon Standard at $9.99 billed annually, SRFax Healthcare Basic at $13.65, WestFax Solo at $14.99 month to month and iFax Plus at $24.99, each below eFax Business at $33.33. Sfax Plus at $56.83 and Fax.Plus Enterprise at $79.99 cost more than eFax.

For someone leaving eFax, the table sets each alternative's cheapest plan with a BAA at 500 pages a month, for one person, beside eFax Business.

ProviderCheapest plan with a BAA at 500 pagesPrice a month, billed annuallyPrice a month, month to monthUsers includedBAA
Fax PigeonStandard$9.99$11.99UnlimitedIncluded on every plan
SRFaxHealthcare Basic$13.65$16.05Multiple user accountsOn request
WestFaxSoloNot offered$14.99Solo 1; Team 5; the 3,000-page Team tier 25Included on every plan
iFaxPlus$24.99$29.991, then a team license per personIncluded on Plus and Pro
eFaxBusiness$33.33$39.995, then $10 a month or $100 a year eachIncluded on Business and up
SfaxPlus$56.83$62.00UnlimitedOn request; 'BAA Available' printed from Plus up
Fax.PlusEnterprise$79.99$99.99Unlimited members on EnterpriseIncluded on Enterprise only

A year on Fax Pigeon Standard costs $119.88, which is $280.08 less than eFax Business at $399.96, each billed annually. Fax Pigeon has no team plans: every plan includes unlimited people. eFax's Business card prints $10 a month for each extra user, and the $100 a year comes from the configurator on eFax's pricing page.

Does eFax sign a BAA on every plan?

eFax signs a BAA on Business and above, and eFax Personal carries none. eFax's pricing page says "all plans feature HIPAA-compliant encryption" while "our Business Plan includes the signed BAA", and its HIPAA compliance page lists eFax Business, eFax Corporate and eFax Unite as the products with BAA coverage. Its Security Features page says Business and Corporate offer a BAA as standard.

eFax's BAA is the Business Associate Addendum in its Customer Agreement, which the customer enters into as an authorized user of the Secured Service, the agreement's name for eFax Business, eFax Protect or eFax Unite. The page describes no separate signature step. Under the addendum, eFax's obligations depend on the customer keeping PHI off every other eFax service unless a separate BAA covers it.

eFax Protect survives in that definition, and eFax landing pages at ww2.efax.com still list Protect at $49.99 a month, or $41.66 billed annually, for 500 pages with a $15 first month. eFax's pricing page lists only Personal, Business and Corporate, and the BAA plan on it is Business at $39.99 month to month. More on whether eFax is HIPAA compliant.

45 CFR 160.103 makes a vendor that creates, receives, maintains or transmits PHI for a covered entity a business associate, and 45 CFR 164.502(e)(2) requires a written agreement with it. In the 2013 Omnibus Rule, HHS wrote that an entity maintaining PHI for a covered entity is a business associate even if it never views the information.

Why do practices leave eFax?

Practices leave eFax for reasons printed in eFax's own price card and Customer Agreement: the price of the BAA plan, $10 a month for each user past five and the billing rules for pages past the plan. eFax Business costs $33.33 a month billed annually or $39.99 month to month for 500 pages, 5 user licenses and 1 fax number, with $5 a month for each extra line and $0.07 for each page over the plan.

eFax's Customer Agreement sets a Usage Prepay Amount for certain plans, currently $10.00, and charges the card again whenever the balance falls to $2.00. For certain plans it also counts 60-second increments of transmission or connection time, full or partial, as pages whenever they outnumber the actual pages.

A cancellation on any day of a monthly period counts as usage for that month, with no refund, and closing the account ends access to every stored fax. Storage beyond 12 months on eFax Business may carry added fees. Consensus Cloud Solutions, the company behind eFax, reported monthly account churn of 3.64% across its small office and home office brands for 2025, at average revenue of $15.58 an account a month.

What do eFax alternatives cost for one person and for five?

For one person at 500 pages, eFax alternatives with a BAA cost from $9.99 a month billed annually on Fax Pigeon Standard to $79.99 on Fax.Plus Enterprise, and at five people Fax Pigeon stays at $9.99 while WestFax moves to Team at $39.95 and iFax to Pro with 4 team licenses at $93.29.

For five people, the table shows what the cheapest plan with a BAA costs a month at each provider, at 500 and 1,000 pages sent and received.

Provider500 pages, billed annually500 pages, month to month1,000 pages, billed annually1,000 pages, month to month
Fax Pigeon$9.99 (Standard)$11.99 (Standard)$16.99 (Plus)$17.99 (Plus)
SRFax$13.65 (Healthcare Basic)$16.05 (Healthcare Basic)$29.50 (Healthcare Basic Plus)$32.95 (Healthcare Basic Plus)
eFax$33.33 (Business)$39.99 (Business)$54.16 (Business, 1,000 pages)$64.99 (Business, 1,000 pages)
WestFaxNot offered$39.95 (Team)Not offered$39.95 (Team)
Sfax$56.83 (Plus)$62.00 (Plus)$86.83 (Plus)$92.00 (Plus)
Fax.Plus$79.99 (Enterprise)$99.99 (Enterprise)$79.99 (Enterprise)$99.99 (Enterprise)
iFax$93.29 (Pro + 4 team licenses)$111.95 (Pro + 4 team licenses)$93.29 (Pro + 4 team licenses)$111.95 (Pro + 4 team licenses)

iFax sells Pro month to month at $39.99, and five people on Pro with 4 team licenses pay $111.95 month to month or $93.29 a month billed annually. At 1,000 pages for five people, a year costs $203.88 on Fax Pigeon Plus, $354.00 at SRFax and $649.92 at eFax Business, each billed annually. eFax Business holds its price through five people because its 5 user licenses cover them.

How does each alternative handle the BAA?

Against eFax's BAA on Business and up, Fax Pigeon and WestFax put a signed BAA on every plan; SRFax and Sfax provide one on request, with "BAA Available" printed on Sfax's cards from Plus up; iFax limits it to Plus and Pro, and Fax.Plus to Enterprise.

Side by side with eFax, the table gives each alternative's BAA terms, how the agreement gets signed and the people each plan includes.

ProviderBAAHow the BAA is signedUsers included
SRFaxOn requestRequest a BAA link on the plans pageMultiple user accounts
eFaxIncluded on Business and upPrinted on the Business plan card5, then $10 a month or $100 a year each
iFaxIncluded on Plus and ProFree on Plus and Pro, through a contact-sales form1, then a team license per person
Fax.PlusIncluded on Enterprise onlyRequested in the account on Enterprise, then sent to signUnlimited members on Enterprise
WestFaxIncluded on every planSigned with every account; a contact form for a countersigned or tailored copySolo 1; Team 5; the 3,000-page Team tier 25
SfaxOn request; 'BAA Available' printed from Plus upBy email or phone to supportUnlimited
Fax PigeonIncluded on every planSigned at signupUnlimited

Fax Pigeon's BAA is accepted electronically at sign-up by the person or entity that signs up, and its full text is public at faxpigeon.com/baa before paying. Without a plan, one fax of up to 10 pages can go out from Fax Pigeon's shared number under that same BAA once an email is confirmed, with no credit card; receiving needs a paid plan.

SRFax shares eFax's owner, since Consensus Cloud Solutions' 2025 Form 10-K lists SRFax and Sfax among its fax brands. SRFax's porting page quotes approximately 10 to 15 business days and a one-time $25.00 for a local number, and the same page says porting typically takes 4 to 5 weeks.

WestFax bills month to month only and keeps faxes for two months as standard, extendable for a fee. Its terms of service say service is canceled by calling WestFax Customer Service.

Where eFax draws overage from a prepaid usage amount on certain plans, iFax tops up automatically: credits are added when usage reaches 95% of the plan limit and billed to the payment method, and its Terms of Use turn the top-up on by default, with account settings to change it.

Sfax, another Consensus Cloud Solutions brand, takes BAA requests by email at support@sfax.com or by phone at 877-493-1015. Each added fax line costs $5 a month on a monthly plan or $48 a year on an annual one.

Fax.Plus puts its BAA on Enterprise, $79.99 a month billed annually for 4,000 pages. Once the BAA is signed, its help center says Advanced Security Controls turn on and Slack notifications carry a message with no faxed document attached.

Documo, outside the tables, prices Solo at $25 a month billed annually for 300 pages, 1 number and 1 user, with $0.15 for each added page and $3.00 for each added user or number. Documo says its standard BAA covers all its products and is signed and countersigned at no added cost.

How do you leave eFax without losing your fax number?

A practice keeps its number when leaving eFax only if the number was ported into eFax, because eFax's Customer Agreement keeps every number it issued as its exclusive property. For a ported-in number, the new provider sends eFax a Losing Service Request, the practice gives written notice no later than 30 days after the account ends and pays a $40 administrative fee per number, and to keep service during the port, the practice keeps the account active until it completes. The agreement makes downloading stored faxes the customer's job before closing, since access ends with the account. Porting into Fax Pigeon is free on every paid plan, most transfers finish in 5 to 15 business days, and the steps are in how to cancel eFax and keep your number.

Who should switch from eFax, and to what?

A practice should switch from eFax when it holds eFax Personal with no BAA, pays $33.33 or more for Business, or pays $10 a month for each user past five. Therapists on a budget, small medical offices on eFax Business and practices on eFax Personal fit that description. The comparison of Fax Pigeon vs eFax prices both side by side. The lowest-priced option in the tables is Fax Pigeon Standard at $9.99 a month billed annually for 500 pages, with a signed BAA and unlimited people.

* Prices last verified October 19, 2026, at each provider's own site. Fax Pigeon is not affiliated with SRFax, eFax, iFax, Fax.Plus, WestFax or Sfax.

Frequently asked questions

What are good eFax alternatives that are HIPAA compliant and cheaper?
Four alternatives with a signed BAA cost less than eFax Business at $33.33 a month billed annually for 500 pages: Fax Pigeon Standard at $9.99, SRFax Healthcare Basic at $13.65 and iFax Plus at $24.99, each billed annually, and WestFax Solo at $14.99 month to month. Sfax and Fax.Plus cost more than eFax with their BAA plans, at $56.83 and $79.99.
Is there a HIPAA-compliant online fax service under $10 a month?
Yes, and among the seven providers compared it is Fax Pigeon alone: Standard covers 500 pages for $9.99 a month billed annually and Basic 200 pages for $4.99, each with the BAA signed at sign-up. At 500 pages the next lowest are SRFax Healthcare Basic at $13.65 billed annually and WestFax Solo at $14.99 month to month, while eFax Business is $33.33.
What's the best eFax alternative for a therapist on a budget?
For a therapist on a budget, Fax Pigeon Basic is the lowest-priced eFax alternative with a signed BAA among the providers compared, at $4.99 a month billed annually for 200 pages, with unlimited people and the practice's own number. eFax's lowest plan with the BAA printed on it, Business, costs $33.33 a month billed annually for 500 pages.
Does eFax sign a BAA on its Personal plan?
No, eFax Personal comes with no BAA, and eFax's HIPAA page names only Business, Corporate and Unite as covered products. The Business Associate Addendum in eFax's Customer Agreement reaches only the Secured Service, meaning eFax Business, eFax Protect or eFax Unite, and customers agree to keep protected health information off every other eFax service.
Can I keep my fax number if I leave eFax?
A number you ported into eFax can leave, and a number eFax issued stays with eFax: its Customer Agreement says numbers it provides remain its exclusive property and will not be ported. A ported-in number leaves on written notice no later than 30 days after the account ends, with a $40 administrative fee per number. Porting into Fax Pigeon is free on every paid plan.
Does eFax Protect include a BAA?
eFax Protect is named in eFax's BAA addendum, which defines the Secured Service as eFax Business, eFax Protect or eFax Unite. eFax's pricing page lists no Protect plan, and eFax landing pages still list Protect at $49.99 a month for 500 pages. eFax's current plan with the BAA printed on its card is Business, at $39.99 month to month or $33.33 billed annually.

Fax Pigeon

HIPAA-compliant fax with a signed BAA on every plan

Plans start at $4.99 a month, billed annually, for 200 pages, with your own number and unlimited people. Your first fax is free.

  • Free porting of your local number
  • Fax from your email
  • AI summary of every inbound fax
  • E-signatures
  • Contact management
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Know a practice that still faxes? Refer it through the referral program and earn 20% of its plan, every month it stays.