Paubox vs Egress
Paubox
Paubox is a HIPAA-compliant email encryption platform purpose-built for healthcare organizations. It encrypts every outbound email by default using TLS with automatic fallback to a secure portal, so recipients read messages in their normal inbox without passwords or portals. Paubox is HITRUST CSF certified and signs BAAs, making it the go-to choice for hospitals, health systems, and medical practices that need frictionless HIPAA-compliant email.
Pros
- No portal login required for recipients
- HITRUST CSF certified. Highest bar for healthcare
- Zero learning curve for senders
- Purpose-built for healthcare compliance
- Includes inbound email security
Considerations
- Premium pricing for smaller practices
- Less granular sender control than end-to-end solutions
- Healthcare focus may not fit all industries
- No on-premise deployment option
Pricing: From $29/user/month
Egress
Egress provides intelligent email security that combines adaptive encryption with AI-powered risk detection. Rather than applying blanket encryption rules, Egress analyzes each email's content, recipients, and context to dynamically determine the right level of protection. From automatic TLS to full end-to-end encryption. Now part of KnowBe4, Egress signs BAAs for HIPAA compliance and is widely used in healthcare, legal, and financial services.
Pros
- Intelligent risk-based encryption reduces over-encryption
- Prevents misdirected emails before they send
- Strong Outlook and Microsoft 365 integration
- Reduces user friction with adaptive policies
- Comprehensive compliance reporting
Considerations
- More complex to configure than simpler solutions
- Primarily Microsoft-focused ecosystem
- Pricing not transparent
- KnowBe4 acquisition may shift product direction
Pricing: Custom pricing