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Review · Email security

MailHippo review

A practical HIPAA email add-on at $4.95 per user monthly, but message caps and unpublished annual prices deserve a close look.

6.3/10Search Legion score

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The bottom line

A useful HIPAA email layer, if its monthly caps and per-user price fit your team.

MailHippo adds encrypted messaging to an existing email address and provider. Its pricing lists Basic at $4.95 per user/month for 5,000 messages, 5GB of storage and files up to 50MB; Pro is $7.95 for 10,000 messages, 10GB and files up to 100MB. Both paid plans include message recall, while Pro adds expiration and an Outlook button for supported Windows desktop versions.

The 30-day trial includes 1,000 messages/month, 2GB and a HIPAA BAA. Annual billing saves up to 15%, but exact annual prices are not published. MailHippo is worth considering for healthcare teams that want encrypted email without changing providers; the Reddit discussion we read contains no user discussions, so there is no user sentiment to weigh.

Good fit if

  • Healthcare teams keeping current email
  • Individuals needing a HIPAA BAA
  • Outlook users needing secure email

Skip it if

  • Teams needing uncapped message volume
  • Buyers requiring published annual prices
  • Users looking for a permanent free plan
MailHippo homepage
MailHippo homepage, captured Nov 7, 2026

ScoresHow it rates

  • Features7
  • Ease of use7
  • Value for money6
  • Support5
  • User sentiment5

What works

  • Works with an existing email address and provider.
  • Basic starts at $4.95 per user/month.
  • 30-day trial includes a HIPAA BAA.
  • Pro supports up to 10,000 messages monthly.
  • Pro adds Outlook button, recall and expiration.

What doesn't

  • No permanent free plan.
  • Basic caps users at 5,000 messages/month.
  • Basic file limit is 50MB.
  • Annual prices are not published.
  • Outlook button is Pro-only for supported Windows desktop versions.

01What MailHippo actually does

MailHippo adds encrypted email to an address and email provider you already use. It is designed for healthcare communication involving protected patient information, rather than as a replacement for your regular email account. The product says it uses 256-bit AES encryption to protect message contents and attachments in transit and at rest.

Recipients can send secure messages through a unique SendSafe link. Pro also includes a personalized email address. MailHippo provides a Business Associate Agreement to covered entities during signup, and its FormHippo feature supports secure interactive PDF forms with e-signatures. There is also an email API for protecting patient information.

Pricing starts at $4.95 per user per month for Basic, according to the published pricing details. A 30-day trial is listed at no charge, but MailHippo does not have a free plan. The central question is whether its message, storage and attachment limits fit your team’s workload.

02Where MailHippo is strong

MailHippo’s clearest advantage is that it adds a secure messaging layer without asking users to change email providers or addresses. That can make it a more focused option than moving an entire team to a new email system. SendSafe links also give recipients a way to send secure messages, while the BAA is available to covered entities during signup.

The plans publish concrete limits, so teams can compare capacity before subscribing:

  • The 30-day trial costs $0 and includes 1,000 messages per month, 2GB of storage, files up to 20MB and a HIPAA BAA.
  • Basic costs $4.95 per user per month and includes 5,000 messages per month, 5GB of storage, files up to 50MB and message recall.
  • Pro costs $7.95 per user per month and includes 10,000 messages per month, 10GB of storage, files up to 100MB, message recall and expiration, and an Outlook button.

FormHippo adds secure interactive PDF forms and e-signatures. The pricing page also lists annual billing savings of up to 15%, though it does not publish the exact annual prices.

03Where it falls short

MailHippo’s limits are worth checking against real usage before you move a team onto it. Basic includes 5,000 messages per user per month, 5GB of storage and a 50MB file limit. Pro raises those figures to 10,000 messages, 10GB and 100MB, but costs $7.95 per user per month. The available pricing information does not say what happens when a user exceeds a message or storage limit.

The $0 trial is limited to 1,000 messages per month, 2GB and 20MB files, so it may not show whether a higher-volume workflow fits without upgrading. It lasts 30 days; the published details do not describe what happens to data after the trial ends.

Useful features are also tied to plan details: message expiration and the Outlook button are listed with Pro, while Basic lists message recall. The Outlook button is for supported Windows desktop Outlook versions, but the specific supported versions are not stated here. Annual billing may save up to 15%, yet exact annual prices are not published, making the real per-user cost harder to compare.

04MailHippo pricing: what you'll actually pay

MailHippo lists a 30-day trial at $0 per user per month, then two paid tiers: Basic at $4.95 and Pro at $7.95 per user per month. The move from Basic to Pro costs $3 more per user monthly, doubling the message allowance from 5,000 to 10,000 and storage from 5GB to 10GB. File limits rise from 50MB to 100MB. Pro also adds message expiration and an Outlook button; Basic includes message recall.

The trial includes 1,000 messages per month, 2GB of storage, a 20MB file limit and a HIPAA BAA. It is a trial, not a permanent free plan. The pricing information says annual billing saves up to 15%, but exact annual prices are not published, so compare the final quote before budgeting. No add-ons are listed. Costs are per user, so team totals rise with seat count. Check whether each person’s monthly message volume fits the plan cap before switching.

05Switching to (or from) MailHippo

MailHippo is designed to add encrypted messaging to an existing email address and provider, so switching in does not necessarily mean replacing your current inbox. The product information says it works with any email provider; Pro also offers an Outlook button for supported Windows desktop Outlook versions. MailHippo provides a HIPAA BAA during signup, which matters if your team needs that agreement in place.

The published information does not explain how to import existing messages, export mail or attachments, or transfer forms and signatures. Treat those as questions to resolve with MailHippo before moving sensitive records; data portability details are not published here. We also do not have Reddit posts or comments in the published material, so we cannot substantiate reasons users leave or claim a common migration pain point. Before switching away, confirm how to retrieve messages and attachments and what happens to access after cancellation. Monthly message caps and unpublished annual rates may also be reasons to compare alternatives.

Questions people ask

Is MailHippo safe for healthcare email?

MailHippo says it uses 256-bit AES encryption to protect message contents and attachments in transit and at rest. It provides a Business Associate Agreement to covered entities during signup. Those features address important parts of secure healthcare communication, but they do not by themselves establish that every use of email meets your organization’s HIPAA obligations.

How do I create HIPAA-compliant email with MailHippo?

MailHippo adds encrypted messaging to your existing email address and provider, so you do not need to replace your current email service. During signup, covered entities can receive a Business Associate Agreement. MailHippo also offers secure messages, forms and signatures; your organization remains responsible for how it uses the service and handles patient information.

Can I use MailHippo with my existing email address?

Yes. MailHippo is designed to work with your current email address and any email provider. Its SendSafe feature lets anyone send secure messages through a unique link. The Pro plan also includes a personalized email address and a button for supported Windows desktop versions of Outlook.

How much does MailHippo cost?

MailHippo lists Basic at $4.95 per user per month and Pro at $7.95 per user per month. A 30-day trial costs $0 and includes 1,000 messages per month, 2GB of storage and files up to 20MB. Annual billing saves up to 15%, but exact annual prices are not published.

Does MailHippo include secure forms and e-signatures?

MailHippo’s FormHippo supports secure interactive PDF forms with e-signatures. The service also offers encrypted email and an email API for protecting patient information. The available plan details list message, storage and attachment limits, but do not specify separate FormHippo limits or add-on prices.

Sources

  1. MailHippo homepage
  2. MailHippo pricing page