# Horizon Blue vs mySpinePassbook

The clearest difference is monetization model: mySpinePassbook at free against Horizon Blue's free with in-app purchases. Horizon Blue's advantage is ratings volume (79K vs 1) and chart position (#164 vs unranked). On price, rating, update cadence and ads there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

mySpinePassbook holds the better App Store score, 5.0 against 4.8. That said, the two scores are not equally well evidenced: Horizon Blue has 79K ratings behind it against 1, so its average is the more settled of the two.

Horizon Blue ships an update monthly, mySpinePassbook every 3 weeks. The most recent releases landed on November 5, 2026 and October 30, 2026 respectively.

## The numbers

| Metric | Horizon Blue | mySpinePassbook |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.8 (79K ratings)](https://appshunter.io/ios/app/horizon-blue/id1356335647/reviews) | **[5.0 (1 ratings)](https://appshunter.io/ios/app/myspinepassbook/id6505071887/reviews)** |
| Number of ratings | **79K** | 1 |
| Positive reviews | 36.9% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Monthly | **Every 3 weeks** |
| Monetization | Free with in-app purchases | **Free** |
| Best chart rank | **#164** | — |
| Size | 97 MB | 32 MB |
| Requires iOS | 16.4 | **15.1** |
| Devices | iPhone | **iPhone, iPod** |
| Age rating | 12+ | 17+ |
| Developer | [Horizon Healthcare Services Inc](https://appshunter.io/developer/482349257) | [SPINEPASSBOOK, LLC](https://appshunter.io/developer/1094696090) |

## What reviewers say

### Horizon Blue

[App page](https://appshunter.io/ios/app/horizon-blue/id1356335647)

**Currently charting:** #164 Top Free · Medical (US App Store)

Access your health plan details, find care providers, and connect with member services. View benefits, coverage, and ID cards, track costs, and submit claims. This app is designed for Horizon members to manage their healthcare easily.

**Highlights:** View benefits and coverage, Connect with doctors virtually, Access and share ID card, Find in-network providers, Track out-of-pocket costs, Submit medical claims

**Features:** Apple Wallet, Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 👍 Convenient app features
- 🚀 Quick access to insurance information
- 💡 Helpful nurse chat option
- 🔒 Secure with ID card sharing

**What reviewers complain about**

- 🐛 Frequent app crashes
- 🔍 Unreliable provider search
- 💳 Issues with payments and billing
- 🕰️ Slow app performance

**Reported bugs**

- Login issues with passcode/biometrics
- Inability to upload documents/photos
- Telehealth feature not functioning
- Incorrect/outdated provider information

**Requested features**

- Add Face ID/Touch ID login
- Improve doctor/provider search
- Streamline payment process
- Provide more detailed coverage information


### mySpinePassbook

[App page](https://appshunter.io/ios/app/myspinepassbook/id6505071887)

This app provides educational resources and health data tracking for patients managing low back pain. It allows healthcare providers to monitor exercise routines and offer proactive support to ensure treatment adherence.

**Highlights:** Educational resources for spine conditions, Health data tracking for exercise routines, Remote patient monitoring by providers, Proactive patient support, Personalized care paths, Information from a spine surgeon

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is Horizon Blue free?

Horizon Blue is free to download, with no in-app purchases.

### Is mySpinePassbook free?

mySpinePassbook is free to download, with no in-app purchases.

### Which has better reviews, Horizon Blue or mySpinePassbook?

mySpinePassbook is rated higher. Horizon Blue averages 4.8 out of 5 from 79K ratings, while mySpinePassbook averages 5.0 from 1 ratings.

### Do Horizon Blue or mySpinePassbook have ads?

Neither Horizon Blue nor mySpinePassbook shows ads.

### Which is updated more often, Horizon Blue or mySpinePassbook?

Horizon Blue ships an update monthly, and mySpinePassbook every 3 weeks. Most recently, Horizon Blue was updated on November 5, 2026 and mySpinePassbook on October 30, 2026.

---

*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*