# a+ vs Centro Paulista

The clearest difference is update cadence: a+ at every 4 weeks against Centro Paulista's every 6 months. Centro Paulista's advantage is iOS requirement (12.0 vs 16.6). On price, ads, in-app purchases and device support there is nothing between them.

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

a+ ships an update every 4 weeks, Centro Paulista every 6 months. The most recent releases landed on October 18, 2026 and September 24, 2026 respectively.

## The numbers

| Metric | a+ | Centro Paulista |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.9 (139 ratings)](https://appshunter.io/ios/app/a-plus/id1468346417/reviews)** | — |
| Number of ratings | **139** | — |
| Positive reviews | 70.0% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 4 weeks** | Every 6 months |
| Monetization | Free | — |
| Size | 170 MB | 74 MB |
| Requires iOS | 16.6 | **12.0** |
| Devices | iPhone | **iPhone, iPod** |
| Age rating | +4 | 17+ |
| Developer | [Grupo Fleury](https://appshunter.io/developer/1245294140) | [CENTRO PAULISTA DE MEDICINA FETAL SS LTDA.](https://appshunter.io/developer/1535833052) |

## What reviewers say

### a+

[App page](https://appshunter.io/ios/app/a-plus/id1468346417)

Access medical exam results quickly and easily. Schedule appointments for exams and vaccinations at home or at a clinic. Get preparation instructions and manage multiple profiles.

**Highlights:** Quick access to results, Schedule exams and vaccines, Preparation guidance, View appointments, Clinic map, Download/share results, Appointment reminders, Manage multiple profiles

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

**In-app purchases:** none


### Centro Paulista

[App page](https://appshunter.io/ios/app/centro-paulista/id1535833050)

**Features:** macOS Compatibility, Apple Wallet

**In-app purchases:** none


## Frequently asked questions

### Is a+ free?

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

### Is Centro Paulista free?

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

### Do a+ or Centro Paulista have ads?

Neither a+ nor Centro Paulista shows ads.

### Which is updated more often, a+ or Centro Paulista?

a+ ships an update every 4 weeks, and Centro Paulista every 6 months. Most recently, a+ was updated on October 18, 2026 and Centro Paulista on September 24, 2026.

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