# OnSky Health vs ePEF

The clearest difference is rating: OnSky Health at 3.0 against ePEF's 1.8. OnSky Health also leads on review sentiment (50% vs 18%) and iOS requirement (13.0 vs 15.0). ePEF's advantage is ratings volume (11 vs 2). On price, update cadence, ads and in-app purchases there is nothing between them.

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

OnSky Health holds the better App Store score, 3.0 against 1.8. That said, the two scores are not equally well evidenced: ePEF has 11 ratings behind it against 2, so its average is the more settled of the two. Written reviews point the same way: 50% of OnSky Health's written reviews are positive against 18% of ePEF's.

OnSky Health ships an update every 2 months, ePEF every 6 weeks. The most recent releases landed on September 9, 2026 and September 17, 2026 respectively.

## The numbers

| Metric | OnSky Health | ePEF |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[3.0 (2 ratings)](https://appshunter.io/ios/app/onsky-health/id1502053185/reviews)** | [1.8 (11 ratings)](https://appshunter.io/ios/app/epef/id1584786339/reviews) |
| Number of ratings | 2 | **11** |
| Positive reviews | **50.0% of reviews** | 18.2% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 2 months | **Every 6 weeks** |
| Monetization | Free | Free |
| Size | 112 MB | 103 MB |
| Requires iOS | **13.0** | 15.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 4+ | 12+ |
| Developer | [ONSKY, INC.](https://appshunter.io/developer/1107510565) | [上海朔茂网络科技有限公司](https://appshunter.io/developer/968257135) |

## What reviewers say

### OnSky Health

[App page](https://appshunter.io/ios/app/onsky-health/id1502053185)

This app works with a contactless health monitoring device to track vital signs and sleep quality remotely. It allows family or caregivers to monitor a user's health status without direct physical contact. The system is designed for wellness tracking and is not a medical device.

**Highlights:** Contactless health monitoring, Remote sleep quality tracking, Heart rate monitoring, Respiration rate monitoring, Wellness tracking, Caregiver monitoring

**Features:** macOS Compatibility

**In-app purchases:** none


### ePEF

[App page](https://appshunter.io/ios/app/epef/id1584786339)

This app helps manage asthma and COPD symptoms by tracking medication and monitoring acute attacks. It requires a separate digital peak flow meter for readings and provides insights for remote disease management.

**Highlights:** Symptom management for Asthma and COPD, Track medication intake, Monitor acute asthma attacks, Evaluate disease progression, Remote disease management, Requires digital peak flow meter

**Features:** Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is OnSky Health free?

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

### Is ePEF free?

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

### Which has better reviews, OnSky Health or ePEF?

OnSky Health is rated higher. OnSky Health averages 3.0 out of 5 from 2 ratings, while ePEF averages 1.8 from 11 ratings.

### Do OnSky Health or ePEF have ads?

Neither OnSky Health nor ePEF shows ads.

### Which is updated more often, OnSky Health or ePEF?

OnSky Health ships an update every 2 months, and ePEF every 6 weeks. Most recently, OnSky Health was updated on September 9, 2026 and ePEF on September 17, 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.*