# Exista Engage vs MD Integrations

The clearest difference is iOS requirement: Exista Engage at 15.0 against MD Integrations's 26.0. 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.

Exista Engage ships an update every 5 weeks, MD Integrations monthly. The most recent releases landed on October 25, 2026 and November 3, 2026 respectively.

## The numbers

| Metric | Exista Engage | MD Integrations |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[4.6 (10 ratings)](https://appshunter.io/ios/app/md-integrations/id1630699932/reviews)** |
| Number of ratings | — | **10** |
| Positive reviews | — | 100.0% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 5 weeks | **Monthly** |
| Monetization | — | Free |
| Size | 62 MB | 140 MB |
| Requires iOS | **15.0** | 26.0 |
| Devices | iPhone, iPod | iPhone, iPad |
| Age rating | 17+ | 17+ |
| Developer | [Medical Security Card Company, LLC.](https://appshunter.io/developer/1016290129) | [MD Integrations](https://appshunter.io/developer/1630699934) |

## What reviewers say

### Exista Engage

[App page](https://appshunter.io/ios/app/exista-engage/id1566581552)

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

**In-app purchases:** none


### MD Integrations

[App page](https://appshunter.io/ios/app/md-integrations/id1630699932)

This platform empowers businesses to launch and expand their virtual care services. It offers a flexible, API-based telemedicine solution with a nationwide network of licensed physicians. Integrate seamlessly with your website for a branded telehealth experience.

**Highlights:** API-based asynchronous telemedicine, Nationwide physician-only clinical network, White-label telemedicine platform, Seamless website integration, Scalable business growth support

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

**In-app purchases:** none


## Frequently asked questions

### Is Exista Engage free?

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

### Is MD Integrations free?

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

### Do Exista Engage or MD Integrations have ads?

Neither Exista Engage nor MD Integrations shows ads.

### Which is updated more often, Exista Engage or MD Integrations?

Exista Engage ships an update every 5 weeks, and MD Integrations monthly. Most recently, Exista Engage was updated on October 25, 2026 and MD Integrations on November 3, 2026.

---

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