# Q4 Active vs Optum

The clearest difference is update cadence: Optum at every 3 weeks against Q4 Active's every 21 months. Optum also leads on chart position (#185 vs unranked). 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.

Q4 Active ships an update every 21 months, Optum every 3 weeks. The most recent releases landed on October 3, 2026 and October 16, 2026 respectively.

## The numbers

| Metric | Q4 Active | Optum |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[4.4 (13K ratings)](https://appshunter.io/ios/app/optum/id6504930082/reviews)** |
| Number of ratings | — | **13K** |
| Positive reviews | — | 16.4% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 21 months | **Every 3 weeks** |
| Monetization | — | Free |
| Best chart rank | — | **#185** |
| Size | 31 MB | 187 MB |
| Requires iOS | **15.6** | 16.6 |
| Devices | **iPhone, iPod** | iPhone |
| Age rating | 4+ | 17+ |
| Developer | [Della Mente Wellness, LLC](https://appshunter.io/developer/1633224468) | [Optum Inc.](https://appshunter.io/developer/1133706680) |

## What reviewers say

### Q4 Active

[App page](https://appshunter.io/ios/app/q4-active/id1633224466)

**Features:** macOS Compatibility

**In-app purchases:** none


### Optum

[App page](https://appshunter.io/ios/app/optum/id6504930082)

**Currently charting:** #185 Top Free · Health & Fitness (US App Store)

Manage your health journey with personalized support. Find providers, schedule appointments, access your health information, and connect with care professionals for guidance. Securely store your data and maximize your benefits.

**Highlights:** Personalized health tracking, Provider search and scheduling, Appointment management, Access to health information, Secure messaging with care team, Benefit and program access

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

**In-app purchases:** none

**What reviewers like**

- ⚡ Quick test result delivery
- 👨‍⚕️ Compassionate and attentive healthcare providers
- 📋 Detailed medical information access
- 🏥 Well-organized clinic staff
- 💬 Doctor messaging capability

**What reviewers complain about**

- 🐛 Persistent authentication loop errors
- 🔄 Endless loading screens
- ❌ Internal server errors across multiple features
- 🚫 Broken MyChart integration
- ⏱️ Extremely slow app performance

**Reported bugs**

- Login redirects to download app screen despite being logged in
- Buttons trigger authentication loop instead of loading content
- Loading screen stuck indefinitely with no exit option
- Internal server errors on messages, medications, and appointments
- MyChart connection failures with 'unable to connect' messages

**Requested features**

- Native MyChart app instead of embedded version
- Expanded character limit for doctor messages
- Better referral information display with contact details
- Downloadable test results and referral letters
- Improved appointment scheduling interface


## Frequently asked questions

### Is Q4 Active free?

Q4 Active is free to download, with no in-app purchases.

### Is Optum free?

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

### Do Q4 Active or Optum have ads?

Neither Q4 Active nor Optum shows ads.

### Which is updated more often, Q4 Active or Optum?

Q4 Active ships an update every 21 months, and Optum every 3 weeks. Most recently, Q4 Active was updated on October 3, 2026 and Optum on October 16, 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.*