# Optum vs Scream Score

The clearest difference is rating: Scream Score at 5.0 against Optum's 4.4. Optum's advantage is ratings volume (14K vs 2) and update cadence (every 3 weeks vs every 2 months). On price, ads, in-app purchases and monetization model there is nothing between them.

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

Scream Score holds the better App Store score, 5.0 against 4.4. That said, the two scores are not equally well evidenced: Optum has 14K ratings behind it against 2, so its average is the more settled of the two.

Optum ships an update every 3 weeks, Scream Score every 2 months. The most recent releases landed on October 21, 2026 and October 19, 2026 respectively.

## The numbers

| Metric | Optum | Scream Score |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.4 (14K ratings)](https://appshunter.io/ios/app/optum/id6504930082/reviews) | **[5.0 (2 ratings)](https://appshunter.io/ios/app/scream-score/id6745768988/reviews)** |
| Number of ratings | **14K** | 2 |
| Positive reviews | 16.4% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 3 weeks** | Every 2 months |
| Monetization | Free | Free |
| Size | 187 MB | 105 MB |
| Requires iOS | **16.6** | 17.0 |
| Devices | iPhone | **iPhone, Apple Watch** |
| Age rating | 17+ | 9+ |
| Developer | [Optum Inc.](https://appshunter.io/developer/1133706680) | [Immerse Universe LLC](https://appshunter.io/developer/1813790961) |

## What reviewers say

### Optum

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

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


### Scream Score

[App page](https://appshunter.io/ios/app/scream-score/id6745768988)

Measure audience reactions to entertainment using your Apple Watch. Track real-time engagement, fear, and excitement to understand immersion levels. Compete with friends or gain insights for experience owners.

**Highlights:** Measure audience reactions, Track real-time engagement, Monitor fear and excitement levels, Compete with friends, Gain insights for experience owners, Integrates with Apple Watch

**Features:** macOS Compatibility, Apple Watch app, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is Optum free?

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

### Is Scream Score free?

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

### Which has better reviews, Optum or Scream Score?

Scream Score is rated higher. Optum averages 4.4 out of 5 from 14K ratings, while Scream Score averages 5.0 from 2 ratings.

### Do Optum or Scream Score have ads?

Neither Optum nor Scream Score shows ads.

### Which is updated more often, Optum or Scream Score?

Optum ships an update every 3 weeks, and Scream Score every 2 months. Most recently, Optum was updated on October 21, 2026 and Scream Score on October 19, 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.*