# mdMessage vs PigeonNest Messenger

The clearest difference is update cadence: PigeonNest Messenger at fortnightly against mdMessage's every 4 months. mdMessage's advantage is iOS requirement (15.0 vs 17.0). 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.

mdMessage ships an update every 4 months, PigeonNest Messenger fortnightly. The most recent releases landed on October 11, 2026 and October 30, 2026 respectively.

## The numbers

| Metric | mdMessage | PigeonNest Messenger |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (1 ratings)](https://appshunter.io/ios/app/mdmessage-secure-messaging/id984935781/reviews)** | — |
| Number of ratings | **1** | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 4 months | **Fortnightly** |
| Monetization | Free | — |
| Size | 21 MB | 133 MB |
| Requires iOS | **15.0** | 17.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 12+ | 12+ |
| Developer | [Medical Design Technologies, LLC](https://appshunter.io/developer/361252235) | [Pigeon nest information technology LLC SOC](https://appshunter.io/developer/1856468864) |

## What reviewers say

### mdMessage

[App page](https://appshunter.io/ios/app/mdmessage-secure-messaging/id984935781)

Securely message healthcare professionals and colleagues with this HIPAA-compliant application. Share unlimited messages, photos, and audio notes across all your devices. Enjoy fast, secure communication with advanced privacy features.

**Highlights:** HIPAA compliant secure messaging, Unlimited messages, photos, and audio notes, Syncs across all devices (desktop, tablet, phone), Message deletion from devices and browsers, Photo sharing without saving to camera roll, Large group chats and identifiable patient chats

**Features:** macOS Compatibility

**In-app purchases:** none


### PigeonNest Messenger

[App page](https://appshunter.io/ios/app/pigeonnest-messenger/id6755805769)

**Features:** Siri integration

**In-app purchases:** none


## Frequently asked questions

### Is mdMessage free?

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

### Is PigeonNest Messenger free?

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

### Do mdMessage or PigeonNest Messenger have ads?

Neither mdMessage nor PigeonNest Messenger shows ads.

### Which is updated more often, mdMessage or PigeonNest Messenger?

mdMessage ships an update every 4 months, and PigeonNest Messenger fortnightly. Most recently, mdMessage was updated on October 11, 2026 and PigeonNest Messenger on October 30, 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.*