Summary at a glance
Guava Premium costs USD $8 a month or USD $78 a year, and the annual price is a 19% saving.
Guava's free plan carries medical-records sync, symptom, medication, cycle and food tracking, doctor sharing and up to 3 pinned correlations.
Premium's headline addition is automation: auto-correlations, unlimited pins, the Guava Assistant AI, lab auto-import and the Emergency Card.
Reviewers split on the paid insights, with some calling the auto-correlations a turning point and others saying they never found them useful.
Carers and parents get the clearest value from Premium, through unlimited profile managers and lab auto-import.
This page compares Guava Health's free and Premium plans and reports what other users have published. It is not first-hand testing, and it is not medical advice. Guava aggregates records and tracking data, and its correlations show associations, not causes. Nothing here diagnoses or treats POTS, EDS, ME/CFS, fatigue, mood, gut, cycle or heart conditions. Talk to a clinician before acting on anything you see in a tracking app, and never change medication based on an app correlation.
Should you pay for Guava Health Premium?
Stay on Guava's free plan unless you want the automatic insights. Free syncs your medical records, tracks symptoms, medications, cycle and food, and pins up to 3 correlations. Premium costs USD $8/month or USD $78/year and unlocks auto-correlations, the Guava Assistant AI, lab auto-import and the Emergency Card.
Most people can settle this in a fortnight. Log everything on the free plan, look at what the app hands back, and notice whether you keep wanting a fourth pinned correlation.
Reviewers keep landing on the same point about the free plan. One App Store review, read in July 2026, said "What they offer for free most apps make you pay." apps.apple.com
That is rare in this category. Our full Guava Health review covers the app beyond the paywall question.
Pay the $78 a year if you manage records for several people, upload lab documents often, or want correlations found for you instead of pinned by hand.
Guava's free planFree already carries records sync, symptom and medication tracking, cycle and food logging, doctor sharing and 3 pinned correlations. Premium at USD $8/month or USD $78/year adds automation on top of that, and reviewers split on whether the automatic insights help them.
Blood work, scans, test results, medical reports — finally in one place and connected to how you actually feel. aelívra tracks biomarkers and health records over time, so you can see what's trending in the right direction and walk into your next appointment knowing exactly what to discuss.
What do you get with Guava's free plan?
Free covers most of what people come to Guava for. You sync patient-portal medical records. You sync fitness and medical devices and health apps. You track symptoms, medications, cycle, food and activity.
You also get summaries, trends and correlations, with up to 3 pinned and 2 weeks of weather data.
Sharing is free too. You can send records to doctors or family, upload documents and medical imaging, and run the app on web, iOS and Android in 20+ languages with no ads.
People managing chronic illness lean on that free plan hard. In a March 2026 r/eds thread, one commenter laid out their setup: "I use an app called guava which I use to track medication use, different metrics (like luxations, migraines etc) and also rate different symptoms on a scale daily. I use the free version but there is a paid upgrade which gives more insights into the patterns between different metrics." reddit.com
A July 2025 r/ehlersdanlos comment was shorter about it: "Guava! You can track literally everything, it hooks up to records from multiple places, and it’s free. 10/10 recommend." reddit.com
Guava Health app on a phone showing symptom trackingWhat does Guava Premium add?
Premium automates the parts of Guava that the free plan makes you do by hand.
Automatic health insights arrive without you pinning anything, and the pin and weather caps lift. The Guava Assistant AI handles visit prep, data entry and records questions. Lab results auto-detect and import from the documents you upload.
You also get the Guava Emergency Card, unlimited profile managers for families and caregivers, and Photo AI food nutrient detection. Everything in Free stays included.
Guava also sells a Provider Dashboard. That one is a clinic product, priced per patient, and it sits in the table below for completeness.
The free plan caps you at 3 pinned correlations and 2 weeks of weather data. Premium lifts both caps and finds the correlations for you.
Free
USD $0
Premium
USD $8/month (USD $78/year, save 19%)
Family Plan
discounted Premium (price not published)
Provider Dashboard (B2B)
Free provider signup; $60/mo for 10 patients
Free
sync patient-portal medical records, sync fitness/medical devices & health apps, track symptoms/meds/cycle/food/activity, summaries + trends + correlations (up to 3 pinned, 2 weeks weather data), share records with doctors or family, upload documents & medical imaging, 20+ languages on web/iOS/Android, no ads
Premium
everything in Free, Guava Emergency Card, automatic health insights (auto-correlations + unlimited pins/weather), unlimited profile managers for families/caregivers, auto-detect & import lab results from uploads, Guava Assistant AI (visit prep, data entry, records Q&A), Photo AI food nutrient detection
Family Plan
Premium features across multiple family members
Provider Dashboard (B2B)
HIPAA-compliant clinical dashboard, labs unified from 100,000+ health systems, AI patient-monitoring, premium patient app for clinic's patients
What does Guava Premium cost?
Guava Premium costs USD $8/month, or USD $78/year, which Guava lists as a 19% saving. guavahealth.com
There is a Family Plan at a discounted Premium rate. Guava does not publish that price, so ask before you plan around it.
Clinics buy something else entirely. Provider signup is free, then $60/mo for 10 patients, with $6/mo per additional active patient and a bulk discount up to 50% for larger practices.
For one person, the whole decision is $78 a year.
Annual billing is $78 against $96 paid monthly. Run the free plan for a month first, then switch if you keep hitting the 3-pin limit.
What do users say about Guava's paywall?
Sentiment about the paywall is warm, and most of the warmth is aimed at the free plan.
One App Store review, read in July 2026, described the upgrade paying off: "having the auto correlations was a game changer! It gives you information about symptoms, patterns etc that is actually actionable." apps.apple.com
It does not land that way for everyone. Another App Store review, read the same day, said: "It says it can find correlations between various health factors; I've never found these to be useful." apps.apple.com
A Google Play reviewer named the mechanism behind that miss: "I don't like that it averages out your self reported energy levels to draw correlations - I have highs and lows, and it ends up averaging to a 3 every day so I don't use it." play.google.com If your symptom scores swing, the paid insight can average the swing away.
Plenty of people never feel the wall. A May 2025 r/ehlersdanlos comment said the free version was enough: "I don't pay for premium to get the auto insights, I find the free monthly ones are good enough." reddit.com
Guava Health app insights and correlations screensGuava Premium, as users describe it
Reviewers say the free plan already covers records sync, symptom and medication tracking, and sharing with a doctor
No ads on the free plan and no pressure to upgrade
Paying users say the auto-correlations changed how they use their own data
A free monthly email recap of trends and correlations satisfies people who never upgrade
Auto-correlations, the Guava Assistant AI and lab auto-import all sit behind the $8 a month
Free pins stop at 3 correlations and 2 weeks of weather data
Some reviewers say the correlation insights never helped them, so the upgrade is not a sure thing
Self-reported energy gets averaged, which one reviewer says flattens their real highs and lows
Who should stay free, and who should upgrade?
Stay free if you track a short list and already know what you are watching for. Three pinned correlations go a long way when you are testing one hunch at a time, and the records sync, sharing and uploads cost nothing.
Wild daily ratings are another reason to hold off. Averaging is the thing reviewers complain about most, and it is the engine Premium sells.
Carers and parents get the clearest return. Unlimited profile managers, the Emergency Card and lab auto-import save real time when you run health admin for more than yourself.
Lab auto-import earns its keep if you upload PDFs often and hate retyping numbers.
Upgrade if you want the app to find patterns you have not thought to look for. That is the honest pitch for the $8.
One caveat before either path. In a December 2024 r/ehlersdanlos thread, people described the home screen as so busy that they put the app down on first open, and the same thread had a power user offering step-by-step setup help. reddit.com Customise it for an evening before you judge whether Premium is the missing piece. If that sounds like too much work, one reviewer names Bearable as the simpler-looking alternative.
Guava Health brand bannerHow we researched this
We have not paid for Guava Premium or used it. This page reads what other people published, plus Guava's own posted pricing.
We read the US Apple App Store listing, which sits at 4.8 out of 5 across roughly 820 ratings, and captured 10 full reviews. apps.apple.com The US Google Play listing sits at 4.6 out of 5 across roughly 1.6K reviews with 100K+ downloads. play.google.com
We read 10 Reddit threads in full across r/POTS, r/ehlersdanlos, r/eds, r/adhdwomen and r/disability, 152 comments in total, with Guava named in about 20 of them.
Trustpilot holds only 3 reviews at a score of 3.4, so we treat those as three individual accounts rather than a rating. trustpilot.com
Prices, tier names and tier contents come from Guava's published pricing. Praise and complaints come from the reviews. The app-store reviews carry no visible dates, so we can only say they were published on or before we read the listings in July 2026.
App-store sentiment for Guava skews strongly positive, and the developers reply to reviewers personally. Read the praise with that in mind, and weigh the 3 Trustpilot reviews as three voices, not a score.
Frequently asked questions
Is Guava Premium worth $8 a month?
It is worth it if you want correlations found automatically, manage profiles for family, or upload lab documents often. If you track a few symptoms and pin your own correlations, the free plan covers you.
What exactly is locked behind Guava Premium?
The Guava Emergency Card, automatic health insights with unlimited pins and weather data, unlimited profile managers, lab auto-import from uploads, the Guava Assistant AI and Photo AI food nutrient detection.
Does Guava's free plan show ads or limit history?
No ads. The published free limits are 3 pinned correlations and 2 weeks of weather data, and Guava lists records sync, tracking, sharing and document uploads as free.
Can a family share Guava Premium?
Yes. Guava lists a Family Plan at a discounted Premium rate for multiple family members, and unlimited profile managers for families and caregivers sit inside Premium. The Family Plan price is not published.
Sources
Cameron founded aelívra after years of living an unknown no one could answer — navigating chronic health complexity through a medical system that wasn't built for it. That experience became a conviction: everyone deserves to feel truly alive, and no one should have to accept not knowing as a way of life. His work sits at the intersection of data science and functional health and wellbeing, turning the latest trusted medical research across news, health, wearables, biomarkers, and more into advice everyday people can use on their journeys toward feeling better. Every article is grounded in peer-reviewed evidence and linked to its primary source. This content is for informational purposes only and does not replace medical advice.
