The verdict in three sentences
A telemedicine app runs between 2,000,000 and 8,000,000 FCFA in 2026, with real-time video and health compliance being the heaviest lines. The technical challenge is not the webcam but smoothness on 3G: in the African market, video must stay usable at low bandwidth. The business model — per-consultation commission or practitioner subscription — drives profitability as much as the code.
Features and budgets
| Feature | Indicative 2026 price (FCFA) | Note |
|---|---|---|
| 3G-optimized video consultation | 800,000 – 2,000,000 | Central line |
| Integrated booking | 400,000 – 900,000 | Practitioner calendar |
| Per-consultation mobile money payment | 500,000 – 1,200,000 | Wave/OM |
| E-prescription | 400,000 – 900,000 | Traceability |
| Secure chat + document sharing | 300,000 – 700,000 | Patient follow-up |
| Practitioner dashboard | 400,000 – 800,000 | Steering |
A single-specialty MVP starts near 2,000,000 to 3,500,000 FCFA; a full multi-practitioner platform with e-prescription targets 5,000,000 to 8,000,000 FCFA.
Custom build vs white-label
| Criterion | White-label solution | Custom development |
|---|---|---|
| Upfront cost | 1,000,000 – 3,000,000 FCFA | 2,000,000 – 8,000,000 FCFA |
| Monthly license | 100,000 – 400,000 FCFA | 0 (hosting only) |
| Per-consult Wave/OM payment | Rare | Native |
| Local 3G optimization | Varies | Custom-built |
| Branding and business model | Constrained | Free |
| Health data | Vendor | Platform |
White-label speeds launch, but a 300,000 FCFA/month license is 3,600,000 FCFA/year: custom wins as soon as you target volume or a strong brand.
Mini case study
Dr. Sène launches a telemedicine platform in Dakar with 10 partner doctors. With a 4,500,000 FCFA app and a 15 % commission on each 5,000 FCFA consultation, every teleconsultation earns him 750 FCFA. At 400 consultations/month, that is 300,000 FCFA/month in revenue: the platform pays back in about 15 months, then generates a recurring margin.
FAQ
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How much does a telemedicine app cost in 2026?
From 2,000,000 to 8,000,000 FCFA. A single-specialty MVP starts near 2,000,000 to 3,500,000 FCFA, a full platform targets 5,000,000 to 8,000,000 FCFA.
Does the video work on 3G?
Yes, provided the codec and bandwidth are optimized. Quality adapts automatically to keep the call smooth even on weak connections, a critical point in the African market.
How do you make money with the platform?
Two models: per-consultation commission (often 10-20 %) or a monthly practitioner subscription. Many combine both to smooth revenue.
Does the patient pay by mobile money?
Yes, each consultation is paid via Wave or Orange Money before the call, with automatic payout to the practitioner after commission.
What is the development timeline?
Expect 8 to 16 weeks. An MVP ships in 8 weeks, a full platform with e-prescription and multiple practitioners in 12 to 16 weeks.
Let's talk about your project. We build your 3G-optimized telemedicine platform with mobile money payment. WhatsApp +221 77 596 93 33.
Mohamed Bah
Fondateur, Kolonell
Passionate about digital and entrepreneurship in Africa, Mohamed has been helping Sénégalese businesses with their digital transformation since 2020. Founder of Kolonell, he believes every SME deserves a professional and accessible online présence.