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This Medical Guardian review covers everything you need to know before making a purchasing decision on a medical alert device.
More than one in four Americans over the age of 60 live alone, according to the Pew Research Center.1 If you’re in this category or you take care of someone who lives alone, you may wonder if a medical alert system would be useful.
Medical alert systems connect you with emergency services should you or your care recipient have an accident. “For [older adults] who are living either as a couple or single, medical alert devices offer peace of mind as an ‘insurance policy’ for assistance if the need should arise,” said Sachin Nagrani, MD, medical director for Heal, a primary care provider offering home doctor visits. “For older patients who have fallen in the past or have dementia, medical alert systems can be tremendously beneficial.”
While there are many medical alert companies to choose from, Medical Guardian leads the way as a top provider. Not only does Medical Guardian offer a variety of models and prices, but you don’t have to sign a long-term contract like with some other medical alert systems. You can cancel and get a refund at any time if you decide the Medical Guardian system is not a good fit.
Our Reviews Team researched Medical Guardian, tested its devices, and compared it to other medical alert companies to help you choose the best medical alert system for your needs.
Our Reviews Team spent more than 2,500 hours conducting in-depth research on medical alert systems. During our process, we:
Read more about our medical alert systems review methodology.
Medical Guardian costs between $30–$45 per month and offers several different payment options. Depending on the system you choose, you can opt for monthly, quarterly, or annual payments. Choosing an annual payment plan will help you save the most, and your subscription includes one free month of service, a free lockbox, and free shipping.
Overall, Medical Guardian is more expensive than other medical alert system companies. Most companies have starting monthly prices of $20–$25. When we reached out to the company for comment on why its prices were above average, a representative said that Medical Guardian holds itself to higher standards and touted its “industry-leading customer experience.” To achieve those higher standards, the representative said the company doesn’t cut corners, which means Medical Guardian ends up being more expensive.
Medical Guardian accepts payments in the form of check, credit card, or check by phone.
Medical Guardian makes several different devices that are either in-home (designed only for use around your home) or on-the-go (designed to be worn outside your home).
In-home devices work with a base unit that syncs to any wall buttons or wearable devices such as a necklace or wristband. Medical Guardian wearable devices for in-home systems have a range of 1,400 feet from the base unit. If you’re farther away than 1,400 feet from the base unit, pressing the button on your wearable device will not work. All base units have a two-way speaker that allows you to communicate with the Medical Guardian monitoring center.
On-the-go devices use Wi-Fi or LTE connections, which is the same wireless technology your cell phone uses, to give you an unlimited range and no need for a base unit. This lets you go anywhere with your on-the-go device and still be connected to the monitoring center, provided the Wi-Fi or LTE connection is reliable.
All Medical Guardian devices connect to the company’s monitoring center, which is a TMA Five Diamond Certified facility, meaning the operators have undergone extensive training. Monitoring center operators are the people who respond when you push your device’s button and alert local emergency services should you need assistance. When our Reviews Team tested Medical Guardian devices, we found an average response time of 1–25 seconds, which is well below the 30-second industry average, based on our internal testing. This is an important factor: Respondents to our proprietary survey chose response time as their most important consideration in choosing a medical alert system.
Here’s what you need to know about each Medical Guardian device:
The MGClassic is Medical Guardian’s least expensive option. It connects to your landline, making it a good choice for anyone who doesn’t have a cell phone or strong cell service. The system includes a necklace and wristband. Both are water-resistant, so you can wear them in the shower or while working outside. Be aware that they are not waterproof, so you shouldn’t submerge them in water.
The MGClassic’s lower price comes with fewer features. The necklace and wristbands do not have a two-way speaker like every other Medical Guardian device—just a help button. The biggest advantage of two-way speakers is that you can talk directly to the monitoring center from your device. You can still speak to the monitoring center using the two-way speaker on the base unit, and if you press the help button on the base but don’t say anything, the monitoring center staff will assume you need help and send it your way.
The Medical Guardian MGHome Cellular device is a step up from the MGClassic. It also comes with a wristband and necklace, but it doesn’t need a landline like the MGClassic. Instead, it connects through LTE and Wi-Fi. And unlike the MGClassic and other home-based systems, the MGHome Cellular device is portable; you can take your wearable device and base unit with you when you travel. All you have to do is contact the customer service department so they can update your address. When you return home, you’ll need to call customer service to change your address back to your full-time residence.
Though you can’t activate the device with your voice alone, you can press the small “information” button on the base unit (not the larger “help” button), which triggers Voice Assist technology. Voice Assist gives you updates on your device’s battery and cellular network strength.
The MGMini is one of the smallest on-the-go medical alert systems available today. At barely two inches high, it’s about the height of a credit card and can be worn as a necklace or clipped to your pocket or purse. Our Reviews Team likes that the device is available in four colors: rose gold, pearl, silver, and black. This makes it more customizable and easier to blend in with your personal style, especially if you’re hesitant to use a medical alert system.
The MGMini has a help button, two-way speaker, five-day battery life, and can contact the monitoring center anywhere with cellular service. Fall detection is available for $10 per month. Although you can either add built-in fall detection to the MGMini or order a separate fall detection necklace, we recommend adding fall detection directly to your MGMini so you’ll only have to keep track of one medical alert necklace.
Like previous Medical Guardian mobile systems, the MGMini connects to the MyGuardian caregiver app. The app includes:
The MGMini Lite is the first Medical Guardian bracelet with optional fall detection. This sleek black bracelet looks like a fitness tracker or smartwatch, but without a touchscreen. It includes a help button and two-way speaker for quick, easy access to the monitoring center.
Research from 2021 and 2023 shows that fall detection devices are more accurate when placed at chest level or worn as a necklace than on the wrist.23 Our Reviews Team was pleasantly surprised by the bracelet’s fall detection accuracy—the MGMini Lite detected all but one of our falls.
The on-the-go system weighs less than a pencil and connects to a monitoring center anywhere with Verizon cellular service. This makes the MGMini Lite an excellent choice if you enjoy independent activities outside your home and want a medical alert bracelet instead of a necklace.
The MGMini Lite has the same MyGuardian app features as the MGMini but has a shorter battery life of three days. The $149.95 equipment fee may also be discouraging for some shoppers.
The MGMove is an on-the-go medical alert system in the form of a smartwatch, so no one even needs to know you’re wearing an alert system. Respondents to our survey chose smartwatches as the most desired type of wearable medical alert system.
The MGMove is also the most advanced on-the-go system from Medical Guardian. It includes GPS tracking, voice-to-text messaging, and several apps that allow you to:
Since it’s an on-the-go system, it has an unlimited device range. With a touch of the alert button, you can contact the Medical Guardian monitoring center from anywhere provided the connection is reliable.
Because it’s a smartwatch, the advanced features may be difficult to manage for those who prefer simple technology or who have dexterity issues, as the buttons are small.
You can add the following optional devices and services to your system for an extra cost:
OnGuard Alert provides you and your care network (such as caregivers) with real-time emergency notifications. You can get alerts by text or email. This feature costs an extra $2.99 per month, and lets you add up to four contacts.
Wireless wall buttons make it easier to quickly call for help in rooms without a base unit, such as bathrooms and kitchens. By pressing the button, you can contact the monitoring center in an emergency. Like OnGuard Alert, wall buttons cost an extra $2.99 per month.
With the voice-activated wall button, you can call for help by saying the key phrase, “Help me, help me!” The button then alerts the monitoring center as long as you are less than 500 feet away from your base station. This feature is an extra $4.99 per month.
The protection plan provides repairs and replacement on devices damaged by wear and tear, accidents, spills, or power surges. The protection plan also includes unlimited technical support and costs an extra $6.99 per month.
Almost all Medical Guardian devices come with the option of adding fall detection for an extra $10 per month. If you fall while wearing the fall detection device, it’s designed to automatically contact the monitoring center. The company does caution, though, that fall detection does not detect 100% of falls, and, if the user is able, they should always press the help button if they fall.
When our Reviews Team tested the Medical Guardian fall detection option, we found it successfully detected simulated falls from a standing position. Fall detection is complex, and the technology uses multiple criteria to identify falls, including speed, angle, motion, and distance. Be aware that false positives can occur (when the machine mistakenly detects a fall that hasn’t happened) from things like dropping your device or the device falling off a table. In the event of a false positive, the company will reach out and verify that you don’t need assistance.
Our survey respondents chose automatic fall detection as the most important special feature in a medical alert system. That’s likely because preventing falls is a big concern for older adults, their caregivers, and those who live alone. In fact, more than one out of four people 65 and older falls each year, and falling once doubles your chances of falling again, according to the Centers for Disease Control and Prevention.4
Elite 911 is a small, one-button speaker box that connects you with the closest 911 operator anywhere in the United States or Canada.
This is different from connecting you to the Medical Guardian monitoring center. Monitoring centers receive your call for help when you push a button or use the two-way speaker and alert emergency services if there’s an emergency. The Elite 911 device, on the other hand, bypasses the monitoring center and connects straight to the nearest 911 operator.
This feature costs an extra $9.99 per month.
At-home systems (MGClassic and MGHome Cellular) include wearable options to fit your lifestyle, such as a necklace or wristband.
Medical Guardian also offers a jewelry line called Limitless Icons. The line is attractive and doesn’t look like a medical alert system, which makes it a good option for those wanting a more discreet wearable alert system.
The customer service team at Medical Guardian is available by phone, email, or chat on its website. The team is available by phone at 800-295-9350 Monday–Friday from 9 a.m. to 8 p.m. EST and Saturdays from 9 a.m. to 5 p.m. EST.
You can also email the customer service address at mgcustomercare@medicalguardian.com.
For quick questions, Medical Guardian has a chat service on its website that quickly connects you to an agent. Chat availability is the same as phone availability.
If you have an active subscription with Medical Guardian, the company will replace any system or accessory that breaks due to workmanship defects within one year after purchasing. “Workmanship defects” includes any issues caused by how the device was manufactured. The warranty doesn’t cover equipment that breaks due to normal wear and tear or accidents.
Bay Alarm offers an inexpensive system starting at $24.95 per month, but its device has a shorter range (1,000 feet) than Medical Guardian (1,300–1,400 feet) . Automatic fall detection is an extra fee ($10 per month) with both Bay Alarm and Medical Guardian.
The Bay Alarm smartwatch is similar to the MGMove. Both watches include a two-way speaker, an emergency button, a step tracker, and fall detection. For active individuals looking for a discreet device, either brand’s smartwatch may be a good option.
If you’re interested in more smartwatch options, check out our Reviews Team’s best medical alert watches.
You may recognize Life Alert from its famous commercials with the tagline, “Help! I’ve fallen and I can’t get up!” While Life Alert is one of the most well-known medical alert systems, our Reviews Team doesn’t recommend this brand.
Life Alert is more expensive and offers fewer features than Medical Guardian. Life Alert doesn’t offer automatic fall detection—even as an optional feature. Also, its base system range is only 800 feet.
Life Alert’s website does not include much information, and you can’t order a system online. Instead, you have to call and request a free brochure to get information about their devices and then order over the phone. Life Alert also requires a three-year contract with very few options to cancel before the end of the three-year period. Medical Guardian requires no contracts, meaning you can cancel at any time.
For more information, read our Reviews Team’s Life Alert vs. Medical Guardian comparison.
Lively’s medical alert systems offer features like portability, waterproof hardware, and two-way communication.
The downside: Lively devices have shorter battery lives than Medical Guardian devices. A Medical Guardian device lasts up to seven days on one charge. Lively’s devices only last about three days, so you’ll need to remember to charge them more often.
Another drawback: Lively only offers automatic fall detection with its most expensive subscription plan.
Medical Alert is one of the most inexpensive medical alert systems available. It has no long-term contracts, and its devices start at $19.95 per month, but it has much shorter ranges than Medical Guardian’s devices.
Medical Alert also takes longer to respond to an emergency alert such as pushing a button. Our Reviews Team found that Medical Alert has an average response time of 15–25 seconds, compared to the average response time of Medical Guardian at 1–25 seconds. Automatic fall detection is available for an extra cost.
Medical Alert vs Medical Guardian Full Comparison
MobileHelp offers simple and easy-to-use systems. You can easily combine a MobileHelp home-based system with an on-the-go device. Its devices start at $19.95 per month—cheaper than Medical Guardian’s least expensive option. You’ll also get extra benefits and features with MobileHelp, but its device has a shorter battery life (30 hours compared to Medical Guardian with a maximum of five days) and no option for Wi-Fi connection.
MobileHelp’s telehealth platform (called MDLive) stands out as an optional feature. For an extra $119.40 per year, you can use MDLive to speak with a doctor from your home, get a prescription, or refill an existing prescription.
Medical Guardian has been in the medical alert system business for 16 years. The company has an A+ rating with the BBB, but when it comes to customer reviews, Medical Guardian doesn’t fare as well as some other medical alert brands.
“Always quick answer with immediate response from police & medical; very courteous & understanding in a trying situation”
“My father fell and has fall detection and they did not call to check on him. We called to inquire why and they said they apologized and were sorry that it did not work. Said he should have pressed the button to call for help. I asked why pay the extra money monthly if we still need to call for help and what if he fell and hit his head and couldn’t call for help? I asked to speak to a supervisor and they put me on hold and then hung up on me.”
“Love the service. Quick response time and helpful friendly people. I feel more confident that my mom will have the help if she needs it.”
We contacted Medical Guardian for a comment, and a representative said the company strives to maintain excellent ratings by responding to complaints in a timely manner. The representative encourages potential customers to seek out reviews on websites such as Amazon, where the company has an average customer rating of four out of five stars.
Anyone who lives alone, has mobility issues, has suffered a previous fall, or has one or multiple caregivers (in-home care nurses, adult children, next-door neighbors, etc.) should consider Medical Guardian. We also recommend the Medical Guardian mobile app because you can add people to your “Care Circle,” which is a list of contacts such as caregivers or loved ones who will receive automatic notifications in the event of an emergency.
Medical Guardian offers both cellular and landline medical alert system options, so you can choose the best system for your needs.
A medical alert system from Medical Guardian may not work for someone who wants extra features like telehealth services, such as virtual doctor consultations, or daily wellness checks, such as medication reminders. While some medical alert companies offer those features, Medical Guardian does not.
Read more about how a medical alert system works to determine if you should consider a medical alert.
Medical Guardian offers optional fall detection, which enables devices to automatically contact a monitoring center if you experience a fall. To prevent falls before they happen, exercise and good health are always key, according to the National Institute on Aging.5. Home safety modifications also help prevent falls in more dangerous areas, like bathrooms. Check out NCOA Falls Free CheckUp to determine your risk for falls and what actions you should take to reduce your personal risks.
For more help with fall prevention, see our Falls Prevention for Older Adults and Falls Prevention for Caregivers pages.
If you’re looking for an in-home or on-the-go medical alert system for yourself or a care recipient, Medical Guardian has several options to choose from. It stands out from other medical alert companies with bigger device ranges, longer battery life, and one of the shortest response times in the industry.
With no contracts and optional automatic fall detection, Medical Guardian may give you peace of mind knowing that you or your care recipient are protected. Unfortunately, a fair number of customers have been dissatisfied with how the company handles refunds. This is something to take into consideration before committing to the cost of a medical alert system.
Medical Guardian is a medical alert company that offers at-home, mobile, and smartwatch devices. You can connect to a 24/7 monitoring center via Medical Guardian medical alert systems for help during a fall, medical emergency, or other situations where you may need assistance.
Medical Guardian medical alert systems cost $29.95–$44.95 per month, depending on the system. There is also a one-time equipment fee ($149.95–$199.95) for every system except the MGClassic. Additional accessories like fall detection ($10 per month), push wall buttons ($2.99 per month), voice-activated wall buttons ($4.99 per month), and extra help buttons ($2.99 per month) are also available.
Medical Guardian is a reputable company from Philadelphia that is accredited by the BBB with an A+ rating.
Original Medicare doesn’t cover medical alert systems like Medical Guardian. If you’re enrolled in a Medicare Advantage Plan—also known as Medicare Part C—you may qualify for full or partial reimbursement for the purchase of a medical alert system, depending on the specific plan that you have. Check with your Medicare Advantage Plan to find out if the devices are covered and to what extent, such as payment for all costs or partial costs on a monthly basis.
Medical Guardian uses AT&T and Verizon for its cellular and mobile services. You don’t have to be an AT&T or Verizon customer to use Medical Guardian’s systems, and all systems include free AT&T or Verizon network connectivity.
While the MGClassic uses a landline connection, all other Medical Guardian systems use LTE and Wi-Fi connections. The MGMove, MGHome Cellular, MGMini Lite, and MGMini all use Wi-Fi.
The IRS doesn’t say you can—or cannot—deduct the cost of a medical alert system on your tax return. To discuss if you can claim a deduction, talk to a tax professional about your options.
Have questions about this review? Email us at reviewsteam@ncoa.org.
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