Medical Guardian Medical Alert Review

Best Customer Service

Medical Guardian CEO Geoff Gross was inspired to start the company in 2005 after his grandmother experienced several falls and needed in-home assistance. Geoff soon founded Medical Guardian, and in the years since, the company has debuted six high-quality medical systems and maintained an A+ rating with the Better Business Bureau.

Medical Guardian sets itself apart from the competition with its focus on customer service and experience. This starts before customers even place their orders. Visitors to Medical Guardian’s website can take a short quiz that provides prospective customers with an honest “risk score.” The score can help one decide if a medical alert system is the right choice for themself or a loved one.

Medical Guardian also excels in fast shipping, sending most devices within 24 hours of when the order is placed. Prospective users can rest assured that they will be a priority for the Medical Guardian team throughout the duration of their service.

Who Medical Guardian Is Best For

Seniors Interested in a Smartwatch-Style Device

Medical Guardian is currently the only medical alert company to offer a smartwatch-style device. The Freedom Guardian combines the protection of a standard medical alert device with the appeal of a smartwatch. The device looks like a standard watch, making it attractive to those who are reluctant to wear a medical alert device due to its appearance. It also includes many features typical to a smartwatch, such as weather forecasts, reminders and alerts, and voice-to-text SMS messaging.

Seniors and Caregivers Who Need Help Choosing a Device

Choosing a medical alert system for yourself or a loved one can be overwhelming, especially when you consider that companies like Medical Guardian offer more than 5 devices. Even when narrowed down to the top companies in the industry, customers still have dozens of devices to choose from.

Medical Guardian understands that selecting the right device for yourself or a loved one can be difficult. So, they created a unique “product chooser” feature on their website to assist anyone who needs help deciding on which Medical Guardian system will meet their needs. Customers simply answer a few questions, and Medical Guardian will tell them which devices will be their best options. Along with the product chooser tool, Medical Guardian has a “Buying Advice” full of helpful information. And, if any customer still needs more assistance, Medical Guardian has a Live Chat tool on its website with responsive, knowledgeable agents.


Two Medical Guardian devices, the Family Guardian and Freedom Guardian, include free access to a caregiver app. The Family Guardian app displays activity data collected from the device’s numerous motion sensors, so caregivers and family members of users will see if something seems abnormal about their loved one’s daily activity. The app also notifies caregivers and other designated contacts anytime the user contacts the emergency monitoring center, so they know immediately if their loved one may need assistance.

In addition to emergency alerts, the Freedom Guardian app allows caregivers to track their loved one’s location in real-time. Caregivers and preferred contacts can also contact their loved one directly through the device via voice-to-text SMS messaging, making it very easy to stay in touch with their loved ones and remain aware of their whereabouts.

Plans and Starting Costs

All Medical Guardian devices may be paid for on a monthly, quarterly, or annual basis. The prices range from $29.95 a month for the basic in-home device to $49.95 a month for the portable Mobile Guardian. Paying annually reduces the cost by several dollars per month, and since Medical Guardian offers prorated refunds, it is a great option for those trying to keep their medical alert system costs as low as possible. Annual plans also include free shipping.

There are no long-term contracts required, and users may cancel their service at any time without paying a penalty. Medical Guardian also offers prorated refunds on any prepaid months at the time of cancellation.

Starting Costs

The only Medical Guardian device that carries a one-time fee is the smartwatch-style Freedom Guardian, which has an equipment fee of $179.95. Some Medical Guardian customers may also have to pay $9.50 for ground shipping. The shipping fee is waived for annual payment plans.


Device Prices and Features

Classic Guardian

Device Features

The Classic Guardian is a basic in-home system that uses a landline to connect with the emergency monitoring center. Classic Guardian users must have a working landline in their home; there is no cellular option for this device. The system includes a base station with a 32-hour backup battery and one wearable waterproof personal help button. The help button may be worn as a pendant or a wristband, and also may be worn in the shower. The Classic Guardian has an impressive range of 1,300 feet- the largest in-home range currently offered by any medical alert company.


This device costs $29.95 a month when paid for on a monthly, quarterly, or semi-annual basis. Users may also pay for their device annually in one lump payment of $329.45, or $27.45 a month. Fall detection is available for an additional $10 a month.

Home Guardian

Device Features

This in-home device uses AT&T’s cellular network to connect with the monitoring center, making it a suitable choice for those who do not have a working landline. The Home Guardian system includes a base station equipped with a cellular connection, a 30-hour backup battery, and a range of 600 feet, and a wearable personal help button. The wearable help button may be worn as a pendant or wristband and is waterproof and showerproof.


The Home Guardian is slightly more expensive than the landline-based in-home option, at $34.95 a month. This price applies to the monthly, quarterly, and semi-annual payment plans. The annual payment option reduces the monthly cost to $32.04. Users who want automatic fall detection will pay an additional $10 a month.

Mini Guardian

Device Features

Mini Guardian provides around-the-clock emergency protection and safety services in a surprisingly small package. Weighing just 1.3 ounces and with a width that’s about half of standard mobile medical alert systems, the Mini Guardian is perfect for active seniors on-the-go. The small-but-mighty device features an HD two-way speaker, 5 days of battery life, and advanced location monitoring. It is also water-resistant and showerproof, and is available in three colors.


Mini Guardian costs $39.95 a month when paid for on a monthly basis. Quarterly and annual payment options are also available, the latter of which saves users several dollars per month. The annual plan also includes a free lockbox and free ground shipping. Fall detection may be added to one’s service plan for an additional $10 a month.

Mobile Guardian

Device Features

The first of Medical Guardian’s portable device offerings, the Mobile Guardian, includes cellular service with AT&T’s network as well as GPS location monitoring. The system has two components: a small portable device that functions as a mobile base station, and a wearable help button. Both components have a built-in help button that users can press to connect with the monitoring center, and are waterproof (however, the wearable help button does not have a built-in speaker, so users must always have the other device on them in order to communicate with an emergency operator). The battery life of the Mobile Guardian is 24 hours, so it is recommended that users charge the device every night.


The Mobile Guardian costs $49.95 a month with a monthly, quarterly, or semi-annual payment plan, or $45.79 a month with an annual payment plan.

Active Guardian

Device Features

The Active Guardian is an all-in-one mobile device designed for seniors who spend a lot of time on-the-go. The device features a built-in two-way speaker and a personal help button, and comes equipped with a cellular connection through AT&T’s network and upgraded location services with both GPS and WiFi technology. Active Guardian is water resistant and showerproof and has a long-lasting battery with up to 5 days of power between charges.


This mobile device costs $44.95 a month when paid for on a monthly, quarterly, or semi-annual basis, or about $41 a month when paid for on an annual basis. Fall detection is available for an additional $10 a month.

Freedom Guardian

Device Features

The Freedom Guardian is a unique smartwatch-style device. Users simply wear the watch; there is no additional component to the device. In addition to emergency medical monitoring, the watch has features similar to those of a standard smartwatch, such as voice-to-text SMS messaging, weather forecasts, and reminders and alerts. The watch has a pre-installed SIM chip, so all features are available without the need to connect to Bluetooth. It also has upgraded location tracking that uses GPS, WiFi, and Cell Tower Triangulation technologies.


The Freedom Guardian is the only Medical Guardian device that has any startup costs. All Freedom Guardian users must pay a one-time equipment fee of $179.95. The one-time fee does not include emergency monitoring- users also pay a monthly monitoring fee of $44.95. For those who pay for their service annually, the monthly cost is $41.20.

Classic GuardianHome GuardianMini GuardianMobile GuardianActive GuardianFreedom Guardian
Monthly Cost$29.95$34.95$39.95$49.95$44.95$44.95
One-time FeesN/AN/AN/AN/AN/A$179.95
Type of DeviceIn-Home OnlyIn-Home OnlyMobileMobileMobileSmartwatch-style device
Battery Life32-hour backup30-hour backup5 days24 hours5 days2 days
Water ResistantYesYesYesYesYesNo
Range1,300 feet600 feetUnlimitedUnlimitedUnlimitedUnlimited
Fall Detection$10 a month$10 a month$10 a month$10 a month$10 a monthNot Available

Optional Devices

Medical Guardian offers the following add-on devices:

  • Wall-Mounted Button: These buttons may be placed anywhere in the home for extra protection. They function as extra personal help buttons and connect users with the emergency monitoring center when pressed. Users can lease a wall-mounted button from Medical Guardian for $2.99 a month.
  • Voice-Activated Wall Button: Another option for extra protection in the home is a voice-activated wall button. Like the wall-mounted buttons, these can be placed anywhere in the home and connect users with the emergency monitoring center. However, the user does not need to physically press the button in an emergency. They can simply say “call Medical Guardian” twice in a row to start a call to the emergency monitoring center. These buttons may be added to users’ service plans for an additional $5 a month.
  • Lockboxes: Lockboxes provide easy access to users’ homes during an emergency, eliminating the need to break down the door or cause other damage to the home. Customers can add a lockbox to their Medical Guardian monitoring plan for $2.99 a month. A lockbox is included free of charge with semi-annual and annual service plans.
  • Additional Help Buttons: All Medical Guardian devices include a personal help button in the monthly service cost. Users may also choose to add up to three additional buttons for $3.99 each. For the extra buttons, users have a choice of pendant, wristband, or wall-mounted buttons.
  • Protection Plan: The Medical Guardian Protection Plan is an insurance plan for users’ devices. The plan covers the cost of device replacement if the device is damaged or broken for any reason, and includes access to unlimited tech support, battery replacements, and discounts on device accessories. Enrollment in the protection plan costs $6.99 per month.


Medical Guardian operates a 100% U.S.-based monitoring center. The monitoring center is Underwriters’ Laboratory Listed, Factory Mutuals Approved, Five Diamond Certified by The Monitoring Association, and Electronic Security Association certified. The center also has a triple-redundant power system, and translation service is always available so operators can assist callers who speak a language other than English. All operators undergo extensive training.