Medical Guardian Review 2020

Plans start at $29.95/mo.
Pro Bullet No setup fee
Pro Bullet No long-term contracts
Pro Bullet Fall detection
Con Bullet More expensive than comparable brands
The bottom line

Medical Guardian is a leading medical alert company for both older adults and younger people with disabilities. It has great service and different packages to choose from. The only drawback is the higher-than-average price.

Don't want to wear a clunky pendant all the time? Medical Guardian just released a line of medical alerts hidden in cute resin stone necklaces. Add them to a plan with a water-resistant device so you're always covered.


For a long time, Medical Guardian has held a top spot on our best medical alert systems ranking. It’s no wonder: the brand leads the medical alert industry with excellent service and a variety of packages to fit different lifestyles and needs.

Mrs. Brady’s choice
Case Study
Florence Henderson was a Medical Guardian spokesperson for over a year.
Read on to find out more about Medical Guardian’s plans, pros and cons, equipment, features, and customer service.

Compare Medical Guardian plans

Data effective 06/25/2019. Offers subject to change.  

The differences between plans aren’t obvious at first sight, so let’s break them down.

The Classic Guardian uses a landline-based hub that connects to both a pendant and a wristband.

The Home Guardian uses a base station with a cellular connection. It comes with a pendant and two wristbands. 

The Family Guardian has auxiliary equipment for extra security, such as motion sensors. The user’s family members can monitor the system through an app so they know that their loved one is safe from outside threats. The medical alert pendant or wristband also informs family members if it goes off within the base station range.

The Mobile Guardian is a portable device used with a pendant or wristband. Users can take it on the go for mobile medical alert protection.

The Active Guardian is a pendant-based medical alert device similar to the Mobile Guardian. It has only one piece of equipment and a longer battery life.

Medical Guardian pros and cons

  • Pro BulletNo setup fee
  • Pro BulletNo long-term contracts
  • Pro BulletFall detection
  • Pro Bullet1,300 foot–plus range for most systems
  • Pro BulletEasy-to-use buttons
  • Pro Bullet30-hour battery backup for at-home systems
  • Pro BulletLifetime warranty
  • Pro BulletMobile app option (iOS)
  • Con BulletDifficult-to-navigate website
  • Con BulletMore expensive than comparable brands


Medical Guardian is one of the only brands that consistently makes it into all our medical alert reviews: traditional systems, bracelets, and watches. You’ll get a solid experience from a brand that’s proved its value no matter which price tier you go with.

Medical Guardian doesn’t charge up-front equipment or installation fees for any of the plans listed in the table above. Best of all, it doesn’t require any contracts. You can pay month to month, or you can choose to pay for a quarter, half-year, or year at once. Paying for your service for a year in advance will bring a slight discount ($3.75 a month/$45 a year). Paying for three or six months at a time, on the other hand, doesn’t give you a discount. The only benefit is convenience.

Smart Guardian plan
Take Note

The Smart Guardian plan, which revolves around a medical alert watch, does have an equipment fee. We share more about this device in our medical alert bracelets and watches review.

Medical Guardian’s monthly cost runs more expensive than most top brands. Sometimes it’s obvious why the cost is greater, but sometimes it’s not. For example, the Classic Guardian has a 1,300-foot range, so it makes sense that it would run $10 more than leading brands with smaller ranges. In contrast, it’s not clear why the Mobile Guardian is more expensive than other mobile medical device plans.

Each plan comes with acclaimed customer service (more on that later). All packages paid annually or semiannually also come with a free lockbox for emergency personnel so they have a key to your home. And, for $2.99 per device per month, you can add extra pendants, wristbands, or voice-activated emergency wall buttons.

Equipment and features


Medical alert equipment tends to range from huge, heavy, and ugly to small, sleek, and attractive. Medical Guardian’s options generally fall in the middle: not too big or weighty, but not the prettiest we’ve seen.

Replaceable wristband
Some users find that the wristband on the Medical Guardian bracelets irritates their skin. You can actually replace the wristband. If you have an issue with it or simply want something different, you can take your bracelet to a jewelry counter and ask for a replacement watch band.
The buttons on the wearables, on the other hand, are near perfect. They’re a nice size for easy pressing—exactly what a user needs during a medical emergency.


You can add fall detection to any Medical Guardian plan but the Smart Guardian. This is key for medical alert devices, though some brands (like Life Alert) don’t offer it at all.

The founder of Medical Guardian, Geoff Gross, created the company to disrupt the medical alert industry, though it seems it’s not leading the industry in disruption. We’ve seen some innovations from other brands that Medical Guardian should jump on, like Bay Alarm Medical’s car alert systems or Alert1’s fancy-wear necklaces. But we like what we see with the voice-activation feature and the Family Guardian plan.

We also like that the brand offers service in more than one language.

Voice activation

If a user falls, doesn’t have fall detection, and can't press the emergency button on their device, they may not be able to get help. Activating a device through voice is the perfect solution to this problem.

We’d like to eventually see voice activation in every piece of equipment.
Currently, Medical Guardian has voice-activated emergency wall buttons. The Smart Guardian watch also has voice-to-text features. We’d like to eventually see this in every piece of equipment, but it’s a great start.

Family Guardian plan

The Family Guardian is an unusual offering for a medical alert system company. It essentially adds a side of home security to a medical alert. Two in-home motion sensors and a door/window sensor come with this plan for a little intruder protection.

We’re not complaining; combining the two actually makes a lot of sense to us. And we think it’s super smart to gear the whole thing towards the user’s family or other non-live-in caretakers. It eases the caretakers’ minds while still giving the user independence.

Multiple languages

Medical Guardian has customer service representatives who speak both English and Spanish. The website also states that it uses third-party translators for other languages. It doesn’t say what languages or how many, though.

Brands that focus more on language services include Bay Alarm Medical and Alert1. Bay Alarm offers help in 170 languages, and Alert1 supports 190.

Our experience with Medical Guardian

We tested the Active Guardian and Home Guardian plans to get a feel for the equipment.

Medical Guardian Active Guardian device

Medical Guardian Active Guardian device

Medical Guardian Family Guardian package

Medical Guardian Family Guardian package

Button attachability

We thought we could move the Active Guardian button from the necklace to the clip and vice versa. We found out the hard way that attaching the button to the clip is a bit of a nightmare. Once it’s on, moving it would be a pain. So if you want to switch back and forth between the necklace and the clip, you may need to order a separate button.

Button use
Our Experience
To send an alert by pressing your button, press down until you see the device light up. During testing, we noticed that if you don’t hold the button down for at least two seconds, the light probably won’t come on and the alert won’t go through.

Limited at-home communication

The Home Guardian and other systems with at-home equipment provide two-way communication through the bases, not through the wearable devices.

Basically, in an emergency, you would press the alert button to call for help, and the monitoring service would call the device and speak through the base station. If you were outside the base system range or couldn’t hear it, you wouldn’t be able to respond.

If you didn’t respond to the call, emergency responders or contacts would be dispatched anyway, so this isn’t a major safety concern. It’s just inconvenient if you don’t actually need emergency help. For example, you might press the button accidentally but be too far away from the base station to hear the response.If you’d have more peace of mind with a wearable, you can always get an on-the-go system and wear it at home as well.

Customer service

Medical Guardian has generally well-reviewed customer service. We didn’t see anything alarming come up over and over again in reviews.

Contracts and cancellation policies

Most of the complaints about Medical Guardian involve some confusion over cancellation. Some customers weren’t able to get their service canceled on the first try. Or, when they canceled the service, they didn’t return the equipment, resulting in charges.

Like most medical alert system brands, Medical Guardian follows a rent-to-own model but without the owning part. The equipment has to be returned when service is canceled. This means that you’ll need to request a mailing label from the company when canceling.

Enduring guardianship
Take Note
Do you have Enduring Power of Guardianship (EPG) or Power of Attorney (POA) for a loved one with reduced memory or mental capacity? If you get a Medical Guardian device for them, make sure the company knows to go through you. A few reviews mentioned the user calling the company to make price changes without consulting the caretaker paying for it.

Availability and communication

Medical Guardian customer service can be contacted anytime, anywhere. Users can reach out through phone or email.

The website is a bit of a hassle. If you search for the company on Google, sometimes you’re brought to a page where you can’t get any product details without calling a representative. Likewise, even the pages with links to online purchasing frequently try to reroute you to call instead. Customer service is moving away from the call-to-purchase model, so it’s annoying that Medical Guardian pushes it so hard.

Here’s something we appreciate though: CEO Geoff Gross often responds to Better Business Bureau comments himself.

Medical Guardian vs. the competition

So how does Medical Guardian compare overall to its top competition?

Data effective 06/25/2019. Offers subject to change.

As you can see, the strongest competitor is LifeFone. Its basic plan is similar to Medical Guardian’s, just $5 to $10 cheaper.

Bay Alarm Medical and MobileHelp are less expensive than Medical Guardian and LifeFone, but they don’t have as many features.

Our recommendation

We’d recommend a Medical Guardian alert system to anyone. It may be expensive, but it offers good equipment, professional monitoring, and good customer service.

If the price is a barrier for you, go with LifeFone.