Medical Guardian Review 2023

A high-tech medical alert system to meet most needs is compensated when you click on the provider links listed on this page. This compensation does not impact our ratings or reviews. Read our Editorial Guidelines here to learn more about our review process and to learn more about how we are compensated. Rating:
4.8 of 5
Questions? Speak with a Medical Guardian Specialist:
$30/mo. Starting Price
5 Plan Options
$10 Fall Detection
13+ Years in Business is compensated when you click on the provider links listed on this page. This compensation does not impact our ratings or reviews. Read our Editorial Guidelines here to learn more about our review process and to learn more about how we are compensated. Rating:
4.8 of 5
Questions? Speak with a Medical Guardian Specialist:
Jeff Hoyt taylor shuman
Jeff Hoyt, Editor in Chief Taylor Shuman, Senior Tech Expert & Editor

As a bit of a closet tech nerd who has been testing dozens of medical alert systems for the past three years, I’ve been looking forward to trying out Medical Guardian’s smartwatch, the MGMove. Plus, my grandma wanted to try a medical alert watch, so I knew she’d want to test it with me! While the MGMove is an exciting device for a senior intrigued by the idea of a smartwatch, it’s not for everyone; we also tested the Classic Guardian, the company’s entry-level in-home system.

Medical Guardian’s lineup of medical alert systems caters to a diverse range of needs and lifestyles, whether you’re on the hunt for an in-home system or a discreet on-the-go option. I also appreciate Medical Guardian’s customizable features, with everything from waterproof fall-alert pendants to wall help buttons. Below, I’ll walk you through my grandma’s and my experience using Medical Guardian!

Current Deal:

Current Deal: Medical Guardian is currently offering up to 33 percent off select products. You can also score a free month of service, free shipping, and a free lockbox!

Our editor Taylor Shuman's grandma testing out Classic Guardian

Our editor Taylor Shuman's grandma testing out Classic Guardian

Pros and Cons

Pros About Medical Guardian

  • High quality: One of the first things I noticed when I took the Medical Guardian equipment out of the box was the high quality. It seemed sturdy and well made.
  • Custom features: Medical Guardian's systems offer unique and customizable features, including a caregiver app and wall buttons, that allow customers to build the right system for their lifestyles.
  • Comprehensive systems: Medical Guardian offers five packages to choose from. Whether you’re active, a homebody, or a mix of both, Medical Guardian has a package for you.
  • Anytime cancellation policy: Unlike some other companies we’ve reviewed, like Life Alert, which locks you into a three-year contract, Medical Guardian requires no contracts. You can cancel your service at any time without incurring a penalty.
  • Ease of use: Medical Guardian’s systems are all very easy to set up and use. Each system only features a few buttons to keep things as simple and intuitive as possible.

Cons About Medical Guardian

  • High monthly rates: Medical Guardian has higher monthly rates than some other companies in the industry. If you’re on a tight budget, you can find less expensive options. However, we do believe that Medical Guardian’s systems offer great value for money.
  • AT&T or Verizon coverage requirement: The company’s cellular systems require strong AT&T or Verizon coverage (provided by Medical Guardian), so if you live in an area with poor reception, the on-the-go system may not be the best option for you. Your only option will be the Classic Guardian, which is an at-home landline system.
  • No free trial period: Medical Guardian doesn’t offer a free trial like other companies do. If you’d like to try out a system with a free trial, visit our LifeStation review or Bay Alarm Medical review.

Overview of Medical Guardian

The Buying Experience

After years of researching and reviewing medical alert systems for, I’ve learned that talking to an expert who knows the ins and outs of each system can help you choose the best one for your lifestyle. So, I decided to hop on the phone with a Medical Guardian customer service representative to learn more about the systems.

When I called, Chelsea, the representative I spoke with, was friendly and patient. I was curious about how long the battery lasts on the MGMove smartwatch. Chelsea said it lasts 18-24 hours, and the system includes an audio announcement of the battery status whenever the watch is removed from the charging cradle.

Buyer's Tip:

Buyer's Tip: Medical Guardian doesn’t have long-term contracts, so you can cancel your service at any time. If you’ve paid upfront for service that you haven’t yet used, the company will give you a prorated refund. Medical Guardian also offers a 14-day return window for the MGMove smartwatch for a refund.

The company’s website is easy to navigate and includes all the details for every product, so you don’t have to go hunting for information. There is also a live chat feature on the website where  you can get your questions answered quickly. I was pleasantly surprised by the representative’s response time. When I tested the chat feature, it only took around five to 10 seconds to get in touch with someone! Overall, Medical Guardian offers excellent customer service, and every representative I spoke with was patient, kind, and stayed on the line until all my questions were answered.

Once I had all my questions answered, I selected several systems to try out. When you reach the checkout page, you’ll choose your payment option: monthly, quarterly, or annually. The annual option will save you up to $45 every year, depending on your chosen package.

Setting Up My System

MGMove Setup

Our MGMove package arrived at my grandma’s house with a black smartwatch, an adjustable watchband, a charging station, and a charging cord. Before you test the system, Medical Guardian recommends fully charging the watch, which takes about two hours. The smartwatch supports wireless charging, so, I simply placed the watch on the charging station so that the prongs on the back of the watch and the charging station lined up.

Once it was done charging, my grandma strapped on the watch and held down the black button on the side of the watch for 20 seconds to power it up. The watch’s home screen displayed the time and date, along with four other icons: a step tracker, weather app, SOS help button, and test button.

To test out the watch’s emergency help feature, I told my grandma to hold down the red button on the side of the watch for five seconds or tap on the SOS icon on the screen. She was promptly connected to an emergency operator and used the two-way audio feature to let the operator know that we were running a test.

You can also use the blue test icon on the watch’s screen, which will accurately check your signal without actually connecting you to a representative. Medical Guardian recommends running these tests at least once a month to ensure your device is working properly.

Classic Guardian Setup

The second system we tested was the Classic Guardian, Medical Guardian’s only landline system. Our package came with a base station and a wearable help button. I plugged the base station into a phone jack and wall outlet in my grandma’s bedroom. After that, my grandma pressed the power button and put on her wristband help button, and she was ready to go.

Advice from the experts:

Advice from the experts: For Medical Guardian’s in-home systems, the Classic Guardian and Home 2.0, it’s important to place your base station in a central location of the home, like the kitchen, or a high-risk area like the bathroom.

To make a test call, she pressed the large black help button on the front of the base station until it turned blue, and we were connected to the monitoring center. I then tested out the wearable pendant by pressing the help button, and it quickly connected to the base station to call for help.

Contracts and Warranty

Medical Guardian doesn’t require long-term contracts, and the company only offers a limited 90-day warranty that covers malfunctions or technical issues. However, The representative did let me know that Medical Guardian offers an add-on protection plan for $6.99 per month if you want to avoid paying out of pocket for any lost, damaged, or stolen equipment. For comparison, Lifeline, a popular company we’ve reviewed, offers a one-year warranty.

Medical Guardian Systems at a Glance

Medical Guardian product Features Monthly fees Equipment fees Connection type
Classic Guardian – 1,300-foot coverage area
– Two-way audio
– 32-hour backup battery
– Waterproof pendant
$29.95 per month None Landline
Home 2.0 – 1,400-foot coverage area
– 32-hour backup battery
– Rapid connection speed using LTE and Wi-Fi
– Two-way audio
– Water-resistant pendant
– Access to MyGuardian customer care portal and app
$37.95 per month $149.95 Cellular
Mini Guardian – GPS, Wi-Fi and LTE location technology
– Runs on Verizon’s network
– Small, discreet system
– Two-way audio
– Five-day battery life
– Access to MyGuardian customer care portal and app
$44.95 per month $149.95 Cellular
Mobile 2.0 – GPS, Wi-Fi, and LTE location tracking
– Runs on Verizon’s network
– Two-way audio
– Water-resistant, shower-safe pendant
-Lightweight at 1.7 ounces
-Access to MyGuardian customer care portal
$44.95 per month None Cellular
MGMove -Sophisticated smartwatch design
-Shake to Wake feature
-Step counter
-Weather app
-Access to My Guardian customer care portal and app
$39.95 per month $199.95 Cellular

Medical Guardian System and Product Details

Classic Guardian


This is Medical Guardian’s least expensive system, starting at $29.95 per month. From my own experience with the system, it’s an excellent option for seniors on a tight budget or those living in areas with poor AT&T or Verizon coverage.

Medical Guardian's Classic Guardian

Classic Guardian


The Classic Guardian comes with a base station that connects to your landline, along with a necklace or bracelet pendant (your choice!). The wearable, waterproof alert button works up to 1,300 feet from the base station. That means you can use the system whether you’re taking a bubble bath, baking in the kitchen, or watching a movie in the family room. We tested the system throughout my grandma’s home and backyard, and we were able to connect to the monitoring center every time without issue. In the event of a power outage, the system’s 32-hour backup battery kicks in, so you’ll stay protected.

From the experts:

From the experts: Medical Guardian’s average response time is around 30 to 45 seconds. This falls within the average response time for the industry, which is 15 to 45 seconds.

Service and Monitoring

Built for in-home use, the Classic Guardian is the only model that uses a landline connection, which plugs into a phone jack. You won’t have to worry about your system not working during an emergency because of a bad connection. You can also add fall detection to the system for an extra $10 per month.

Home 2.0


Home 2.0 costs $37.95 per month. Medical Guardian’s prices are slightly higher than the rates for similar systems on the market. For instance, Bay Alarm Medical’s monthly prices for an in-home cellular system start at $29.95. However, Bay Alarm Medical’s system is not as sleek as the Home 2.0, so if you’re looking for a system that will blend in, the extra cost might be worth it. You will also be charged a $149.95 equipment fee for the Home 2.0, a rarity with at-home systems.

Medical Guardian Home 2.0

Medical Guardian Home 2.0


If you are wondering why Medical Guardian charges an equipment fee for this at-home system, consider a few of its unique and advanced features. For example, the Home 2.0 uses both 4G LTE and Wi-Fi to connect with the monitoring center at the fastest rate possible. In addition, the range between the wearable help button and the base unit is 1,400 feet, one of the longest we’ve seen so far. The system also features a Smarti Voice Assist button, which activates self-testing and provides audible system status reports. Finally, it’s equipped with a 32-hour backup battery in case of a power failure.

Service and Monitoring

The connection type is where Classic Guardian and Home 2.0 differ. Home 2.0 uses AT&T’s 4G cellular network, so it’s a great option if you get strong AT&T coverage in your area. If you don’t have reliable coverage, I’d recommend going with the Classic Guardian.

Mini Guardian


The monthly price for this lightweight system is $44.95, and, like the Home 2.0, there is also an upfront equipment fee of $149.95. Mobile systems from other companies typically cost $35 to $40 per month, so this price is slightly higher than the industry average.

Medical Guardian's Mini Guardian

Mini Guardian


We’ve been waiting for the day that a medical alert device would come in some more fashionable options, and the Mini Guardian fits that bill! It comes in black, white, or a nice silver option. This on-the-go system can be worn around the neck or clipped to your belt. With a lightweight, sleek design, this model is ideal for minimalists or those who want to keep their system simple and discreet. The battery lasts for five days and charges in three hours — excellent for weekend getaways. The fact that it’s Medical Guardian’s top-selling device says a lot about this tiny system’s value and fashionable look!

Did You Know?

Did You Know? Medical Guardian took our top spot for the best medical alert system of the year.

Service and Monitoring

Using mobile technology, the Mini Guardian provides protection wherever you are: in your home, on a stroll around the neighborhood, or on vacation. Thanks to advanced location monitoring via GPS, WiFi, and LTE, emergency operators know exactly where to send assistance if you press your help button. You can also add fall detection for $10 a month. If you or a loved one has a history of falling, I'd highly recommend this feature.

We’ve been waiting (honestly begging) for the day that a medical alert device would come in some more fashionable options, and Mini Guardian fits that bill! It comes in black, white, or a nice silver option (cue the “oohhs and aahhs”). With just one large help button and a built-in two-way speaker, this system is great for minimalists or those who want to keep their system simple and discrete.



MGMove, the company’s watch-style system, has a one-time $199.95 equipment fee. Then, you’ll pay a monitoring fee of $39.95 per month. One of my favorite MGMove features is the ability to send and receive messages to designated contacts, which you can add along with calendar alerts and reminders for $5 per month.

Testing out the MGMove Watch

Testing out the MGMove Watch


MGMove is the perfect choice for older adults looking to live a fit and healthy lifestyle, whether you’re a runner, cyclist, or brisk walker. This medical alert system, which originally debuted in early 2022, hardly looks like one; it’s more of a smartwatch with medical alert capabilities. With its sleek look, no one will know it’s a medical alert system.

Plus, the watch’s battery lasts up to 24 hours, which is excellent for on-the-go users. The watch makes an audio announcement each time it’s removed from the charger, so that you always know the battery status. In addition, the watch goes into battery saving mode after 60 seconds of no movement to help conserve power.

Low-battery alerts on Medical Guardian's MGMove

Low-battery alerts on Medical Guardian's MGMove

I was surprised to see that the MGMove is very similar in style to Bay Alarm Medical’s SOS Smartwatch. The interface is almost identical. For comparison, the SOS Smartwatch is a few bucks cheaper, and it can be upgraded to include automatic fall detection, unlike the MGMove.

My grandma wore the MGMove while walking her dog, and she really enjoyed the look and feel of the system. Some of my grandma’s favorite MGMove features are the step tracking, weather forecasts, and touch-screen face with large, easy-to-read icons. You can even voice-text family members and caregivers through the watch. So whether you want to check the weather before taking a walk or set reminders to take your medications or for doctor appointments, you’ll be set. I appreciate these extra features that make it easy to stay connected.

It’s important to note that automatic fall detection is not available with the MGMove watch. If this feature is important to you, you’ll want to consider one of Medical Guardian’s other on-the-go systems.

Service and Monitoring

MGMove runs on the AT&T 4G network, providing solid coverage to older adults who are on the go. Though the watch has no fall detection option, it does come with GPS location detection so that seniors feel fully protected while out.

Mobile 2.0


The Mobile 2.0, a two-piece mobile system, starts at $44.95 per month. We’d recommend the annual payment plan for this system if it works for your budget; you’ll save around $40 per year compared to paying month to month.

Medical Guardian's Mobile 2.0

Mobile 2.0


This system has two parts: a small, mobile base unit (which you can also wear) and a wearable help button. It has a coverage range of 500 feet from the button to the mobile unit. That means, in most cases, you can wear your help button, leave your base unit inside, and relax in your backyard – all while being protected. While running errands, put on your help button, place the base station in your purse or pocket, or clip it to your belt. If you’re looking for a small, wearable option to use on the go, the Mobile 2.0 is my recommendation.

Service and Monitoring

The Mobile 2.0 operates similarly to the Mini Guardian. The difference is, instead of being an all-in-one device, it consists of a small portable base station and a wearable help button. If you don’t mind carrying two pieces of equipment, it’s an excellent mobile option. At the same time, the size and weight of the Mobile 2.0 has improved; it now weighs a meager 1.7 ounces. Some may prefer to wear the main device while on the go. So with this system, you have mobile options! For $10 a month, you can also add fall detection.

Want to learn more about Medical Guardian’s mobile systems? Watch the video below with our editor-in-chief, Jeff Hoyt.

Add-on Features and Accessories

Automatic Fall Detection

Fall detection will automatically alert Medical Guardian’s monitoring center when it senses a fall, even if you can’t press your help button. Fall detection costs an extra $10 a month. In the U.S., around 36 million older adults fall every single year,1 so it’s worth the price if you ask me! You can add a fall-alert pendant to either of the at-home systems or Mobile 2.0. With Mini Guardian, fall detection is programmed directly into the mobile device. Fall detection isn’t available with the MGMove.

Wireless Wall Button

You can add a wireless wall button, which costs $2.99 per month, to your system for another level of protection. When pressed, these buttons wirelessly connect to the monitoring center. They’re easy to set up and move – just stick them to the wall. I like that they don’t require any complicated wiring or installation. They’re ideal for bathrooms or other high-risk areas of the home!

Voice-Activated Wall-Mounted Button

This button, priced at $4.99 per month, works like the basic wall-mounted button, but it is also voice-activated and features a pull cord. The user just has to say “call Medical Guardian” twice or pull the cord to connect to the monitoring center wirelessly. I’d recommend this button over the basic model, because the voice-activated feature is handy when you can’t reach the button.


The lockbox costs $2.99 per month and allows you to store a spare house key outside your house. That way, emergency medical technicians won’t have to break down your door to get inside. You can also receive a free lockbox with an annual order.

OnGuard Alerts

With the addition of Medical Guardian’s enhanced emergency notifications for $2.99 per month, caregivers in the Care Circle will receive real-time text and email notifications about their loved ones’ emergencies.

MG Protection Plan

For $6.99 per month, your equipment will be protected from damage from normal wear and tear, accidents, dust, heat, humidity, and power surges. It will also include unlimited battery replacements.

Elite 911

This one-button box is smaller than a cell phone and allows users to speak directly to a 911 operator. It works on any available cell network, and you will never need to worry about charging it. Alert 911 costs $9.99 per month.

Support Circle Apps

For $5 per month, you will have access to an app that enables texting or talking with your loved ones and a second app that allows you to set up reminders on your MGMove.

MGMove watch with the Support Circle Messaging app

Options when you go to send a new message.

The Bottom Line on Medical Guardian

My grandma and I were pleased with Medical Guardian’s alert systems. They really stay ahead of the curve when it comes to technology, which you can see from their advanced features, versatile options, and mobile app. I was impressed with MGMove’s capabilities, like text messaging, calendar alerts, location detection, and a touch screen. I also loved the MyGuardian portal and app, available with all of Medical Guardian’s products, which allows caregivers to help stay on top of things.

Medical Guardian strives to keep users safe without them compromising their lifestyles or giving up their passions. My grandma loved that these alert systems didn’t interrupt her daily routine but still offered peace of mind for both of us. We can honestly say that you’ll be in good hands with Medical Guardian!

From the Pros: Check out our list of seven reasons why you should consider getting a medical alert system if you're still on the fence about getting one.

Our Methodology

As we test medical alert systems, we evaluate several key factors that users should consider when choosing a system. These criteria include reliability, ease of use, customer service, value for money, response times, and available features. We test every system by hand to give our readers an accurate and in-depth look at the product. We also receive feedback from older adults (like my grandma!) about the systems whenever possible. Visit our medical alert system methodology guide for a closer look at our testing process.

Frequently Asked Questions About Medical Guardian

  • How much does Medical Guardian cost per month?

    Medical Guardian systems start at $29.95 per month and range up to $44.95 per month. Don’t forget to factor in an additional $10 per month if you want automatic fall detection.

  • Is Medical Guardian covered by Medicare?

    Medical Guardian is not covered by Original Medicare, which doesn’t cover any medical alert systems. Some private insurance and Medicare Advantage plans may cover alert systems or offer reimbursement.

  • Is Medical Guardian waterproof?

    The base stations are not water-resistant. However, some of Medical Guardian’s wearable alert buttons are water-resistant, meaning they can withstand rain or a shower. Others are waterproof, so you can wear them in the shower or submerge them in the bathtub. The MGMove is water-resistant.

  • Where is Medical Guardian located?

    Medical Guardian’s headquarters are located in Philadelphia, Pennsylvania. The company’s alert systems are available in all 50 states, along with Puerto Rico and Canada. Equipment options outside the U.S. may be more limited.

  • How do I cancel Medical Guardian?

    If you are unhappy with your Medical Guardian system for any reason, you can cancel your service at any time, as there are no long-term contracts. Once you give the Medical Guardian Returns & Cancellations department a call and return your equipment, your cancellation will be processed within 30 days. You will also receive a prorated refund for any unused service.

Reviewed By

Jeff Hoyt

Editor in Chief

As Editor-in-Chief of the personal finance site, Jeff produced hundreds of articles on the subject of retirement, including preventing identity theft, minimizing taxes, investing successfully, preparing for retirement medical costs, protecting your credit score, and making your money last… Learn More About Jeff Hoyt
Written By

Taylor Shuman

Senior Tech Expert & Editor

As’s tech expert and editor, Taylor has years of experience reviewing products and services for seniors. She is passionate about breaking down stigmas related to seniors and technology. She loves finding innovative ways to teach seniors about products and… Learn More About Taylor Shuman