Medical Guardian Alert System Review 2021

A high-tech medical alert system to meet most needs

$30/mo. Starting Price
6 Plan Options
Overall Rating:
5 of 5
View Packages
$10 Fall Detection
13+ Years in Business
Questions? Speak with a Medical Guardian Specialist:

As a bit of a closet tech nerd, I've been looking forward to testing Medical Guardian's latest smartwatch, called Freedom Guardian. Plus, my grandma has been looking to try a medical alert watch, so I knew she'd want to get her hands on it and test it out with me. The product originally debuted at the Consumer Electronics Show1 in Las Vegas in 2018 and has helped push the boundaries of the way we define a medical alert device. Who knows… wearing a smartwatch might also give you “cred” with your grandkids!

While the Freedom Guardian is an exciting device for an active senior intrigued by the idea of a smartwatch, it's not for everyone. So for this year's review, my grandma and I also tested the company's Classic Guardian, their entry-level in-home system that operates on a landline and functions like other in-home products in the space such as HomeSafe Standard by Philips Lifeline.

All in all, Medical Guardian's lineup of alert systems caters to a diverse range of needs and lifestyles, whether you're on the hunt for a system used exclusively in the home, or a smartwatch you can hit the trails with. I also appreciate Medical Guardian's customizable features, with everything from waterproof fall alert pendants to safety sensors for monitoring activity. Read on as I get into the nitty-gritty details of my grandma's and my experience with all of Medical Guardian's offerings below!

Our editor Taylor Shuman's grandma testing out Classic Guardian

Our editor Taylor Shuman's grandma testing out Classic Guardian

Everything You Need to Know About Medical Guardian

Before we shift our attention to the product details of Medical Guardian's alert systems, let's get into all the details about my experience interacting with the company.

Buying Experience and Value

When I went through the buying experience with Medical Guardian, I discovered that the easiest way to choose your package is to hop on the phone with a representative. Talking to an expert who knows the ins and outs of each system will ensure you choose the one that will best fit your needs. When I called, I had a few questions about Freedom Guardian. Chelsea, the representative I spoke with, was friendly and patient. She let me know that the smartwatch's battery lasts for about 48 hours, and it will vibrate to alert the wearer when the battery falls below 10 percent, which is a great feature for me since I always forget to charge my phone!

I browsed the company's website before and after my call, which was easy to navigate, and it included all of the details for every product, so you don't have to go hunting for information (or you can skip to the overview of systems and products in the next section of this review as I did a lot of the heavy lifting for you). There is also a live chat feature on the website, so if you have any questions, you can quickly get them answered. When I tested out the chat feature, I was pleasantly surprised by the representative's response time. It only took around 5-10 seconds to get in touch with someone, and they answered all of my questions thoroughly. I wanted to know if there was an extra charge for Freedom Guardian's text-to-speech messaging and reminders feature available through the smartwatch and companion mobile app. The representative informed me that these features cost an additional $5 per month, which is pretty cheap for caregivers or family members to stay in touch with the user instantly.

Did You Know: Medical Guardian products never require a contract, so you can return them and cancel your service at any time. If you've paid for service upfront that you haven't yet used, the company will give you a prorated refund.

After the representative answered all my questions, I was ready to start shopping and pick out my equipment. Once you select your package, you'll choose your payment option: monthly, quarterly, semi-annually, or annually. Selecting the annual option will save you up to $80 every year, depending on the package you choose, which is a good chunk of change.

Setting Up My System

Our Freedom Guardian package arrived at my grandma's house with the white smartwatch (it also comes in black), an adjustable watch band, and charger. Before testing out the system, Medical Guardian recommends fully charging the watch, which takes about two hours. To charge it, simply place the watch over the charger's magnetic prongs so that the prongs on the back of the watch and the charger line up. You'll know the watch is charging when a battery symbol appears on the watch face.

Once it was done charging, my grandma put on the watch and held down the black button on the side of the watch for three seconds until the Medical Guardian logo appeared on the screen to turn it on. The watch's home screen displayed the time and date, and my grandma was able to navigate to the watch's other features, like the weather and calendar reminders, by swiping on the screen from left to right or by quickly pressing the red button on the side of the watch. To test out the watch's emergency help feature, I told my grandma to hold down the red button for three seconds, which turned the watch's face red and the word “HELP” was displayed on the screen in white text. After about 30 seconds, the word “HELP” turned green and the words “On Call” appeared at the bottom of the screen to let us know we were connected to the operating center. From there, my grandma was able to use the two-way audio feature to let the emergency operator know that we were running a test.

If you order one of Medical Guardian's other six systems, setup will look a little different. For the Classic Guardian system my grandma and I tested, which is the only landline model, our package came with a base station and wristband help button (there's also a pendant option). I plugged the base station into a phone jack and wall outlet in my grandma's bedroom (the other cellular models will just plug into an outlet). After that, my grandma pressed the power button, put on her wristband help button, and she was ready to go. 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.

Advice From the Experts: For Medical Guardian's exclusively in-home systems, including Classic Guardian, Home Guardian, and Family Guardian, it's essential to place your base station in a central location of the home, like the kitchen or a high-risk area like the bathroom.

If you have any questions about setup, feel free to ask the operator for help during your call. They will be more than willing to help!


All of Medical Guardian's equipment comes with a lifetime warranty,2 so if something requires replacement due to normal wear and tear, they have you covered. Just keep in mind that some replacements or repairs might require a fee. The representative also let me know that Medical Guardian offers an add-on protection plan with a monthly cost if you want to avoid paying out of pocket down the road for lost, damaged, or stolen equipment.

Overview of Medical Guardian Systems and Products

When choosing which Medical Guardian system is best for you, first consider if you have a landline at home or if you plan to go with a cellular system. You'll then need to think about what type of user the system is for. Are you shopping for a homebody, someone who's always out of the house, or a user who is a bit of both? Let's dive into all of the details for each of the systems so you can choose the one that's best for your needs.

Medical Guardian Product Features Prices and Fees Connection Type
Classic Guardian – 1,300 ft. coverage area
– Two-way audio
– 32-hour backup battery
– Waterproof pendant
$29.95 per month Landline
Home Guardian – 600 ft. coverage area
– 30-hour backup battery
– LED display screen
– Two-way audio
– Waterproof pendant
$34.95 per month Cellular
Mini Guardian – GPS and Wi-Fi location technology
– Runs on AT&T's network
– Small, discrete system
– Two-way audio
– Five day battery life
$34.95 per month Cellular
Active Guardian – GPS and Wi-Fi location tracking
– Two-way audio
– Waterproof pendant
– Portable alert system
– Battery up to 5 days
$44.95 per month Cellular
Freedom Guardian – GPS and Wi-Fi location tracking
– Text using your voice
– Emergency assistance button
– Companion mobile app
One-time fee of $249.95 for equipment
$44.95 per month
Mobile Guardian – 350 ft. range
– GPS location tracking
– Two-way audio
– Waterproof pendant
$49.95 per month Cellular
Family Guardian – 1,300 ft. coverage
– Two-way audio
– Activity monitoring using safety sensors
– 32-hour backup battery
– Waterproof pendant
$79.95 per month Cellular


Classic Guardian

Classic Guardian

Classic Guardian

This setup is Medical Guardian's least expensive system, starting at $29.95 per month, and from my own experience with the system, it's an excellent option for those on a tight budget or those living in areas with poor cell service. Built for in-home use, Classic Guardian is also 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.

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, which is plenty of distance to cover a large home. 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. When I tested out the system, I pressed the help button on my pendant while I was in my upstairs bedroom, and it connected to the base station located downstairs in my kitchen without issue. I let the operator know I was running a test, and that was it! During an emergency, you can use the two-way talk feature on the base station to let them know what the problem is. If the user isn't able to respond, the monitoring center will dispatch help straight away.

Pro Tip: With all seven Medical Guardian alert systems, the average response time is around 30-45 seconds. The average response time for the medical alert industry is between 15-45 seconds, so Medical Guardian falls within the average.

Home Guardian

Home Guardian

Home Guardian

I highly recommend Home Guardian if you're looking for a simple at-home monitoring solution with a cellular connection and an easy-to-install base station. It works a lot like Classic Guardian, except for the connection type. Medical Guardian uses AT&T's cellular network, so if you get strong AT&T coverage3 in your area, you should be good to go! However, if you don't have strong cellular coverage where you live, I recommend going with Classic Guardian instead. The coverage range for this model is 600 feet, so you're covered for the length of two football fields.

Active Guardian

Active Guardian

Active Guardian

Active Guardian is great for those who are, you guessed it, active. This device doesn't have a bulky base station. Instead, the entire medical alert system is an all-in-one wearable pendant, enabled with GPS4 and Wi-Fi5 technology. You can use it whether you're gardening in the backyard or out running your errands. In case of emergency, all you have to do is press the help button, and it'll connect you to the monitoring center. Use the two-way audio to tell the representative the problem, and they will dispatch help to your exact location.

My only complaint with this system is that the pendant isn't exactly fashionable, but that's standard across alert systems in the industry. It's fairly small and lightweight, but it's pretty noticeable. We don't expect to see models wearing it on the runway any time soon.

Mini Guardian

Mini Guardian

Mini Guardian

If your main concern is that your system will look too “medical-ish” or tacky, Mini Guardian is a fantastic choice for you. This tiny, all-in-one mobile system weighs just over one ounce, and it's about half the width of Medical Guardian's other mobile options. Just like Active Guardian, the Mini system can be worn like a necklace and comes equipped with GPS, Wi-Fi, and cellular technology, so you'll be able to call for help regardless of your location. The system's battery lasts a solid five days, so you won't have to worry about charging it every day. Plus, you can choose to receive low-battery notifications by email or text. Phew! No more dead batteries while you're out and about.

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.

Mobile Guardian

Mobile Guardian Equipment

Mobile Guardian Equipment

If you're looking for a small, wearable option to use on the go, Mobile Guardian is my recommendation. This model operates similarly to Active Guardian, but it has a small portable base station and a wearable help button. Whether you're going for a drive, a walk around the block, or you merely want a smaller device, Mobile Guardian is a good option. The base station is small enough to hold, attach to a belt, or throw in a purse, so it's great for those out and about. While it's a bit more of a hassle to remember two items when you leave the house, the Mobile pendant is much smaller and less noticeable than Active Guardian. However, if you want a system with only one piece of equipment, Active Guardian or Mini Guardian will be better options.

A Gentle Reminder: If you're ever unsure or confused about what system or product is right for you, give Medical Guardian's customer support line a call (I promise you won't regret it). Speaking with a representative will help you understand more about the products and how they will (or won't) serve your specific needs. Plus, Medical Guardian receives great ratings for their customer service so you know you're in good hands!

Freedom Guardian

Freedom Guardian

Freedom Guardian

Freedom Guardian is the perfect choice for anyone looking to live a healthy style, whether you're a runner, cyclist, or just a brisk walker. I was excited to test out this medical alert watch that was first showcased at CES (Consumer Electronics Show) in 2018 because few companies in the industry offer a smartwatch system. Freedom Guardian didn't disappoint. It has several great features, including a touchscreen face with large, easy-to-read icons, location and activity tracking, calendar alerts, weather forecasts, and an emergency help button.

Freedom Guardian also has a companion mobile app called Care Circle that helps loved ones keep track of the user. Within the app, you can track the wearer's location, send texts back and forth, view health alerts, and set up a schedule that sends reminders for significant tasks like taking medication or drinking water. The app's advanced features and being able to see exactly how the user's day is going without pestering them gives caretakers and family members peace of mind.

Our editor's grandma taking a walk with Freedom Guardian

One of my favorite Freedom Guardian features is the text-to-speech messaging, which you can add along with calendar alerts for $5 per month. Caregivers and family members of the subscriber can use Care Circle to send text messages straight to the smartwatch. The user can then read and respond to these text messages through the watch, and there's no cellular plan required!

To test out this feature, I logged into the Care Circle app on my phone with the username and password I set up when purchasing the system. I clicked the messaging bubble on the app's home screen and typed out a message to send to the smartwatch. Once it sent, the message appeared on the face of my watch. I pressed the checkmark icon on the screen, and the watch read my incoming message aloud. I then pressed the microphone icon and used my voice to record my response. Once finished, I pressed the checkmark icon again, and the message went back to the mobile app. This feature makes keeping in touch with loved ones so simple, which I truly appreciated!

Family Guardian

Family Guardian Package

Family Guardian Package

For those who have an aging family member with serious health conditions who is at higher risk of falling or for someone who you want to keep an extra close eye on, I recommend Family Guardian. If you're concerned about the user falling or experiencing a health emergency without being able to press a help button, Family Guardian will provide added peace of mind. This system comes with a base station, a wearable alert button, and three in-home safety sensors to monitor a single user's in-home activity. The sensors can be placed around the house to detect motion or doors opening and closing.

The sensors pair up with the Family Guardian mobile app, so family members can track their loved one's activity during the day. You can set up real-time alerts on your phone to receive notifications of any unusual activity, like a door left open or low levels of movement throughout the day. Not all medical alert companies offer a mobile app or smart features that let you keep an eye on the user. I enjoyed this added layer of protection.

Medical Guardian Video Review

While reading through reviews is a great way to gain information on medical alert systems, I also create videos on our YouTube channel for you to see the products in use and learn a bit more about them. If you like learning about products like Medical Guardian through video, then here are some reviews for you.

Medical Guardian Home Medical Alert Systems Review

In this video, I review Medical Guardian's medical alert systems for the home, including the Classic Guardian, Home Guardian, and Family Guardian. Here, I cover the advantages and disadvantages of Medical Guardian's home systems, and I test them, so you can see how they function in the real world.

Medical Guardian On-the-Go Medical Alert Systems Review

In this video, I review Medical Guardian's on-the-go devices, including the Mobile Guardian, Active Guardian, and Freedom Guardian. Here, I look at the pros and cons of a mobile system versus a home system, and I take a closer look at Medical Guardian's innovative technology by testing it firsthand.

Medical Guardian Accessories

Fall Alert Pendant

The fall alert pendant will automatically alert Medical Guardian's monitoring center when it detects a fall. The user won't even have to press a button. Fall detection costs an extra $10 a month, which is worth the cost if you ask me.

Wall-Mounted Button

You can add a wall-mounted button to your system for an added level of protection, and they cost only $2.99 per month. 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.

Voice-Activated Wall-Mounted Button

This button 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 recommend this button over the basic model because the voice-activated feature is useful when the user can't reach the button. Plus, it costs $5 per month, which is only $2 more than the standard wall button.

Car Charger

If you choose one of Medical Guardian's on-the-go medical alert systems, this car charger comes in handy. You can plug it into the auxiliary power outlet in your car to charge the system's battery, so you don't have to worry about it dying while you're out and about. The charger costs a one-time fee of $25.

Lock Box

You can store a spare house key in this lock box outside of your house for just $2.99 per month. That way, during an emergency, the EMTs won't have to break down your door to get inside. You'll get the help you need as quickly as possible, and, as a bonus, you won't have to replace the front door.

Jewelry Alert Pendant

One of my major complaints about medical alert systems across the board is that alert pendants are not discrete. Oftentimes, they're bulky and don't go with any outfit. So, Medical Guardian designed jewelry alert pendants that are compatible with the Home and Mobile Guardian packages, and you can add them for a one-time fee of $49 and a monthly fee of $2.99 after that.

These pendants look like stylish necklaces, and there are several different designs. You can't really tell that they are alert buttons. I also appreciate that Medical Guardian strives to make equipment that fits into the lifestyles of their customers, not the other way around. These necklaces are a prime example of that.

What We Like 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 durable and didn't feel like it was going to fall apart at any minute.
  • Custom Features — Medical Guardian has unique and customizable features, like the mobile app, jewelry alert pendants, and activity sensors, that allow customers to build the perfect system for their lifestyles.
  • Comprehensive Systems —There are seven different Medical Guardian equipment packages to choose from that offer a lot of variety. Whether you're on the go, a homebody, or a little bit of both, Medical Guardian has a package for you.
  • Cancel Anytime Policy — Unlike some companies like LifeAlert that lock you into a three-year contract, there are no contracts or extra monthly monitoring fees with Medical Guardian. You can cancel your service at any time without penalty.
  • Seamless Setup — Installation for all Medical Guardian systems is easy and free. It takes all of two minutes and three easy steps. Just take the system out of the box, plug it into the wall, and put on the wearable pendant. It was as simple as that!

Things to Keep in Mind About Medical Guardian

  • High Monthly Rates — As mentioned above, when I was shopping around, I found that Medical Guardian featured higher monthly rates than some other companies in the industry. If you're on a tight budget, there are less expensive options to be found.
  • AT&T Coverage Requirement — The company's cellular systems require strong AT&T coverage, so if you live in an area with poor reception, it may not be the best option for you. Your only option will be the Classic Guardian, which is still a great at-home landline system. However, if you're looking for an on-the-go option, it won't be a good fit.
  • No Free Trial Period — Medical Guardian doesn't offer a free trial period or 30-day, money-back guarantee like other companies, including ResponseNow, LifeStation, and Bay Alarm Medical.

Our Final Thoughts

All in all, my grandma and I were very happy 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 equipment options, and mobile app. I was totally impressed with the Freedom Guardian's high tech features, like text messaging, calendar alerts, GPS tracking, and a touchscreen. Plus, my grandma loved that it looks like a smartwatch, not a medical alert system pretending to be a smartwatch!

Medical Alert System - Medical Guardian's Home Guardian system

Medical Alert System – Medical Guardian's Home Guardian system

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

Frequently Asked Questions About Medical Guardian

  • How much does Medical Guardian cost per month?

    Medical Guardian alert systems start at a cost of $29.95 per month. Top-of-the-line models like Family Guardian can cost up to $79.95 per month.

  • Is Medical Guardian covered by Medicare?

    No, Medical Guardian is not covered by Standard 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?

    Yes, Medical Guardian’s wearable alert buttons are waterproof, so you can even wear them in the shower or bathtub.

  • 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 Medical Guardian for any reason, you can cancel your service at any time, as there are no long-term contracts. Once you give Medical Guardian’s Returns & Cancellations Department a call and return your equipment, your cancellation will be processed within 30 days.

  1. Consumer Technology Association. (2020). About CES.

  2. Medical Guardian. (October 2019). Terms and Conditions.

  3. AT&T. (2020). AT&T Wireless Coverage Map.

  4. U.S. Air Force. (April 2020). How GPS Works.

  5. Cisco. (2020). What Is Wi-Fi?