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Medical Guardian Review For 2022

Key Takeaways

  • The Medical Guardian alert system line includes both in-home systems and mobile medical alert devices.
  • Medical Guardian partners with U.S.-based response centers to provide 24/7 monitoring.
  • MyGuardian app includes medication and appointment reminders and chat features between caregivers.
  • Voice-activated, wall-mounted alert buttons can assist in an emergency if you can speak but cannot move.
  • Fall detection technology costs an additional $10 per month.
  • Medical Guardian system operators can pass on information about medications, preferred hospitals, or conditions to medical professionals.
  • Optional lockbox gives EMTs easy entry into the home.
  • Devices integrate GPS, 4G LTE, and Wi-Fi technology for uninterrupted location monitoring.
Written by
Medically Reviewed by
Updated onMay. 19, 2022

Medically reviewed by Jenny Sanford,  MSN, APRN, AGNP-C and Caregiving Coach

Why Medical Guardian Alert System Is One of Our Top Picks

Medical Guardian is one of our top picks for best medical alert systems for its variety of at-home and on-the-go devices for older adults, its impressive protective range from the at-home base station (up to 1,300 to 1,400 feet), and its long battery life. The company also differentiates itself from competing medical alert providers due to its overall high customer reviews and TMA Five Diamond Certified monitoring center. 

Our team awarded Medical Guardian a 9.57/10 overall rating based on essential features, functionality, special features, customer service, and the purchasing process. It was the second-highest scoring medical alert system on our list of the 11 brands we tested, following front-runner Bay Alarm Medical.

Medical Guardian Pros and Cons


  • Alert buttons are water-resistant so they can be worn in high-risk, slippery areas like the shower.
  • Its response center meets rigorous guidelines for TMA Five Diamond Certification.
  • Devices use 4G LTE, GPS, Wi-Fi, or a landline connection.
  • It has thousands of positive customer reviews on third-party review websites and an A+ rating with the Better Business Bureau.
  • Backup batteries keep at-home devices running in the event of a power outage.
  • The MyGuardian app offers an all-in-one portal for caregivers to be notified in case of an emergency, manage tasks, share medical information, and more. 


  • Fall detection is only included at an extra cost of $10 per month.
  • The Mini Guardian has a one-time equipment fee of $124.95.
  • The lockbox is an extra $2.99 per month.
  • Subscription contracts are month-to-month after a three-month minimum commitment.
  • A protection plan isn’t included in your subscription and costs an additional $6.99 per month.
  • If the system is lost or damaged, you’ll need to pay a $350 damaged equipment fee if you don’t have the protection plan.

Comparison of Medical Guardian Subscriptions

Monthly Cost
One-Time Equipment Fee
Battery life
Home Range
At-Home or On-the-Go
Fall Detection Available?
7 days
Mobile coverage
Belt clip, neck pendant
Mini Guardian
5 days
Mobile coverage
Belt clip, neck pendant
Mobile 2.0
5 days
Mobile coverage
Belt clip, neck pendant, wristband
Classic Guardian
32-hour backup battery (in case of power outage)
Up to 1,300 feet
Wristband, neck pendant
Home 2.0
32-hour backup battery (in case of power outage)
Up to 1,400 feet
Wristband, neck pendant

Medical Guardian Systems

The Medical Guardian line includes three on-the-go systems: the Mini Guardian, Mobile 2.0, and the MGMove Smartwatch, along with two at-home options: the Classic Guardian and Home 2.0.

Depending on a customer’s subscription, Medical Guardian pricing breaks down to about $0.97 to $1.35 a day.  The Mini Guardian, Mobile 2.0, MGMove Smartwatch, and Home 2.0 each have an equipment fee separate from the monthly subscription. An equipment fee is a one-time charge to purchase your device. 

This fee is shown on the Order Summary page on Medical Guardian’s site after selecting your subscription plan and optional add-on accessories.

Device Information

Medical Guardian discontinued the Freedom Guardian 2.0 smartwatch and introduced the MGMove Smartwatch. You don’t have to be tech-savvy to use this simple touchscreen smartwatch. The new model is sleeker than the Freedom Guardian 2.0 and has a more attractive, user-friendly screen.

The MGMove has a built-in weather app and step tracker. Medication and appointment reminders as well as talk-to-text messaging with your loved ones and caregivers are available for an additional $5 per month. 

You can communicate with the monitoring center through a high-definition two-way speaker. When you press and hold the red SOS button on the side of the watch face or press the SOS touchscreen app, the 24/7 emergency team can summon EMTs, mental health professionals, or even a family member to check in. The watch is equipped with location monitoring through GPS and Wi-Fi, so you can go about your daily errands knowing you’re safely monitored.

MGMove Cost

The MGMove subscription is $39.95 per month for the monthly and quarterly plans. Pay $36.62 per month with an annual plan. 

One-time equipment fee: $199.95

Device Information

The Mini Guardian packs a lot of power in its small package, and its long-lasting battery can run five days before needing a recharge. It’s similar to the recently discontinued Active Guardian model but even more compact. 

Users can clip the lightweight Mini Guardian onto a lanyard or directly onto their clothing, then forget about the device until they need it. This device can be worn anywhere since it’s powered by 4G LTE, so you aren’t restricted to your home to remain protected.

When activated, the device opens two-way communication with a 24/7 emergency response operator who will know just where to find you through the GPS locator. Clear audio is important in an emergency, so the device is equipped with a high-definition speaker and noise cancellation technology. The Mini Guardian costs $39.95 per month and includes a one-time equipment fee of $124.95.

Mini Guardian Cost

The Mini Guardian subscription is $39.95 per month for the monthly and quarterly plans. Pay $36.62 per month with an annual plan. 

One-time equipment fee: $124.95

Device Information

The Mobile 2.0 includes access to MyGuardian, a program that notifies your contacts or Care Circle about emergencies. This simplifies communication between caregivers and emergency services to keep everyone in the loop. The Mobile Guardian 2.0 uses GPS, Wi-Fi, and 4G LTE to monitor your location and safety.

This lightweight system works as a base station paired with a help button, easily clipped to clothing or a bag or worn around the neck or wrist. At only 1.7 ounces, it’s lighter than two AA batteries and isn’t bulky or awkward. The battery charge lasts three to five days, so you won’t have to think twice about longer excursions or day trips.

Mobile 2.0 Cost

The Mobile 2.0 subscription is $39.95 per month for the monthly and quarterly plans. Pay $36.62 per month with an annual plan. 

One-time equipment fee: $124.95

Device Information

For users who like to remain close to home—or those who live in areas with poor Wi-Fi or cell service—the Classic Guardian subscription may be the best choice. This at-home alert system uses a base station connected through your landline, and it monitors the user, who wears a help button paired with the base station. Users can wear the device around their neck or wrist and move about the property, confident that they are covered by a radius of up to 1,300 feet—more than three football fields.

The base station has a 32-hour backup battery in case of a power outage.

Classic Guardian Cost

Classic Guardian subscription is $29.95 per month for the monthly and quarterly plans. Pay $27.45 per month with an annual plan. 

You aren’t charged an equipment fee for the Classic Guardian.

Device Information

The Home 2.0 adds another 100 feet of protection for a 1,400-foot range. The base station also has a 32-hour backup battery. The pendant snaps easily into either the necklace or wristband, so the wearer can choose the most comfortable style for that day’s activities. The Home 2.0 also has the option to share with a partner. Add multiple wearable buttons to your subscription and keep your caregivers in contact with your whole household.

Home 2.0 is equipped with voice-assist technology—users simply push a button on the base unit to access daily reports and information about the device. 

Home 2.0 Cost

The Home 2.0 subscription is $34.95 per month for the monthly and quarterly plans. Pay $32.04 per month with an annual plan. 

One-time equipment fee: $124.95

Purchasing Process

Our team was only able to go through the complete purchase and set up process for the Mini Guardian, Medical Guardian’s most popular device during our testing period. This section will be updated once we’re able to officially test all Medical Guardian’s devices. 

We purchased our Mini Guardian subscription directly from the company’s website. The buying process was straightforward and simple, and we were able to easily select our subscription. The purchasing process is similar for all Medical Guardian product subscriptions.

We like that Medical Guardian provides the dimensions, technical specs, and other details about each device online. You don’t need to call and speak with a sales representative or request a brochure just to find out basic information about products. 

It’s also easy to mix and match add-on features during the checkout process. Unlike some medical alert systems, you don’t have to opt out of additional services or features that have already been added to your online shopping cart—Medical Guardian gives you the power to choose your preferred add-ons yourself. 

Setting Up Your Device

Medical Guardian’s clean, minimalist packaging was the first thing we noticed when our Mini Guardian arrived. These first four steps for setup are clearly listed on the box: 

  1. Read the user guide.
  2. Charge your Mini until the light is solid red.
  3. Test your Mini by holding the call button.
  4. Wear your Mini so it’s there if you need it!
medical guardian mini guardian unboxing

The user guide is very short and straightforward. We were instructed to charge our Mini Guardian before testing our device. 

Testing is equally simple: press and hold the button until it turns blue, and you’ll be connected to a monitoring center agent. When we tested our device, the agent answered within only 10 seconds and asked if we had an emergency. We spoke with the agent through the Mini Guardian’s speakers and confirmed that we were testing the system. 

We then called a Medical Guardian representative to ask how to activate fall detection. The representative was very personable and gave excellent, step-by-step instructions for how to test the feature. He also told us the best way to wear our device is around our neck, resting on the sternum and on top of our clothing. 

He then instructed us to hold our device out at arm’s length and drop it onto a pillow to activate fall detection. We followed these instructions, and a monitoring center agent answered right away. We confirmed with them that we were testing our Mini Guardian’s fall detection feature. 

This entire process for setting up and testing our Mini Guardian took about 20 minutes at the most. The user guide steps were easy to follow, and the representative and monitoring center agents were helpful and friendly. 

Medical Guardian Payment Schedule, Refunds, and Discounts

You can pay on a monthly, quarterly, semiannual, or annual basis when choosing your device subscription. However, when paying annually you’ll receive a discount on the monthly cost. Paying annually is the most cost-effective option if you know you’ll use the device for at least one year. 

You must first meet a three-month commitment with Medical Guardian before switching to month-to-month. Other than this initial commitment, there are no long-term contracts. 

Refunds are also available for undamaged equipment, but lost or damaged equipment could result in a $350 fee. You can opt for a protection plan for an additional $6.99 a month to insure your Medical Guardian products. 

Occasionally, Medical Guardian has special offers for new customers, like a complimentary lockbox or the first month of service free. Discounts and offers are advertised on the company’s homepage when available. 

Medicare Parts A and B do not offer coverage for medical alert services, but Medicare Part C (also called Medicare Advantage) and some private insurance companies may offer coverage. We suggest asking your insurance provider if your policy reimburses some portion of your medical alert system costs.

Medical Guardian Add-on Features and Accessories

Medical guardian app
  • Fall Detection: Automatic fall detection is an optional add-on feature for $10 per month. It’s available for all Medical Guardian devices except the MGMove Smartwatch. A fall detection pendant uses motion sensor technology that contacts the emergency monitoring center if it detects a fall. The monitoring center agent will ask if you need emergency personnel, and if you’re unresponsive or confirm that you need help, the agent will dispatch emergency services to your location. 
  • MyGuardian App: Made with caregivers in mind, the MyGuardian app is a portal for your entire Care Circle. Caregivers will be notified during an emergency and can track daily tasks in the portal. You can also monitor your loved one, chat with other caregivers, manage tasks, and create medication reminders—all within the app’s portal. Care information can be passed along to medical professionals for more informed treatment in an emergency. If you live some distance away from your loved one, the MyGuardian app can help you be a more active caregiver.
  • Lockbox: The Medical Guardian lockbox costs an extra $2.99 per month. In an emergency that renders you unable to open or unlock the door, the medical response team can give EMTs your lockbox code. This prevents damage to entryways if EMTs need to gain access. Some other medical alert companies offer a one-time payment for a lockbox, so you’ll own it and save money in the long term. Medical Guardian charges a monthly lockbox fee instead. You’ll receive a free lockbox with any subscription if you opt for an annual payment plan.
  • Wall-Mounted Alert Button: For extra protection at home, wall-mounted alert buttons can be placed in high-risk or high-traffic areas. You simply press the button to connect with the emergency monitoring center. You can add these buttons to your subscription for an extra $2 per month per wall button. 
  • Voice-Activated Wall Button: You can easily connect to the monitoring center with your voice-activated wall button when you say, “Call Medical Guardian.” Voice-activated buttons can be installed up to 500 feet from your base unit. This provides great peace of mind in knowing you can get help even if you can’t reach the help button or if you’re not wearing your pendant. Voice-activated technology is available with the Classic Guardian and Home 2.0. It costs an extra $5 per month per button.
  • OnGuard Alerts: Your Care Circle receives text and email alerts if you’ve contacted the monitoring center for an emergency. This feature is $2.99 per month and is an optional add-on at check-out. 
  • Protection Plan: The MG Protection Plan covers expenses if your device is lost, stolen, or damaged. You’ll also receive unlimited free battery replacements, tech support, repairs, and discounts for additional equipment. The protection plan costs $6.99 per month and is an optional add-on at check-out. Your plan payments will be automatically added to your monthly billing statement.

Customer Service and Satisfaction

Medical Guardian is one of the largest manufacturers of medical alerts and is consistently ranked among the best medical alert companies. It has strong customer reviews for its products and customer support. The company has an A+ rating from Better Business Bureau and has a 4.5/5 star ranking for user reviews on Best Company.

Medical Guardian has only 1.3 stars on Trustpilot. We noticed numerous complaints about customer service and frustrations with refunds and replacements. We include this range of reviews to give a full and realistic picture of the company. While 26 percent of Medical Guardian reviews on Trustpilot were “bad” to “average,” 74 percent were “great” to “excellent.” Despite the positive reviews, Trustpilot ratings aren’t simply an average of all reviews. The consumer review site also takes into account age and number of reviews, and whether the company actively solicits customers to leave reviews.The quality of Medical Guardian’s partner response center is undisputed. The emergency monitoring center has earned the highest marks with the TMA-Five Diamond Certification, and their staff undergoes intensive training. The US-based team uses translation services to speak with users in most major languages using a third-party translation service. Customers report that even when summoned accidentally, the highly professional response teams are warm and helpful.

Comparing Medical Guardian to Other Brands

Medical Alert Brand
Cost (per month)
Special Features
Home Range
Medical Guardian
Water-resistant; $2.99 monthly lockbox; free spouse monitoring after second pendant; WiFi and GPS tracking; $10 monthly fall detection
Up to 1,400 feet
Life Alert
Water-resistant; 72-hour backup battery; wall-mounted button for shower; spouse monitoring
Up to 800 feet
Water-resistant; power outage backup batteries; no equipment fees; lockbox free with most plans; tracking app; $10 monthly fall detection
Up to 1,400 feet
Bay Alarm Medical
Water-resistant; lifetime rate guarantee; 4G LTE network; Bella Charms to accessorize your necklace pendant; $10 monthly fall detection
Up to 1,000 feet

What to Consider Before Buying a Medical Alert System

Older adults looking to age in place can use innovative technology to create a safer home for themselves and peace of mind for their caregivers. Consider how your lifestyle influences the features you need in a medical alert system. If you’re active and frequently spend time outside of your home, opt for an on-the-go device like the Mini Guardian or Mobile 2.0, which has Wi-Fi, 4G LTE, and GPS technology.

Consider your location and cell service when choosing between a landline or cellular network at-home system. If you live in a rural area or generally have poor cell reception, you’ll want a device that connects to the monitoring center via a stable landline.

Some shoppers may be looking for a medical alert for a loved one who may not reliably wear or charge a pendant. Consider a system with voice-activated, wall-mounted buttons that are part of your subscription or can be added for a monthly fee. While Medical Guardian has optional add-on buttons for an additional monthly fee, GetSafe medical alert system is designed to integrate with your home so you don’t need to wear a help button. Finally, think about your health and potential medical risks. Dr. Brandy Archie, an occupational therapist in Kansas City, Missouri, with a focus on senior home health and aging in place, explains, “Fall detection is an important feature if you live alone and especially if memory or cognition are a concern.” These devices automatically contact emergency services even if you’re unable to summon help yourself. Medical Guardian, Bay Alarm Medical, and Medical Alert have optional fall detection for $10 a month. LifeFone offers this feature for just $5 per month.

Medical Guardian Customer Reviews

“My mother fell while outside and someone contacted her immediately and offered to call me or 911. She was ok so she thanked them and told them there was no need to call anyone, but she was very impressed by the fast and considerate service. I am reassured that I did the right thing by purchasing the fall detection service for her. I highly recommend this service.

“The product is fine but the customer service is terrible. It took 3 weeks for the company to acknowledge a return. The return was received, a credit was issued and then I was billed again in 3 weeks. I would not do business with Medical Guardian again.”

“I just ordered Medical Guardian for my grandmother. It couldn’t have been an easier process. They had online chat so I could ask all my questions quietly at work, and then when it came time to order I just had to call really quickly with my credit card. I haven’t received the unit yet, but if it’s as good as their customer service I will be really happy. Plus, you can’t beat the price!”

How We Reviewed Medical Guardian

You deserve the best products for a better quality of life. As such, we strive to create honest, helpful reviews that are backed by firsthand shopping, testing, and research. Our content is medically reviewed and unbiased to help you choose the right medical alert system for you or your loved one.

We chose 11 of the best medical alert systems from over 1,000 hours of research, and Medical Guardian is one of our top picks. We did the following throughout our research process:

  • Consulted with geriatricians and adult caregivers
  • Mystery shopped the brands
  • Surveyed medical alert system users
  • Tested various medical alert systems
  • Interviewed experts in the field
  • Read hundreds of verified customer reviews from trusted third parties, such as Better Business Bureau (BBB) and Trustpilot

We grade each medical alert company against a 1-10 rating scale and score them according to the following categories:

  • Essential features
  • Product functionality
  • Special features
  • Customer service
  • Purchasing process

Features and criteria within each of these five categories are assigned point values. The more points a company receives for each criteria, the higher they score in the overall category.

See our full explanation of how we rate medical alert systems for a full breakdown of our scoring system.

Bottom Line

Older adults who want to continue to live independently should consider a medical alert device. A fall can be a life-changing event, but medical alert systems can mitigate that risk by putting you in touch with a trained emergency operator almost instantly. By subscribing to Medical Guardian, you’re also subscribing to a service by a top-tier emergency response center with Underwriters Laboratory and TMA-Five Diamond certifications.

Medical Guardian is a strong contender for those who want a medical alert system backed by a reliable, established brand. Subscriptions may not be for budget shoppers, but its prices are comparable to other brands. 

Frequently Asked Questions

Medical Guardian operates on the AT&T cellular network. However, you don’t have to add this service to an existing AT&T plan—Medical Guardian systems work independently from a cell or internet account. Your medical alert subscription includes a connection to monitoring centers through the AT&T wireless network.

Jenny is an Adult-Gerontology Primary Care Nurse Practitioner in NYC with a passion for working with aging adults and their family members. Prior to her clinical training at Vanderbilt School of Nursing, she worked in business and medical research at Harvard Business School and Massachusetts General Hospital. As a Caregiving Coach at Givers, Jenny helps family members manage the financial, emotional, and educational stresses of caring for their loved ones who are aging in place.