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With Bay Alarm Medical, there are no monthly contracts, hidden fees, or extra charges. They have something for everyone’s budget, and you can try them out risk free for 30 days. Choose between in-home, Mobile GPS, and In-Car Medical Alert Systems.
Medical Guardian offers affordable landline, cellular-based, and on-the-go medical monitoring systems. Prices start at just $31.95 per month and come with 24/7 professional monitoring, free self-installation, optional fall detection, and water-resistant buttons.
Lively offers cost-effective mobile medical alert systems. The Lively Mobile2 starts at $79.99 for the equipment. Monthly monitoring starts at $24.99 per month. Despite the low price, we found these devices feature-rich, with GPS tracking and optional fall detection.
An affordable medical alert system should provide reliable protection without breaking the bank. We ranked the top budget-friendly options based on hands-on testing and industry research, focusing on dependable equipment and responsive monitoring.
Our top pick is Bay Alarm Medical, which offers robust features at a lower cost than many competitors. That said, no single system works for everyone. We also recommend Medical Guardian, Lively, and MobileHelp—each delivers strong performance at an accessible price, so one should suit your needs.
Affordability in medical alert systems comes from balancing equipment costs with monthly monitoring fees. Devices range from free to around $250, with mobile, cellular-enabled units costing more due to GPS and additional health features. Monthly plans usually run $20 to $60, with landline systems cheaper and cellular systems pricier.
Optional add-ons, like fall detection ($5 to $10/month) or telehealth services, can increase value but raise costs. In our experience, the most affordable systems strike a balance between essential features and reasonable fees.
Pro Tip: At-home systems usually include fall detection in a pendant; mobile systems embed it in the device.
Bay Alarm Medical is a leader in affordable medical alert systems, offering transparent pricing and reliable service without locking you into long-term contracts. Its in-home systems come with free equipment, while mobile devices range from $99 to $159. Monthly monitoring starts at $27.95 and goes up to $39.95, with the added benefit of free monitoring for a spouse, a feature that sets them apart in the budget category.
FYI: Bay Alarm Medical frequently runs promotions offering up to 40 percent off equipment fees, plus free shipping. They also include a complimentary month of monitoring when you prepay for an annual subscription.
We tested Bay Alarm’s SOS Home system, which includes a cellular base unit with a 1,000-foot range, a waterproof help button (available as either a pendant or wristband), and a Vial of Life for storing critical medical information. Monthly fees are $27.95 for landline or $34.95 for cellular service, with optional fall detection available for an extra $10. For older adults who primarily stay at home and need dependable coverage, this system delivers excellent bang for your buck.
During our testing, the equipment was reliable with crisp two-way communication and a stable connection. While it doesn’t include advanced features like activity tracking or health monitoring, it excels at what matters most: providing fast, dependable emergency response. Our monitoring tests showed an average response time of 35 seconds—well below the industry standard of 45 seconds.
At $27.95 per month ($34.95 with fall detection), with no equipment fees or long-term contracts required, Bay Alarm delivers exceptional value for older adults who prioritize home safety.
Pro Tip: Bay Alarm Medical regularly offers 20 to 40 percent discounts on equipment. These promotions appear ongoing rather than limited-time deals, so you can take your time deciding without worrying about missing out.
| Bay Alarm Medical Equipment | Equipment Price | Monitoring Price |
|---|---|---|
| SOS Home | Free | $27.95 Per Month |
| SOS All-In-One 2 | $149.00 | $34.95 Per Month |
| SOS Micro | $149.00 | $34.95 Per Month |
| SOS Smartwatch | $199.00 | $39.95 Per Month |
Note that the prices listed above reflect Bay Alarm’s standard retail prices. The company frequently runs promotions, with equipment discounts of up to 40 percent off, bringing the SOS All-In-One down to approximately $89.

Bay Alarm Medical Equipment
You can only learn so much from the bottom line. What really matters is value and Bay Alarm delivers there, too. They pack a lot of features into their packages that competitors charge for. The mobile app, for instance, lets caregivers make unlimited location requests, with your permission of course, whereas MobileHelp charges an extra fee for over 30 requests in a month.
Bay Alarm charges no hidden, activation, or initiation fees. Some packages require you to pay shipping costs, which is standard across the industry.

Bay Alarm Medical SOS Smartwatch Digital Face
If you’re looking to cover a spouse as well, Bay Alarm looks even better. The company provides free spousal coverage for its at-home system. Simply purchase an additional pendant – a one-time fee of $40. This arrangement saves couples $25 to $30 per month on monitoring, adding up to big savings over time.
Have we piqued your interest? Find out more in our Bay Alarm Medical review.
FYI: Bay Alarm Medical offers at-home systems that connect to landline or cellular signals. The latter is more reliable, but it’s also more expensive by about $5 to $10 per month depending on the system. We recommend investing in a cellular system if possible.
| Connectivity | Landline and cellular |
|---|---|
| Fall Detection | $10/month |
| In-home Range | Up to 1,000 feet |
| Battery Backup | Up to 32 hours |
| GPS Option | Yes |
| Money-back Guarantee | 15-day |
Like Bay Alarm, Medical Guardian offers in-home, mobile, and smart watch systems, although all systems require an equipment fee. As we note in our Medical Guardian review, Medical Guardian justifies those fees with some of the most advanced equipment in the industry and options to customize your system to your needs.
Medical Guardian offers a comprehensive lineup of feature-rich systems. Their MGHome Landline and MGHome Cellular systems offer an industry-best 1,400-foot range for their help buttons. The cellular system even features 4G LTE connectivity for a faster connection.
These high-tech features come with slightly higher equipment costs than Bay Alarm Medical. Most of its systems require equipment fees ranging from $149.95 to $199.95. Monthly monitoring costs range from $27.95 to $46.95, depending on the system and features selected. Fall detection follows industry standards at $10 per month.

MGClassic from Medical Guardian
Medical Guardian also offers on-the-go medical alert systems at competitive prices. The MGMini and MGMini Lite both require equipment fees starting at $149.95. The MGMove costs an extra $50, but for that price you get a smartwatch with advanced health tracking features. Monthly monitoring for mobile systems ranges from $39.95 to $46.95. Each monitoring plan comes with GPS location tracking, two-way communication, and cellular backup. Here’s a breakdown of the systems’ features:
| Medical Guardian Equipment | Features | Equipment Cost | Monthly Monitoring Cost |
|---|---|---|---|
| MG Move |
|
$199.95 | $42.95 |
| MGMini Lite |
|
$149.95 | $46.95 |
| MGMini |
|
$149.95 | $43.95 |
| MG Home Landline |
|
$149.95 | $31.95 |
| MG Home Cellular |
|
$149.95 | $38.95 |
All of Medical Guardian’s pricing is what you’ll actually pay. They’re upfront about their prices and never charge hidden fees. You’ll only get charged extra if you purchase their add-ons. They also charge a shipping fee unless you opt for an annual subscription.
| Connectivity | Landline, cellular, and Wi-fi |
|---|---|
| Fall Detection | $10/month |
| In-home Range | Up to 1,400 feet |
| Battery Backup | Up to 36 hours |
| GPS Option | Yes |
| Money-back Guarantee | None |
Lively remains a strong contender in mobile medical alert systems. Their streamlined product line emphasizes simplicity and value, with equipment starting at $79.99 and monitoring plans from $24.99 per month. We were particularly impressed with Lively’s intuitive mobile app, which makes managing alerts and monitoring easy for users on the go.
FYI: Lively's monitoring fees include 24/7 access to urgent response agents. Upgrade to the enhanced Premium plan and get access to telehealth services from board-certified nurses for non-emergency consultations.
If you’re in the market for an in-home system, we’d recommend either Bay Alarm or Medical Guardian over Lively. Both companies offer in-home equipment for free. Even if you purchase a traditional button system, Lively’s going to charge you. On the other hand, Lively’s monthly monitoring plans are $10 better than the industry average, and if you invest in a mobile, on-the-go system, you’re getting a cell phone for your money.
Lively offers two phone options – the Jitterbug Smart4 and the Jitterbug Flip2. The Smart3 is an Android-based device costing $119.99, significantly less than typical smartphones. The Flip2 is a traditional flip phone that’s even more affordable at $79.99. Since you pay upfront for the phones, you keep the phones if you cancel your subscription.
After picking our phone, we chose between two monitoring plans. The Basic package ($24.99 per month) features professional monitoring and a caregiver app so friends and family can track your location. The Preferred package costs more ($34.99 per month), but includes telehealth services.
Note that Lively charges a $35 activation fee when you sign up for service. That’s a little unusual. The company offers lots of deals and discounts, though, so price usually averages out. If you’re an AARP member, for example, you can save $5 per month on select health and safety packages with the purchase of a Lively Wearable2 or a Lively Mobile Plus. And, with their Refer-a-Friend program, you can get a $25 credit any time someone you refer activates a Lively phone or device.

Lively Watch
On top of the activation fee, you’ll also need a phone plan with any Jitterbug device. It comes with limited talk and text for free. Unlimited costs $5 per month. If you opt for the Smart4, you’ll also need to consider data costs. 1 GB per month is free, 5 GB costs $5 per month, 10 GB costs $15 per month, and unlimited costs $30 per month.
FYI: While the original Lively Wearable has been discontinued, the Lively Mobile2 comes with a clip attachment. That lets you use it as a wearable by attaching it to your belt or purse.
Read more about these affordable and comprehensive on-the-go systems in our in-depth Lively analysis.
| Connectivity | Cellular and Wi-Fi |
|---|---|
| Fall Detection | $9.99 per month |
| In-home Range | N/A |
| Battery Backup | Up to 40 hours |
| GPS Option | Yes |
| Money-back Guarantee | 30-day |
MobileHelp stands out as one of the most affordable medical alert systems we tested. Equipment is free, monthly fees are low, and the company even lets you cover a spouse for just $5 per month. While the system’s options are more limited than some competitors, MobileHelp delivers reliable protection at a very attractive price point.
MobileHelp makes things simple. The company offers one home unit, one mobile unit, or you can combine the two in a Home Duo Bundle. No matter what you choose, standard equipment is 100 percent free. You only pay for monitoring and any extra devices you might want.
As for monthly monitoring, MobileHelp offers some of the most affordable plans in the industry. 24/7 emergency monitoring starts at $24.95 for their Classic systems. Mobile system monitoring remains competitive at $34.95 per month. Plus, you can add a second person to your plan for $5 more per month – ideal for couples looking to save money.
Of course, the downside to MobileHelp is that you don’t get a lot of choice. Systems come with all the necessary safety features, from two-way talk and location detection to optional fall detection. In addition, every device relies on cellular communication, so you never have to worry that you’ll be at risk because your Wi-Fi went out. If you’re looking for a smart watch option, though, or a smartphone-based service, you’re going to be disappointed. If you want genuine protection at a low price, though, MobileHelp may be exactly what you’re looking for.

MobileHelp MD 4 on Charger
When it comes to bonus rewards, MobileHelp goes the extra mile. The Duo system, for example, covers a main user and spouse for $44.95 a month, saving $4.95 per month compared to two separate plans. If you both need on-the-go coverage, the MobileHelp Duo plan only costs $49.95.
FYI: MobileHelp’s referral program remains one of the most generous in the industry. Both you and your referral receive a $50 service credit when they purchase a system and maintain service for at least 60 days.
| Connectivity | Landline or Cellular |
|---|---|
| Fall Detection | $5.50/month |
| In-home Range | Up to 1,400 feet |
| Battery Backup | Up to 30 hours |
| GPS Option | Yes |
| Money-back Guarantee | None |
A medical alert system can be a lifesaver – quite literally. The right system can protect you from
In fact, there’s really no limit to the ways medical alert systems can protect you.
We understand—budgets are tight, especially in retirement. Fortunately, today’s market has plenty of affordable medical alert systems, so there’s no reason to go unprotected. No single system fits everyone, but we’re confident that one on this list will meet your needs and your budget. Beyond cost, quick emergency response can reduce the severity of an incident—and ultimately lower medical expenses. 1
FYI: The length of time, or “lie time,” that someone who has fallen and is unable to get up on their own is significant. Researchers determined that a lie time of 72 hours or more increases mortality by 67 percent.2
After evaluating most systems out there, we can say with confidence that not all medical alert systems are priced the same. Some providers offer pricier-than-average plans, and we have steered clear of them in our discussion. But others offer economical plans. It is also important to point out that any one particular system can offer several packages of varying prices.
Lifeline-EMS. (2025). The Science Behind Emergency Response Times: Why Every Second Counts.
https://lifeline-ems.com/the-science-behind-emergency-response-times-why-every-second-counts/
Kubitza, J., Schneider, I. T., & Reuschenbach, B. (2023, Aug 29). Concept of the term long lie: a scoping review. National Library of Medicine.
https://pmc.ncbi.nlm.nih.gov/articles/PMC10463813/