Best Affordable Medical Alert Systems

We stress-test the most affordable medical alert systems to find the ones that don't sacrifice critical features or reliability.

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Bay Alarm Medical
SecureScore™: 9.3/10

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.

Get Free Trial Links to Bay Alarm Medical
877-897-1064

Medical Guardian
SecureScore™: 9.1/10

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.

Get a Free Quote Links to Medical Guardian
866-232-5545

Lively
SecureScore™: 7.8/10

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.

Shop Lively Links to Lively
844-977-3349
  • Highest Rated

    Bay Alarm Medical

    9.3 / 10 SecureScore™
    Bay Alarm Medical
    Get Free Trial Links to Bay Alarm Medical
    Call Bay Alarm Medical: 877-897-1064
  • Medical Guardian

    9.1 / 10 SecureScore™
    Medical Guardian
    Get a Free Quote Links to Medical Guardian
    Call Medical Guardian: 866-232-5545
  • Lively

    7.8 / 10 SecureScore™
    Lively
    Shop Lively Links to Lively
    Call Lively: 844-977-3349

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.

List of the Cheapest Medical Alert Systems

  • Bay Alarm Medical - With no long-term contracts, hidden fees, or surprise charges, Bay Alarm Medical is our top choice for older adults managing their expenses carefully. The company has a reputation for reliable service and quality equipment while keeping pricing competitive. They offer comprehensive protection starting at just $27.95 per month for landline systems.
  • Medical Guardian - Medical Guardian offers a broad range of medical alert systems, with its most affordable at-home options starting at $31.95 per month. For that price, you get 24/7 emergency protection with a medical alert necklace or bracelet designed for in-home use, backed by TMA five-diamond-certified monitoring.
  • Lively - Lively provides affordable on-the-go medical alert systems packed with modern features. They keep pricing simple with straightforward monthly fee structures that apply across their product line.
  • MobileHelp - MobileHelp is another strong low-cost medical alert system. It offers an array of affordable at-home and mobile systems with no equipment fees, and it's one of the few providers to offer highly discounted on-the-go systems for spouses at just $5 per month for the second user.

Defining Affordability

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.

  • 1. Bay Alarm Medical - Best No-Contract Alert Systems

    SecureScore™ 9.3
    Bay Alarm Medical Equipment
    877-897-1064
    Get Free Trial Links to Bay Alarm Medical
    Customer Service
    9.2
    Value
    9.0
    Equipment
    9.5
    Features & Technology
    9.3
    Ease Of Use
    9.6
    SecureScore™
    9.3

    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.

    • Impressive response time with emergency response center
    • Above-average range on at-home systems
    • No activation fee
    • Dedicated SOS buttons make it easy to call for help
    • Smartwatches don’t require pairing to phones
    • Dual system offers extra layer of protection
    • Built-in speaker and microphone on smartwatch
    • Device fee added on some systems
    • The smartwatch’s battery only lasts six to eight hours between charges
    • Fall detection is an add-on cost

    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 Pricing

    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

    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

    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
  • 2. Medical Guardian - Best A-La-Carte Options

    SecureScore™ 9.1
    Home Guardian from Medical Guardian
    866-232-5545
    Get a Free Quote Links to Medical Guardian
    Customer Service
    9.0
    Value
    9.0
    Equipment
    9.2
    Features & Technology
    9.0
    Ease Of Use
    9.2
    SecureScore™
    9.1

    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.

    • MGMini comes in multiple colors.
    • TMA Five Diamond Certified monitoring based in the U.S.
    • GPS-ready and water-resistant
    • Optional Social Circle apps for MGMove keeps you connected to friends
    • Customer portal for activity tracking and communication
    • Expensive equipment fees
    • Response times can vary
    • Fall detection is an add-on feature with extra fees
    • No push notifications on the MyGuardian app
    • No trial period

    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 Guardian from Medical Guardian

    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 Breakdown

    Medical Guardian Equipment Features Equipment Cost Monthly Monitoring Cost
    MG Move
    • Smart Watch
    • Step Counter
    • Weather App
      Monitoring Center
    • Social Circle App
    $199.95 $42.95
    MGMini Lite
    • Pendant
    • Five-Day Battery Life
    • Water Resistant
    • Two-Way Speaker
    • 4G Connectivity
    $149.95 $46.95
    MGMini
    • Wristband button
    • Three-Day Battery
    • Water Resistant
    • Step and Activity Monitoring
    $149.95 $43.95
    MG Home Landline
    • Base Station
    • Pendant or Wristband Button
    • 1,400 Foot Range
    • Access to Membership Portal
    $149.95 $31.95
    MG Home Cellular
    • Base Station
    • Pendant or Wristband Button
    • 1,400 Foot Range
    • Access to Membership Portal
    $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
  • 3. Lively - Best Caregivers App

    SecureScore™ 7.8
    GreatCall Lively Wearable 2 and Mobile Plus
    844-977-3349
    Shop Lively Links to Lively
    Customer Service
    7.4
    Value
    7.4
    Equipment
    7.7
    Features & Technology
    8.4
    Ease Of Use
    8.3
    SecureScore™
    7.8

    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.

    • Fast response times
    • Free app to assist caregivers
    • 24/7 access to trained care agents
    • Nationwide cellular coverage
    • Multiple wearing options for versatility
    • No smartwatch option
    • Fall detection costs extras
    • Pendant battery only lasts a day and a half

    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

    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
  • 4. MobileHelp - Best Mobile Options

    SecureScore™ 8.7
    Customer Service
    8.8
    Value
    9.0
    Equipment
    8.2
    Features & Technology
    9.2
    Ease Of Use
    8.5
    SecureScore™
    8.7

    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 Connect App for Virtual Caregiving
    • Free Lockbox with Annual Plans
    • No Equipment Fees
    • On-The-Go Systems for Active Seniors
    • Best-in-Class 1,400-Foot Range for At-Home Systems
    • Affordable Pricing for Cellular At-Home Systems
    • Fall Detection Requires an Additional Pendant
    • Mobile Device Is Somewhat Clunky
    • Some Packages Include Activation Fees

    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

    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

Can I Afford a Medical Alert System?

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.

Citations
  1. 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/

  2. 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/

Jenny-Wisneiwski
Written By
Jenny Wisniewski
Medical Alert System Expert

After earning a degree in journalism, Jenny Wisniewski spent much of her professional life in education; however, she returned to writing in earnest in the senior care space, acting as caregiver to her mother. She has hand-tested the industry’s top medical alert systems, writing nearly 50 in-depth articles that help seniors age safely in place. Jenny also covers caregiving, Medicare, assisted living, memory care, and Alzheimer’s and Parkinson’s diseases. Previously, she’s written for national publications such as Country Magazine and Sierra Magazine. Jenny holds dual bachelor’s degrees in English/Journalism and Political Science from Miami University in Oxford, OH. She currently resides in Milwaukee, WI.