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Starting at $24.99 per month for an on-the-go medical alert device, Lively offers affordable mobile solutions for seniors.
Lively, better known for the Jitterbug phone, has built a track record designing devices for seniors, and at notably affordable rates. But when a product is meant to save your life, a low price tag alone isn’t enough. It needs to perform reliably against the best medical alert systems on the market.
Our team of senior care experts bought a Lively Mobile2 and lived with it for three weeks, running simulated emergency scenarios alongside everyday use to see whether Lively delivers on more than just price. Here’s what we found.
Did You Know? Lively was formerly known as GreatCall. The company rebranded its name and products to Lively in May 2021 and has continued expanding its lineup of senior-focused devices and services since then.
Lively isn’t your average medical alert brand. It’s both a cell phone provider and a medical alert company with unique solutions for reaching emergency responders. The company also provides exclusive concierge services like on-demand phone consultations with doctors.
Lively’s most popular products are their mobile phones, designed with larger buttons and senior-friendly interfaces that make everyday use straightforward. We also appreciate that they run on Verizon’s network — one of the most reliable cellular networks in the country, with broad nationwide coverage.1
Lively’s phones aren’t medical alert devices on their own, only the Lively Mobile2 we tested carries that designation. If a phone is what you’re after, Lively still offers a medical emergency monitoring service you can subscribe to and call for urgent care guidance. With that distinction out of the way, let’s get into Lively’s pricing and our hands-on experience with the medical alert system itself.

We bought a wristband with our Lively Mobile2 so we could wear it as a watch.
The best features of Lively include:
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The Jitterbug Flip2 and Smart4 are phones first, not medical alert devices. You can pair them with Lively’s medical response service, but reaching help requires making a call rather than pressing a dedicated button. For true one-touch emergency response, the Lively Mobile2 is the only device in the lineup that qualifies as a medical alert device.
Here’s a breakdown of the costs associated with each Lively device:
| Lively Device | Lively Mobile2 | Jitterbug Flip2 | Jitterbug Smart4 |
|---|---|---|---|
| Type of Device | Mobile Medical Alert Device | Flip Phone | Smartphone |
| Equipment Fee | $79.99 | $79.99 | $149.99 |
| Activation Fee | $35 | $35 | $35 |
| Monthly Fees for Urgent Response Monitoring | Starts at $24.99 | Starts at $34.99 | Starts at $39.99 |
| Fall Detection | $9.99 per month | Not available | Not available |
| Care Advocate and On-Call Nurse | +$10 per month | +$10 per month | +$10 per month |
Pro Tip: While we’re not big fans of Lively’s $35 activation fee, it’s easy to get around. They waive the activation fee if you call them to activate your device or if you activate it online. Just avoid activating it through a third-party retailer or you might end up paying that $35 fee.
Prices only tell half the story. You need to know what you’re getting for your money to tell if it’s a good deal. We tested Lively’s medical alert systems, so we can share exactly what to expect from each of their devices and assess their overall value.
While we appreciate that Lively makes mobile phones tailored to seniors, a dedicated medical alert device is still better when it comes to receiving emergency medical help.
That’s because Lively’s phones are not waterproof. You can’t take them in the shower, where most medical emergencies occur.2 Still, a Lively phone is a better medical alert device than most other phones on the market.
>> Read About: Lively Jitterbug Phone Costs and Smartphone Pricing 2026

Our subscription to Lively Preferred included access to the Lively Link app we used to track our steps.
The Jitterbug Flip2 is a Samsung-made folding mobile phone designed with older adults in mind. The interface keeps things simple with a large-print menu and oversized keypad buttons, and at the bottom of the number pad sits a red emergency help button. That button is what puts it ahead of the pricier Jitterbug Smart4 in our view. It gets you to help in a single press without navigating through menus or extra steps.
It’s capable beyond emergencies too. The Flip2 supports voice-to-text dialing and messaging, shoots photos with an 8MP camera, includes Brain Games for mental engagement, and doubles as a reading light with a built-in magnifier.
On the plan side, opting for the tier that includes medical alert monitoring gets you unlimited talk and text at no extra charge. Basic phone service starts at $14.99 per month with limited minutes and texts, and adding unlimited calls and texts runs an additional $5 per month.
Best for: The Jitterbug Flip2 is best for seniors who want a simple phone with a button that acts as a medical alert device.
Pro Tip: Want to learn about the best features of the latest alert systems? If so, check out our medical alert system buyer’s guide to get the scoop.

The large buttons for each app make it easy for seniors to navigate the Jitterbug Smart4.
The Jitterbug Smart4 turned out to be a more capable smartphone than we expected going in. It’s not competing with the latest iPhone on raw performance, but it does something the latest iPhone doesn’t: it puts an Urgent Response button directly on the device.
Getting to that button requires one extra step compared to the Flip2. The screen needs to be active before you can press it, which is a minor friction point for most users but a legitimate concern for anyone dealing with dexterity issues in a high-stress moment.
Every Smart4 plan includes unlimited talk and text, 1 GB of data, and 24/7 access to a Lively operator. Plans start at $19.99 per month, though accessing the Urgent Response feature requires at least the $39.99 tier. Additional data is available as an add-on, up to $30 per month for unlimited.
Best For: The Jitterbug Smart4 is best for seniors who want an easy-to-use smartphone with some medical alert capabilities.
FYI: In most cases, you can transfer your current mobile number to a Lively phone. We always recommend doing so to keep things simple.
When it comes to medical alert capabilities, the Lively Mobile2 is much better than Lively’s phones. It’s easier to use, you can take it everywhere, and it comes with extra safety features like enhanced GPS tracking for emergency responders.

We bought a wristband for our Lively Mobile2 for $7.99 so we could wear it as a watch.
Compared to Lively’s phone options, the Mobile2 offers the most direct path to medical support. There’s just one button on the device, and pressing it connects you immediately with Lively’s Urgent Response team. It’s also the only device in the lineup that’s waterproof, so we took it with us swimming and in the shower without issue.
We’d also recommend adding fall detection to the Mobile2. It’s a feature we consider close to essential for most medical alert users. That said, after running a few simulated falls, we found it performs best when worn as a necklace with the included lanyard rather than clipped elsewhere.
Best for: The Lively Mobile2 is best for folks who want a dedicated medical alert device that they can take anywhere.
>> Check Out: Best Medical Alert Systems with Fall Detection
Pro Tip: Unlike Lively’s mobile phones, the Lively Mobile2 is a qualified expense for an HSA or FSA account. That can help you lower your expenses since you can pay for it with pre-tax dollars.
Lively stands out from other medical alert and senior phone providers with unique services like Lively Rides. Depending on the tier of service, you’ll get access to Lively’s various services. There are three service tiers for the Jitterbug Smart4 and Jitterbug Flip2: Basic, Preferred, and Premium. We suggest opting for at least the Preferred tier to access the emergency response feature.
The Lively Mobile2, designed specifically as a medical alert device, only supports the two plans called Basic and Premium. Those two plans include all the same features as the Smart4 and Flip2’s Preferred and Premium plans except without talk, text, and data.
While the Premium plan adds 24/7 access to an on-call nurse who can refill subscriptions and dedicated care advocates, most find the preferred plan sufficient for their needs. Most health insurance plans also include remote access to an on-call nurse for basic needs, so unless you specifically need that extra layer of support from Lively, the mid-tier options offer excellent value.

The Lively Link app allowed us to invite our caretaker and loved ones so they could see our location and receive our alerts.
Here’s a complete breakdown of Lively’s specialized services, the plan level required to access them, and which devices support each feature:
| Lively Service | Plan Required | Device Availability | Service Description |
|---|---|---|---|
| Fall Detection | Fall Detection Add-On | Mobile 2 | A wearable add-on that sends an emergency signal if it detects a sudden fall |
| Urgent Care | Basic for Mobile2; Preferred for Smart4 and Flip2 | Mobile2, Smart4, Flip2 | On-demand phone consultations with doctors and RNs plus an audio library on common health problems |
| Personal Operator | Basic for All Devices | Mobile2, Smart4, Flip2 | Unlimited help with appointments, scheduling, and more |
| Lively Link | Basic for Mobile2; Preferred for Smart4 and Flip2 | Mobile2, Smart4, Flip2 | A mobile app that allows caregivers to use location detection and receive alerts if the subscriber calls for help |
| Lively Rides | Basic | Smart4, Flip2 | Concierge service for arranging Lyft rides with drivers trained to work with seniors |
| Urgent Response | Basic for Mobile2; Preferred for Smart4 and Flip2 | Mobile2, Smart4, Flip2 | Emergency response system that sends assistance when the help button is pressed |
| Brain Games | None | Smart4, Flip2 | Pre-loaded games from a leading provider of brain fitness exercises |
| Alexa Integration | None | Smart4, Flip2 | Technology that enables calling or texting by voice |
| Care Advocates | Premium | Mobile2, Smart4, Flip2 | Experts you can call for advice on improving your health |
| Nurse On-Call | Premium | Mobile 2, Smart4, Flip2 | Doctors and nurses you can call for medical advice and prescriptions |
Want to get more out of your Lively device? The brand offers a wide selection of accessories, add-ons, and upgrades — more than most competitors in the medical alert space. Whether you need a protective case, an extra charging cable, or a wearable option, there’s likely something that fits your setup. Just keep in mind that accessories can add up, so it’s worth factoring those costs into your budget upfront.
Below is a comprehensive pricing breakdown of Lively accessories compatible with each product line.
| Product | Description | One-Time Cost | Product Description |
|---|---|---|---|
| All | Lockbox | $39.99 | Key-code lock box for emergency responders to access your house |
| Jitterbug Smart4 & Flip2 | Car Charger | $24.99 | 12V charger with 40″ coiled cable |
| Jitterbug Smart4 & Flip2 | Bluetooth Headset | $39.99 | Wireless headset for streaming music and answering calls |
| Jitterbug Smart4 & Flip2 | Stereo Earphones | $24.99 | Headset for streaming music and answering calls |
| Jitterbug Smart4 | Soft Shell Case | $19.99 | Protective wrap-around case |
| Jitterbug Smart4 | Hard Shell Case | $24.99 | Extra protective wrap-around case |
| Jitterbug Smart4 | Screen Protector | $19.99 | Thin, tempered glass that guards screen against scratches |
| Jitterbug Smart4 | Extra Wall Charger | $24.99 | Includes a micro-USB cable |
| Jitterbug Smart4 | Wallet Folio Case | $39.99 | Stylish protection for phone with functionality of wallet |
| Jitterbug Smart4 | Smartphone Stand/Grip | $9.99 | Attachment that makes it easier to hold the smartphone |
| Jitterbug Flip2 | Extra Charging Dock | $29.99 | Additional dock for convenience |
| Lively Mobile2 | Lanyard | $14.99 | Available in black |
| Lively Mobile2 | Belt Clip | $14.99 | Attaches to pocket, purse or keychain |
| Lively Mobile2 | Wristband | $19.99 | Adjustable and available in black |
| Lively Mobile2 | AC Charging Dock | $24.99 | Easy to use |
We’ve helped countless families navigate these decisions through our hands-on testing and research. Start by determining whether you need a smartphone with medical alert features or a dedicated device. Next, check if your health insurance already covers features similar to Premium plans — this could save you money. If not, we recommend selecting a plan with Urgent Response for the fastest emergency access. Finally, choose accessories that fit your budget and daily needs.
Lively occasionally runs promotions for new subscribers, including discounts on devices and accessories. We recommend checking their website or calling directly before you place your order. You never know. You might catch a limited-time deal that saves you money. They previously offered a $5 per month discount on subscriptions for AARP members, but that is no longer available.
Shipping is free on all orders, and you can usually skip the activation fee by calling Lively directly instead of activating in-store.

After activating fall detection on our Lively Mobile2, we started wearing it as a necklace for more accurate detection.
Choosing a Lively alert system makes sense if you’re budget-conscious. If you or your loved one needs cell phone service anyway, a Lively phone won’t add significant monthly costs. Keep in mind that Lively’s lowest advertised rate of $14.99 per month doesn’t include their Urgent Response feature, so it won’t work as a medical alert device. Don’t forget, they also charge for equipment.
Pro Tip: If you add texting, data plans, and concierge services, the total is still cheaper than most standard mobile phone plans — with the bonus of emergency alert coverage, personal operator support, and senior-friendly features.
As for the wearable, Lively offers one of the most affordable medical alert systems, starting at $24.99 per month, for an all-in-one device you can take anywhere. It’s a bit disappointing that the equipment isn’t free, unlike Bay Alarm Medical’s pricing structure. That said, LIvely’s equipment fees are lower than Medical Guardian’s prices.
You could save a bit with a home-only system with free equipment from Bay Alarm Medical. But for a mobile medical alert system, Lively’s pricing is hard to beat.
>> Learn More: Bay Alarm Medical vs. Medical Guardian 2026
Lively began in 2005, founded by a southern California couple already known for revolutionizing mobile communications. Arlene Harris developed game-changing code for pagers, and Martin Cooper is considered the father of the cell phone.3
In founding Lively, the couple intended to showcase Harris’ new code, called SOS, for emergency communications. The first Lively phones with this technology hit the market in 2006. Well designed and built by Samsung, they were well received from the start. Within a few years, Lively added services such as Urgent Care for on-demand medical calls and MedCoach for text-based pill reminders.
Today, Best Buy Health owns the company. Lively maintains an A+ rating with the Better Business Bureau, reflecting a consistent track record of customer satisfaction.
Lively takes a slightly different approach than Bay Alarm Medical and Medical Guardian, two of the biggest names in medical alert systems. Lively focuses on one core medical alert device, but that device delivers solid value. Comparable devices from Bay Alarm and Medical Guardian can run $10 to $20 more per month, often with higher upfront device fees on top of that.
With the limited product selection, however, don’t expect to get one of the best medical alert smartwatches like you can with Medical Guardian. Lively’s phones also have some limitations that prevent us from recommending them as medical alert devices such as a lack of water resistance. Lively provides good value, but we prefer the options and quality of products from Bay Alarm Medical and Medical Guardian.
>> Read More: Medical Guardian MGMove Review 2026
We thoroughly researched the pricing and features of every Lively device and plan to get a clear picture of the true cost. We also purchased Lively’s medical alert device for hands-on testing so we could accurately evaluate its real-world value. During our testing, we focused on the following criteria:
If you’re shopping for a new phone or an all-in-one mobile medical alert device without breaking the bank, Lively is worth a look. Keep in mind that you won’t get ultra-fast response times like Bay Alarm Medical’s 16-second average or the advanced smartwatch features that Medical Guardian brings to the table.
That said, Lively delivers 24/7 protection starting at $24.99 per month. Device fees are relatively low, and the company frequently runs promotional discounts — making Lively one of the more budget-friendly options in the medical alert space.
The Jitterbug Flip2 retails for $79.99 and the Jitterbug Smart4 costs $119.99. You’ll also need to pay a one-time activation fee of up to $35, plus your first month of service, which varies based on the plan you choose. The Flip3 and Smart5 cost the same amount, although the Smart5’s basic talk and text plan costs slightly more than the Smart4.
There are no setup fees but Lively charges a $35 activation fee per device. You can sometimes find promotions that waive this fee if you call during specific sales events.
If you run out of data, you’ll be charged $0.02 per MB for the remainder of the billing cycle.
Yes, you can use your current phone with any Lively plan including their plans with Urgent Response. That lets you turn almost any compatible smart phone you own into a medical alert device.
Yes, you can switch or cancel plans anytime. There are no long-term contracts. You’ll need to call the customer service team to discuss your options.
RootMetrics. (2024). The state of 5G in the US: Who won the 5G race in 1H 2024? https://rootmetrics.com/en-US/content/US-state-of-5G-1H-2024
Nashville General Hospital (2023). Avoid bathroom injuries. https://nashvillegeneral.org/news/avoid-bathroom-injuries
Encyclopedia.com. (18 May, 2020). Martin Cooper.
https://www.encyclopedia.com/people/literature-and-arts/music-history-composers-and-performers-biographies/martin-cooper#2506300048