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Starting at $34.95 per month, Lifeline monthly rates are competitive, though you'll save more if you're willing to commit to an annual plan.
Lifeline provides flexible medical alert systems for seniors who need options. Their technology is advanced, which places them above the most budget-friendly medical alert systems, but we prioritize value alongside affordability.
After hands-on testing, we included Lifeline in our top medical alert systems. Its reliability and precise location tracking justify the higher price for many users. Let’s break down Lifeline’s costs and explore whether its premium features make it a worthwhile investment for you or a loved one.
The best features of these systems

Here we are opening up our Lifeline medical alert system.
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Before we break down the value of each Lifeline package, let’s jump straight to the bottom line so you can figure out if Lifeline is within your budget. Its plans start at $34.95 per month for at-home or mobile protection.
If you go month-to-month, expect to pay $39.95 to $49.95 per month depending on the plan you choose. Here’s a full breakdown of Lifeline’s current pricing:
| Lifeline Package | HomeSafe Cellular | Smartwatch | On the Go | On the Go Mini |
|---|---|---|---|---|
| Device/Setup Fee | $99.95 | $159 | $99.95 | $99.95 |
| Shipping (fee is waived with the annual plan) | $29.95 | $29.95 | $29.95 | $29.95 |
| Month-to-Month Subscription | $39.95 | $39.95 | $44.95 | $49.95 |
| Annual Subscription | $419.40 ($34.95 per month) | $419.40 ($34.95 per month) | $479.40 ($39.95 per month) | $539.40 ($44.95 per month) |
On top of a discounted rate for monitoring, LifeLine’s annual plans also include free shipping and a free lockbox. Plus, you’ll get a pro-rated refund if you cancel your annual plan early for any unused months. If you can, we’d suggest going with annual billing.
As for overall pricing, our Lifeline systems cost more than the Bay Alarm Medical setup we tested, in terms of upfront costs and monthly fees. Lifeline offers some deals that can bring its prices closer to the competition. For example, discounts for AARP members and occasional promotional offers can reduce monthly monitoring fees.

Here we are holding our Lifeline help button with the lanyard attachment so we could wear it as a necklace.
Lifeline offers just a few optional add-ons across all of their medical alert systems. Here’s a complete look at Lifeline’s add-ons and upgrades:
| LifeLine Equipment | Description | Price |
|---|---|---|
| Lockbox (free with annual plans) | Comes with a combination lock / stores a key for emergency personnel | $2.95 per month |
| Fall detection | A specialized pendant designed to detect falls that connects to your system | $15 per month |
| Protection Plan | Covers the repair or replacement costs of any qualified damage to your system’s devices | $6.95 per month |
| Home setup and demonstration | Delivery and installation by a Lifeline technician; also includes shipping | $0 free one-time add-on |
Even though Lifeline charges more for fall detection than the typical industry rate, we still recommend it. Falls are the leading cause of injury-related deaths in the U.S. each year for older adults. That’s why we consider fall detection a must-have feature for any medical alert systems.1
We also recommend a lockbox to make it easy for emergency responders to enter your home if needed. However, you can buy one on your own and then call the non-emergency line for your local first responders to tell them the code. This can help keep your costs down if you’re on a budget.
Did You Know? 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 Fall detection helps reduce lie time.
While Lifeline’s caregiver app is not the most technologically advanced, it offers us all of the features we look for. We could check the battery life of medical alert devices, our loved one’s location, and receive all emergency alerts. These features can be highly helpful to caregivers. Check out our Lifeline vs Medical Guardian comparison for a full breakdown on the differences between their apps.
Another standout in Lifeline’s app is the Care Notes feature — something we rarely see from competitors. It lets users log daily ratings for mood, memory, and overall wellbeing. That makes it easy to spot trends over time and flag irregularities to discuss with a doctor.
The app is a nice freebie to complement the Lifeline system, and it’s better than some competitors. For instance, when we tested MobileHelp, we had to pay extra when checking the location of our loved one more than 30 times in any given month.
>> Learn About: Medical Guardian Reviews 2026

Here we are signing into the My Lifeline app from our Android smartphone to connect it with our Lifeline system.
LifeLine offers at-home and on-the-go systems as well as a smartwatch. In total, there are five different medical alert systems. We’ll cover them all starting with their at-home offerings.
Lifeline currently offers only a cellular at-home system — they’ve discontinued the landline version. We’ll keep the landline details below in case you purchased your system before it was phased out. Both the old landline and current cellular at-home system share identical specs as well with an 800-foot range and a 30-hour backup battery.
As Lifeline’s most budget-friendly medical alert system, it has the most limited capabilities. It uses your home’s landline connection to send alerts to Lifeline’s monitoring center.
Like we mentioned, it has a respectable 800-foot range. It’s not quite as long as our favorite long-range medical alert systems, but enough to keep us protected throughout our house and within our small front yard. A larger yard exceeding an acre would leave the outer edges of your property without coverage.
The wearable help buttons are waterproof, which we always appreciate. That allows us to take the help button with us when we shower, which is a time when older adults are at a higher risk of injury.
Who It’s Best For: The Lifeline HomeSafe Landline is made for seniors on a budget that already have a landline connection and only require at-home protection.
>> Read About: Best Waterproof Medical Alert Systems

We bought Lifeline’s HomeSafe Cellular system since our new home does not have a landline connection.
Like other medical alert system manufacturers, Lifeline charges more for their cellular systems. It typically charges $7 to $10 more per month, which aligns with industry standards. We appreciate that the Setup Fee is still the same.
Aside from the cellular connection and look of the system, everything else between Lifeline’s landline and cellular system is the same. The only deciding factor is whether you want your system to communicate with the monitoring center through the AT&T cellular network or a landline.
Who It’s Best For: Seniors that want at-home protection but don’t have a landline can pay a premium for a HomeSafe Cellular system.
FYI: Before buying a HomeSafe Cellular system, make sure you live in an area with AT&T service, otherwise your system will not work. We recommend using the FCC’s National Broadband Map for the most accurate and up-to-date coverage data3
Lifeline offers two mobile on-the-go systems and one smartwatch medical alert option. All of these systems work anywhere with AT&T cellular coverage. They also support the same add-ons as the HomeSafe system, including fall detection.

The standard LifeLine On-The-Go system is still relatively discrete and features two-way talk.
You can wear a Lifeline On The Go system anywhere. It’s slightly larger and heavier than the mini version, but still discreet in size. We also like that you can wear it as a necklace or on a belt clip, something many medical alert systems overlook. At an event in an evening gown? Simply pop the device into a cross body bag.
The standout feature is Lifeline’s Advanced GPS, or A-GPS, which speeds up their location tracking capabilities. You can take it in the shower with you too, although, we don’t recommend wearing it while swimming.
Who It’s Best For: If you’re an active senior who enjoys being outdoors, the Lifeline On The Go Standard system is the best option.
Pro Tip: We don’t recommend opting for Lifeline’s professional installation service with their mobile systems. Setting up any of these devices only requires charging it, turning it on, and contacting Lifeline to activate it. That’s not worth paying an extra $99 for, in our experience.
Lifeline packed all of the features of the On the Go Standard system into an even smaller device. While it’s not as small as the Medical Guardian MGMini we reviewed, it’s as close as we’ve seen.
However, that smaller size means a bit less flexibility as you need to decide whether you want to wear it as a pendant or wristband when you buy the system, and cannot change your mind without incurring additional costs. It’s also Lifeline’s most expensive system.
Who It’s Best For: Active seniors who want a discreet on-the-go system.
Did You Know? Lively offers one of the least expensive on-the-go medical alert systems with plans starting at $24.99 per month. Check out our Lively review to find out if it’s the right budget alternative to Lifeline for you.
We were impressed with the Lifeline Smartwatch. It offers a fair amount of extra features like a heart rate monitor and step tracker. There’s an easy-to-read screen, too, with large text and a bright, easy-to-read interface that was visible in sunlight
Unlike Medical Guardian’s MGMove, don’t expect to receive text messages or set reminders. . It does offer optional fall detection, an important attribute that both of these devices have.
Who It’s Best For: Physically active seniors that want a stylish medical alert device in the form of a smartwatch that can track their fitness goals.
>> Check Out: The Best Medical Alert Watches for Seniors in 2026
Lifeline has a longstanding deal with AARP: Members can save 15 percent on their monthly medical alert service. This deal also includes free shipping and free activation. Note, though, that the activation fee is $50 of the $99.95 setup fee, so you’ll still need to pay $49.95 if you want professional installation.
| HomeSafe Cellular | On-the-Go Standard | On-the-Go Mini | Smartwatch | |
|---|---|---|---|---|
| Monthly Cost | $34.95/mo | $39.95/mo | $44.95/mo | $34.95/mo |
| Setup Fee | $99.95 | $99.95 | $99.95 | $159 |
| Two-Way Voice Communication | Included | Included | Included | Included |
| 24/7 Response Centers | Included | Included | Included | Included |
| GPS Enabled | Included | Included | Included | Included |
| Automatic Self-Testing | Included | not included | not included | not included |
| Help Button | Waterproof Button | Waterproof Pendant | Waterproof Pendant | Smartwatch |
| Battery | 30-hr Backup | Rechargeable | Rechargeable | Rechargeable |
| Two-Way Talk | — | Included | Included | — |
| Screen | — | — | — | Easy-to-Read |
| Range | 800 ft | unlimited | unlimited | unlimited |
| Form Factor | Base + Button | All-in-One | All-in-One (Mini) | Wrist-worn |
| Professional Installation | Available | Available | Available | Available |
| Fall Detection | Available | Available | Available | Available |
| Lockbox | Available | Available | Available | Available |
| Protection Plan | Available | Available | Available | Available |

Here we are setting up our Lifeline HomeSafe Cellular medical alert system.
Lifeline’s monitoring fees run above industry averages, and the company charges for professional installation. These fees can be lowered or waived for AARP members, which is a welcome perk. On the upside, except for the Smartwatch, Lifeline provides equipment at no additional cost, which helps offset some of that expense.
One of Lifeline’s standout features is the all-in-one On the Go device. Its location detection combines advanced GPS and cellular service, giving caregivers peace of mind—especially for loved ones with dementia or other medical conditions.
The higher price tag is real, but so is the track record. Lifeline has been in the medical alert space for decades, and that experience shows up in the details. They offer high-quality equipment and a responsive care team to handles emergency calls. If you’re looking for a brand with proven reliability and dependable monitoring, Lifeline delivers. Just go in knowing you’ll pay more for it.
FYI: If you aren’t happy with your Lifeline system, you can return it within 30 days for a refund on equipment and monitoring. However, you may still be charged for restocking.
Dating back to 1972, Lifeline was the first medical alert brand to serve North America. It was the brainchild of the late Dr. Andrew Dibner, a gerontology-focused professor at Boston University. He grew the company with his wife Susan Dibner, a social worker by training. At first, they marketed Lifeline systems to hospitals. Then in the early 1980s, Lifeline became available for home use. Their first mobile unit, GoSafe, hit the market in 2014.
Lifeline was acquired by Royal Philips in 2006 and built a strong reputation over the following years. In 2021, the brand was sold to Connect America, one of the largest connected health platforms in North America, which continues to operate Lifeline today. The mission hasn’t changed — keeping older adults safe, independent, and connected.
When we stacked Lifeline up against other top medical alert systems, a consistent theme emerged: you tend to pay more without getting a whole lot of extra value in return. Fall detection is a good example — Bay Alarm Medical charges $10 per month for it, while Lifeline comes in at $15. The performance is comparable, so budget-conscious shoppers may find better bang for their buck elsewhere.
Medical Guardian, while slightly more expensive than Lifeline, offsets the higher cost with added features. Their smartwatch not only tracks health and location like Lifeline’s but also sends texts and sets reminders. At $8 more per month, we think these extras justify the price.
>> Read More: Bay Alarm Medical vs. Medical Guardian 2026
To make sure we fully understood Lifeline’s pricing, we bought a system ourselves to make sure our numbers lined up with the final price we paid. This also allowed us to assess the value Lifeline offers by testing the system with a focus on the following criteria:
All of these tests were conducted by our in-house senior care experts with years of experience in the industry. Then, we confirmed their findings by consulting with third-party experts and current Lifeline customers.
If your budget allows, Lifeline delivers high-quality equipment and reliable service. Keep in mind that medical alert systems are subscription-based—this isn’t a one-time purchase. For older adults who value brand legacy and proven reliability, Lifeline remains a strong contender, but shoppers should compare pricing carefully to ensure it fits their needs and budget.
We also recommend taking advantage of discounts where possible. Lifeline, for example, offers 15 percent off for AARP members, which can meaningfully reduce costs given the system’s premium pricing.
You can get Lifeline HomeSafe with a landline connection, but we recommend choosing the cellular model. It uses AT&T’s nationwide network and stays online during power and internet outages, providing more reliable protection when you need it most.
Lifeline products are designed to be easy for everyone to use – even if they’re not tech-savvy. The buttons on pendants are large and the font on the smartwatch is oversized so it’s easy to read.
Lifeline has no long-term contracts. You can cancel any time by calling the customer service team.
The My Lifeline mobile app is available on the App Store and Google Play store. Friends, family members, and caregivers can download the app and set up real-time notifications. You can even share Care Notes, which can include photos and health updates.
The On the Go battery lasts up to four days on a single charge. You’ll get an alert via the My Lifeline app when it’s time to recharge it.
Centers for Disease Control and Prevention. (2026). Older Adult Falls Data. https://www.cdc.gov/falls/data-research/index.html
Federal Communications Commission. (Retrieved 2026). FCC National Broadband Map. https://broadbandmap.fcc.gov/home
Google Play Store. (2021). Philips Care Assist C.03.
https://play.google.com/store/apps/details?id=com.philips.CareTouch.B00&hl=en_US