What will a medical alert really cost?

A $150 pendant can cost more than $2,000 by year three once the monthly fee is added. Compare the total you will actually pay, side by side, before signing anything.

Over 2 years, the options compared here cost from $160 to $1,517 in total.

Compare over
  1. SkyAngel911FDCellular button, no monthly fee
    $160
    Calls 911 directly Fall detection included Device $159.99

    Calls 911 directly. No call centre, so nobody has the medical details unless the wearer carries them. RetirementLiving

  2. LogicMark Guardian Alert 911 PlusCellular button, no monthly fee
    $399
    Calls 911 directly Fall detection included Device $399

    Calls 911 directly, with automatic fall detection. RetirementLiving

  3. Apple Watch SE 3 (GPS + Cellular)Smartwatch, no call centre
    $539
    Calls 911 directly Fall detection included Device $299 + $10/month

    Calls emergency services and contacts itself. Needs an iPhone; the monthly figure is a typical carrier watch plan. Macworld

  4. Bay Alarm Medical SOS All-In-One 2Pendant with 24/7 monitoring
    $1,228
    24/7 call centre Fall detection included Device $149 + $44.95/month

    Fall detection built into the monthly price. The Senior List

  5. ADT On-the-GoPendant with 24/7 monitoring
    $1,371
    24/7 call centre Fall detection included Device $0 + Activation $99 + $52.99/month

    No device charge, but a $99 non-refundable activation fee. Fall detection is $11 of the monthly price. The Senior List

  6. Medical Guardian MGMini LitePendant with 24/7 monitoring
    $1,517
    24/7 call centre Fall detection included Device $149.95 + $56.95/month

    Price shown with fall detection. The Senior List

Prices checked on 2026-10-13. They change often, so confirm with the provider before buying. We are not paid by any brand listed here.

Before you choose

Monitored or not?

Monitored services connect to a 24/7 call centre that knows the wearer’s address and medical details and calls family. No-fee devices call 911 directly: cheaper over time, but the operator knows nothing about the person.

Fall detection is often extra

Many providers charge for automatic fall detection on top of the base plan. The prices here include it where the device offers it.

Read the contract

Check the minimum term, cancellation rules and who owns the device before signing.

Whatever you choose, add a free emergency ID. Devices without a call centre phone emergency services without passing on any medical information, and any device can run out of battery. A QR ID on the strap fills both gaps.

Create a free ID

Other calculator: What will a kids’ GPS watch really cost?

Where these prices come from