Retirement Living takes an unbiased approach to our reviews. We may earn money when you click a partner link. Learn More

Medical Guardian logo

Medical Guardian Review

4.7 Overall Rating

4.8 Stars
4.5 Stars
4.8 Stars
4.7 Stars

Bottom Line

Medical Guardian offers five medical alert system packages, including options for use at home and on the go. Monthly subscription prices start around $30.

Read Customer Reviews


About Medical Guardian

Medical Guardian offers some of the best medical alert systems, alert monitoring, and emergency dispatch services available. Whether you spend most of your time at home or are fully active, Medical Guardian has a medical alert system to suit your lifestyle.

The company, based in the U.S., started in 2005. Its headquarters are in Philadelphia, Pennsylvania. A fully U.S.-based monitoring facility ensures safety and security. No calls are sent to other countries.

Medical Guardian equipment includes home-based emergency help units and cellular-based mobile devices that are not dependent on a base station for service. Along with providing 24/7 monitoring, operators are trained to help in both emergency and non-emergency situations where a call to another family member or friend is more appropriate than dispatching the fire department or paramedics.

The brand offers lightweight, water-resistant medical alert devices. Fall detection options are also available. Users and caregivers can access the MyGuardian customer portal to see device GPS location tracking, view history, and stay connected through notifications and messaging.

Pros

  • 1 month free plus free equipment, activation, and shipping
  • No long-term contracts
  • Slim, lightweight devices with a water-resistant design
  • MyGuardian online portal to track location and stay connected with your care circle
  • Wear in the shower and other high-risk areas with water-resistant technology

Cons

  • Medicare does not cover the service cost

Medical Guardian Products and Features

Medical Guardian offers five systems: two home-based models and three on-the-go models. All plans are priced based on their monthly monitoring, rather than a flat fee upfront for equipment and monitoring. Discounts are available for quarterly and annual payments. 

Each of the home base units works by having a central base station with an emergency button plugged into the home electrical system. Each of these systems comes with at least one wearable emergency button.

While optional, Medical Guardian will also include advanced features, such as a lockbox for the front door, at no additional charge with an annual subscription to any Guardian model. The lockbox is useful for storing a house key, so EMTs or police do not have to break down a locked door to get to the person requiring attention. Other paid options are wall-mounted buttons and a pendant with fall detection.

Medical Guardian Products

MGHome Landline

The MGHome Landline base unit starts at $29.95 per month. Fall detection monitoring is available with a specially equipped pendant for an additional $10 per month, serving as an additional layer of security. However, keep in mind that the fall detection service is not yet a perfected feature among emergency response companies. The customer should use the button on the pendant or wristband if they fall.

MGHome Cellular

The MGHome Cellular has replaced the Home Guardian. The unit starts at $37.95 a month. Fall detection monitoring is available for an additional $10 monthly and comes with your choice of a neck pendant on a lanyard or a wristband help button. It features a 32-hour backup battery and includes an optional wall button for added safety. It uses cellular and connects through AT&T’s nationwide cellular network.

MG Mini

The MG Mini replaces the older Mini Guardian. This small, all-in-one mobile device starts at $39.95 per month. It uses 4G LTE, GPS, Wi-Fi, and Bluetooth to pinpoint your location and connect directly to the monitoring center—no base unit required. It’s fully mobile, water-resistant, and rechargeable, making it ideal for active users.

MGMini Lite

The MGMini Lite is the newest addition to the lineup. It offers the same portability and connectivity as the MG Mini but in a lighter, simplified design. It’s easy to wear and discreet, making it perfect for those who want dependable protection in a smaller form. Pricing starts at $42.95 per month and includes the same fall detection option as the others.

MG Move

The MG Move is a smartwatch that starts at $39.95 per month, with a one-time equipment cost of $149.95. It includes GPS tracking, step counting, medication reminders, weather updates, and text-to-speech messaging through the MyGuardian App. The MG Move is ideal for active users who prefer a wearable device that combines healthcare tracking with emergency protection.


Medical Guardian Costs

Medical Guardian’s pricing remains competitive. In addition to the prices outlined in the chart below, customers can choose from monthly, quarterly, or annual subscriptions. Free equipment, shipping, and a lockbox come with an annual plan. There are no long-term contracts, and each plan includes access to 24/7 U.S.-based monitoring, as well as fall detection as an optional add-on for $10 per month.

 ProductEquipment FeeMonthly FeeConnectivity
MG Home LandlineNone$29.95Landline
MG Home Cellular$149.95$37.95AT&T 4G LTE Cellular
MG Mini$149.95$39.95Wi-Fi, GPS, 4G LTE
MG Mini Lite$149.95$37.95Wi-Fi, GPS, 4G LTE
MG Move$149.95$39.95Wi-Fi, GPS, 4G LTE
Medical Guardian Pricing (2025)

Medical Guardian Warranty and Return Policy

Medical Guardian offers a 30-day money-back guarantee, allowing you to thoroughly test the system’s functionality at home. If you cancel in that time frame, you’ll get a full refund once the equipment is returned in good condition. 

Beyond 30 days, there is no contract, and you can cancel service at any time. If you choose to cancel service, simply return the equipment, and you will receive a prorated refund based on the day the device was returned to Medical Guardian.


Medical Guardian Complaints

Medical Guardian has a strong overall reputation and consistently high ratings on major platforms. It holds an A+ rating from the Better Business Bureau (BBB), reflecting consistent customer satisfaction.

At the same time, prospective users should be aware of recurring issues reported around billing, returns, and device reliability. As always, it’s wise to keep records of your interactions, test your system periodically, and verify terms around cancellation and refunds.


Medical Guardian FAQs

What is the benefit of having U.S.-based monitoring?

Having monitoring facilities in all fifty states reduces the chance of communication failure due to language barriers. Medical Guardian’s monitoring center operators speak English, Spanish, and additional languages using a third-party translation system. Operators are available 24/7, including holidays, for real-time assistance.

What emergency training do the operators have?

Medical Guardian’s operators are trained to know when to contact emergency services, a loved one, or other designated emergency contacts to avoid sending an ambulance when it’s not necessary. Not all monitoring services can make that distinction. Medical Guardian holds certifications from Underwriters Laboratory (UL) and The Monitoring Association (TMA) Five Star Certification.

Does Medical Guardian have a warranty?

Yes. Medical Guardian offers a lifetime equipment warranty on all Medical Guardian devices as long as you maintain an active subscription. If your system is damaged or malfunctions under normal use, the company will replace it at no cost. Optional protection plans are also available for lost or accidental damage.

How much does Medical Guardian cost?

Medical Guardian systems start at $29.95 per month for in-home landline protection and range up to about $39.95 per month for mobile systems and smartwatch options. All plans include 24/7 U.S.-based monitoring, with no long-term contracts and optional fall detection for $10 per month.

I don’t have a landline. Can I still use Medical Guardian emergency response services?

Yes. Only one Medical Guardian system—the MG Home Landline—requires a landline connection. All other systems, including the MG Home Cellular, MG Mini, MG Mini Lite, and MG Move, use AT&T’s nationwide cellular network with service included in your monthly plan. You don’t need to be an AT&T customer to use these devices.

How does Medical Guardian compare to other medical alert systems?

Medical Guardian stands out among top medical alert providers, such as Life Alert, Bay Alarm Medical, Mobile Help, and Medical Care Alert, for its flexible, contract-free plans and modern device lineup. Customers can choose from five systems—ranging from in-home landline models to lightweight mobile and smartwatch options—all backed by 24/7 U.S.-based monitoring and optional fall detection. Pricing is transparent, with plans starting at $29.95 per month and no activation fees when ordering online.

Compared to competitors, Medical Guardian earns strong marks for its fast response times, intuitive mobile app, and nationwide cellular coverage. It maintains an A+ rating with the BBB and a 4.0-star average on Trustpilot, reflecting generally positive feedback for customer service and reliability. Some users, however, report billing and return frustrations, which are common across the industry.

Overall, Medical Guardian offers one of the most comprehensive and tech-forward solutions for older adults seeking independence, safety, and peace of mind. It strikes a balance between affordability, reliability, and personalized service, which continues to make it a top pick among medical alert systems.


Conclusion

As we age, our needs change. The Institute on Aging reports that as of 2010, the number of people living to 85 and beyond was the fastest-growing group of older Americans. In 2050, it is expected that there will be at least 19 million people in the United States who are 85 years old or older, accounting for approximately 5% of the population. Nearly one-third of older Americans live alone, and some estimates suggest that over 53 percent of these individuals have physical limitations that necessitate a means of quickly calling for help in the event of an accident.

Bone fractures due to aging alone account for two million incidences a year. Even among those not living alone, the risk of becoming lost or disoriented for those facing dementia, Sundowner’s, and Alzheimer’s is troubling. A personal medical alert system can be a lifeline in these situations.

Choosing the right medical alert company is a critical decision. Consider what each service package offers, then balance the ease of use of each package with its cost. In this era of outsourcing call center duties, Medical Guardian’s U.S.-based monitoring helps ensure seamless communication between seniors and operators, allowing for prompt emergency response with no time wasted.

For comparisons with other medical alert systems, read:


24 Medical Guardian Reviews

Write Review
1 Star

October 15 2019 9:08PM

Horrible customer service! I updated my debit card today. It asked me to enter the amount and due date as well as the card information. My payment is due in three days, not today, so I entered the due date. My bank was charged. I got online to chat.

When I was connected to "Princess", I explained what happened. She asked if I entered a payment amount. I said yes. She then informed me that's why I was charged, I should have entered 0. Nowhere during this process did it say to enter 0. I told her that the website had asked me for the amount and due date, I said the 18th because I didn't want it taken out today as it wasn't due til then.

She responds that she doesn't see the payment has posted, just that it's pending until the 18th. I informed her it had already been deducted from my bank account. She then gives me the "it'll take 7-10 business days and whenever updating payment amount, you should always enter 0 so that you're not charged."

So, my money can be taken in 3 seconds but I can't get it refunded for something that was an error on your website for not saying to enter 0. It does me no good to know that helpful information after the charge was already made. I certainly didn't appreciate being made to feel like I should have known. If they want a 0 entered when updating a card, maybe mention it ANYWHERE during the process.

I'll be looking for a different place to handle my mom's at home medical help. If this is how poorly they handle a payment, I most certainly can't trust them with my mom.

Kelly S.
CHANDLER, AZ
1 Star

October 10 2019 5:52PM

Horrible service. Do not waste your money on this. Customer service is also rude and unhelpful. Returned the equipment with tracking and they say they didn't receive it even though the tracking says they did. It's shameful and unethical to be taking advantage of the people that need medical care.

Monica A.
Rancho Cucamonga, CA
1 Star

October 02 2019 4:08PM

This company is not only bad. They are dangerous. I have been paying for a medical pendant with fall protection for more than a year. My mother had several instances in which she fell and no one was notified. I called to find out the problem. The necklace was replaced. Her last fall was in the garage of her home. It was a hot Summer day. She passed out and she almost died.

I decided to replace this ineffective system with an Apple watch and an app which notifies the family if she falls. It is working perfectly. We do get false alarms but that is much better than no alarm. When I called to cancel the Guardian service, I was informed the fall service was never turned on. I had selected a device which allowed the service specifically for falls. I called because it was not working. A second pendant was sent. No one told me the service was not turned on or that it cost an additional $10. I feel the company stole money from me at a rate of $53 a month and purposely endangered the life of my mother. I urge you to find another company. This one is DANGEROUS!

William J.
Burleson, TX
2 Stars

October 01 2019 10:35PM

My first device malfunctioned. Took over two hours to convince the company that l knew how to use it, but that 2 of the functions no longer worked. I recieved and had the replacement device activated yesterday. Followed the directions to return the defective one within 5 days to avoid paying $350.00. Nowhere was it indicated to allow the defective one to discharge fully instead. In fact, one issue was the on off button no longer worked.

Apparently as it was being returned via prepaid mail, it got jumbled and activated somewhere in the postal system. Why wasn't the old device deactivated rather than create two accounts? My first indication of a problem was firemen banging on my door. No calls to me, but calls were made to the 3 people on my emergency list, causing great anxiety and distress.

Diane M.
Grandview, MO
1 Star

August 23 2019 1:10PM

My sister got this watch for our mother. When she opened it up we realized that they had sent her a used watch. They corrected this by sending out a new watch. This watch stopped working within the year so we were sent out another watch. The worst part is their customer support line. If you call late in the day you are guaranteed to have the "answering service" cut in while you are on hold saying that they are busy and they would take my name and number and they would call you. I told them that I would prefer to wait, but this is not an option. When I asked when will they call back they just say that they will mark it as a priority which is just a tactic to make you feel better. Both times I had to waited with my mom until they closed not know if they would call me back or not and both times I had to call them back the next day. I told the answering service that I just wanted to activate the new watch but they couldn't do nothing. You have to think how do they run things when it a true emergency.

Henry J.
Clawson, MI
1 Star

August 13 2019 11:03PM

They were great at the beginning talked me into even getting a warranty agreement and they sent the information promptly however after activating it setting it up testing make sure they got everything and then just now having an actual medical emergency which machine would not work no one came when my parents press the buttons only to try to call customer service not once not twice three times as well as emailing for over a week and a half and no one has called me back answering services or they will call you back but they don’t I also asked for another necklace which I failed to get at the time when I actually activated the account took thinking back that should’ve been a clue of what their customer service and commitment is They however took my money probably very happily taking my money but no service in return

Patty C.
Sandy, UT
1 Star

August 13 2019 12:17AM

I purchased this system for my grandmother back in May and cancelled the service in July. When I called in to cancel they said they would mail me a letter that I needed to sign and return in order to cancel, which struck me as very odd. I did so and am still being charged for the service that I have now twice tried to cancel. I am disgusted by this company and would not recommend to anyone. Don’t know how long they’ll continue to bill me for this service I don’t want.

Madeline H.
Southampton, PA
1 Star

August 05 2019 11:36PM

Was told I bought the equipment. Lie. Do not trust this company. They tell you falsehoods then bill your bank acct for non service. I had to cancel my bank card. I never signed up for services. So now they are coming after me for a full year of service that I never even set up. DO NOT TRUST MEDICAL GUARDIAN.

Maria R.
Tampa, FL
1 Star

July 30 2019 1:01AM

DO NOT TRUST THIS COMPANY. IT took 4 months of non service and problems for them to tell me they couldn’t provide service where I lived. Although I had no problems with another company. They kept trying to give me different devices that were not working but I was paying for. They also charge for every possible penny they can. From the day it is mailed before it’s even activated until the company deactivated AFTER they receive it. You have to pay for return shipping. They are only interested in making sales not the protection of customers.

Pat F.
Laguna Hils, SELECT A STATE
2 Stars

July 25 2019 11:15PM

After purchasing the Active unit and paying extra for 2 day shipping my mother in law will not be able to use it. She has a metal roof on her home and it blocks the GPS signal. The sales representative who was other wise very helpful did not ask if she had a metal roof. Medical guardian sells another unit but has a very limited range, not to be used outside the home. My mother in law does yard work which is where she recently fell. Very disappointed. Now we have to do more research to find a unit that will meet our needs

Karen W.
Jefferson, OH
1 Star

July 23 2019 5:45AM

Terrible company (1) Take way TOO LONG to answer the phone. ALWAYS!! (2) Customer Service lacks sufficient familiarity with their products, and the process. FUNCTIONALLY INEPT. (3) If you have a problem with your equipment, the home office, apparently the only people who can help, are available only from 9-8. THINK ABOUT THIS ... 10:00 AT NIGHT AND YOUR SYSTEM STOPS WORKING...YOU CAN'T USE YOUR PENDANT TO SUMMON HELP IF NEEDED. Would have to call 911 --but what if you are diabled, live alone & you can't get to a phone. This is why you paid through the nose for Medical Guardian Protection. Very scary and insanely DANGEROUS. Disgusted.

Jan S.
Ny, NY
2 Stars

July 22 2019 7:56PM

My mother had this device for just about 3 months. I returned the unit since she was able to receive one through a state sponsored program. Her billing date was the 15th which they billed her credit card, they rec'd the unit back on the 18th. I expected to have some held back since it was after the billing date. When I spoke with the representative and I inquire how much she would get back, he informed me there is a restocking fee of about $35 or more. The monthly bill was $89.00 so essentially my mom will still end up paying most of the bill. This not Best Buy where they charge you a restocking fee if you open it up and return it. How else are you going to use the device if you don't open it. Whatever you do, always read the very fine print. Not a happy daughter.

P J.
Houston, TX
1 Star

July 15 2019 4:13PM

The salesman who was so charismatic to promise me service and help with questions has never returned my calls or emails. Their “customer service” dept is inept and also pretend to provide personal service, but never follow through on actions promised. They now have my credit card for billing but recently billed me three times the cost and won’t refund for 7-10 day’s unlike other businesses who make it happen that day. Their directions for activation vary from salesperson to directions with the equipment to 6 different contacted customer service people. If I didn’t have to start over for my elderly confused Mother, I would change companies. Run as fast and far away from this company! There is no integrity for a company that pretends to care about people.

Monica D.
Racine, WI
2 Stars

May 29 2019 1:25PM

Please make sure you ask questions about being charge, if you return the equipment. I was charge 116.93 for not using the equipment. My suggest is to make sure you are explain when you return the equipment it is a restocking fee and they prorate your monthly charge. Lesson learned.

Cindy G.
PALMYRA, VT