Medical Guardian Review

Freedom Guardian Smartwatch

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Who is Medical Guardian? 

Medical Guardian has been a leading provider of medical alert systems for seniors for several years. They were founded in 2005 by Geoff Gross, who wanted to disrupt the medical alert industry after his own grandmother suffered from falling at home alone.

Medical Guardian claims to have best in class customer service and work as a team to constantly come up with new innovative medical alert products. You can get to know all their senior leadership in the company section of their website. Medical Guardian's headquarters are in Philadelphia, PA and they use a U.S. based monitoring center that is TMA Five Diamond Certified. The monitoring center is available for emergency response 24/7 and Medical Guardian prides themselves on well trained, multilingual call center agents.

They have over 200,000 current medical alert customers who can enjoy peace of mind of medical alert coverage in and around their homes. Medical Guardian's goal is to empower their customers, who are mostly senior citizens, to age in place at home.

Review Summary

Medical Guardian has fair pricing and are forthright with their information. We like the fact that they have stylish equipment choices with all of the latest no phone line (cellular), GPS, and automatic fall detection options. They also have a sleek website with lots of information at your fingertips. Medical Guardian's monitoring center has been certified to a high set of standards such as being UL listed and TMA Five Diamond Certified. The monitoring center is not company owned.

DISCLOSURE: We may receive referral fees from this company for purchases or inquiries made by you. Thanks to your support, we can maintain the website & offer you special discounts, at no cost to you.

There are six main products that Medical Guardian alert systems offer:

  1. Classic Guardian - a traditional telephone line-based system that provides home coverage and is available with or without fall detection. A traditional medical alert device consists of a base station unit and a wearable medical alert help button. The wearable button will work up to 1,300 feet away from the base station. Press for help any time of the day or night. Fall detection can help detect a fall in the home and automatically call for help when the user is unable to. Please keep in mind that fall detection is not 100% accurate. 
  2. Home Guardian - a cellular network based no-phone line  in-home system available with or without fall detection. This cellular medical alert device system also comes with a base station and wearable medial alert button. The wearable emergency alert will work within 600 feet of the base station. 
  3. Mobile Guardian - a cellular-based system with GPS enabled mobile option, for protection in or outside your home. Bracelet or pendant options available to choose from. You will receive a portable emergency device and a wearable medical alert button. You can speak directly through the portable device to speak with the call center or request emergency services. The GPS will help the emergency team find your exact location.
  4. Active Guardian - like the Mobile Guardian, but with longer battery life (7 days as opposed to a 1-day battery life with the Mobile Guardian system), improved technology, WiFi location tracking and optional fall detection (formally Premium Guardian). Keep in mind that this system does not have a bracelet option. It's an all-in-one device that does not come with any traditional pendants or base station. Press the wearable button and speak directly through the medical alert device to connect to an operator and get help fast. This includes a free account and App download for the MyGuardian online hub which allows you to stay connected with loved ones.
  5. Freedom Guardian Life Saving Smartwatch - cellular-based 2-way communication enabled smartwatch-designed medical alert device with an emergency SOS button for help while on the go, a text-to-speech messaging system to keep in contact with friends and loved ones, built-in weather forecasts, WiFi location tracking, a FitBit style step counter, reminders and timed alert features, and a way to call for transportation, right from the watch. Does not have a fall detection option. 
  6. Mini Guardian NEW PRODUCT! - Half the width of competing devices, this mobile medical alert with optional fall detection features an easy to press emergency button, 5 day battery life between charges, 78 dB speaker with noise cancelling functionality, multilingual emergency services for real-time interpretation, compatibility with Medical Guardian's Circle Care service, and advanced location monitoring with GPS and WiFi using 4G cellular. Available in 3 colors - black, silver and white.


No equipment or set-up charges (excluding the new Mini Guardian Freedom Guardian), no long-term contracts,  refunds for unused months of service, automatic monthly tests of the console to the central monitoring station, advanced activity monitoring system, affordable monthly costs, and a TMA Five Diamond monitoring center staffed with medically trained personnel.


No pill reminder option or carbon monoxide and smoke detection options. Monitoring center not company owned.

Rating: 4.5


DISCLOSURE: We may receive referral fees from this company for purchases or inquiries made by you. Thanks to your support, we can maintain the website & offer you special discounts, at no cost to you.


  • Get a FREE Month, FREE Activation, FREE Ground Shipping, FREE 2nd Button, and FREE Lockbox for new customers purchasing annual plans.
  • 20% Off Mini Guardian Equipment cost for all subscription plans!


Compare Device Features:

Pros & Cons To Consider

Medical Guardian Logo How did Medical Guardian do?
Medical Guardian Review

Cost for Equipment

Free equipment (excluding the Freedom Guardian & Mini Guardian) and no set-up or activation or charges. Shipping is $12.50 but waived with annual payment plans.

Cost Per Month

Cost per month starts at $29.95 and up.

Advance Payment Discounts


Monitoring Agreement Term

No contracts. Can cancel anytime. If you cancel mid-month, you will be refunded the amount you pre-paid.

Repairs or Replacement Charges

None, replacements shipped free for defective equipment and battery replacements. Optional $7.00/month Protection Plan for damaged or lost equipment that could cost up to $350.00 to replace without it.
Cancellation Policy & Discounts
Medical Guardian Review

Cancel at Any Time


Senior Discount


Other Discounts

Medical Guardian Review

Approximate Button Range in Typical Home

The Classic Guardian and Family Guardian systems have a 1300 ft. range. The Home Guardian system has a 600 ft. range.

Watch/Button Battery Life

Battery will last approximately 3-5 years. Has low battery indicator.

What Happens if I Lose Power

Approximately 32 hours of backup battery

Is the Watch/Button Waterproof


How Can The Button Be Worn

Neck and wrist options. Can choose both when ordering but a 2nd button will cost $2.99/month.

UL Certified Equipment


Does The System Automatically Test Itself To The Monitoring Center


24 Hour Technical & Customer Support

Customer Support is available 9:00 AM - 8:00 PM EST (Monday - Friday) and 9:00AM to 5:00PM EST on Saturday. The monitoring center is always available for help 24 hours per day, 7 days per week.
Monitoring Station
Medical Guardian Review

TMA Five Diamond Certified Monitoring Center

Yes, but not company owned.

Typical Response Time When Button Pressed

Approximately 30-45 seconds
Other Options & Information
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How Fast Does System Ship

Ships same day if received and processed by 3:00 PM EST

Do You Need Separate Systems For Mom & Dad

No, but an additional button is $2.99/month.
Optional Advanced Features
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Activity or Inactivity Monitoring


Senior Fall Detection

Yes. With all systems except the Freedom Guardian.

Cellular or No Phone Line

Yes. Home Guardian, Mobile Guardian, Active Guardian, Freedom Guardian, and Mini Guardian

Smoke or Carbon Monoxide Protection


GPS Medical Alert Tracking System

Yes. Mobile Guardian, Active Guardian, Freedom Guardian Smart Watch, and Mini Guardian
Special Offers
Medical Guardian Review

Special Offers For Our Visitors

DISCLOSURE: We may receive referral fees from this company for purchases or inquiries made by you. Thanks to your support, we can maintain the website & offer you special discounts, at no cost to you.


  • Get a FREE Month, FREE Activation, FREE Ground Shipping, FREE 2nd Button, and FREE Lockbox for new customers purchasing annual plans.
  • 20% Off Mini Guardian Equipment cost for all subscription plans!
Medical Guardian 1-800-988-8105



Monthly Costs & Fees

Medical Guardian offers competitive pricing for their advanced services compared to other medical alert companies on the market. Their traditional in-home medical product, Classic Guardian, is on the mid to high side of pricing for similar products on the market. Although the same cost per month, the Active Guardian has better features than the Mobile Guardian (such as longer battery life and location tracking), so we prefer the Active Guardian medical alert system.

Since Medical Guardian offers advanced payment discounts and other discounts mentioned above, it makes the monthly service more affordable. The only products that has an equipment fees are their new Mini Guardian and the Freedom Guardian medical alert smartwatch product. Shipping is waived for annual payment members. If you would like to add fall detection to any of the systems (except the Freedom Guardian), it's an additional $10.00 per month. Also, if you have additional family members in the home that need medical alert coverage, you only need to pay an extra $2.99 per month for an additional pendant alert button. Medical Guardian has no long-term contracts and you can cancel at any time.

Medical Guardian System Cost Per Month Cost Per Month
Paid Annually
Activation or Equip. Fee
Classic Guardian $29.95 $27.45 $0.00
Home Guardian $34.95 $32.04 $0.00
Mobile Guardian $44.95 $41.20 $0.00
Active Guardian $44.95 $41.20 $0.00
Freedom Guardian $44.95 $41.20 $99.00
Mini Guardian $39.95 $36.62 $124.95

What We Like About Medical Guardian

Reasonable Service Rates - Medical Guardian has competitive rates with a discount when services are paid annually.

Cancel at Any Time Policy - No long-term medical alert monitoring contract. If you are not happy with your emergency alert system or service, you can cancel and get a refund for unused months of service paid.

Automatic Monthly Tests - Medical Guardian's base station will automatically test monthly to the monitoring station. This means, they are spot checking that your system's connection to the monitoring center is working properly for you.

Flexible Monitoring Agreement - Since they do not have long-term contracts, you can cancel any time after your initial 3-month service period. 

Cellular Option -
They do offer a cellular model in case you are without traditional land-line phone service in your home.

Good Battery Life – When battery life on medical devices requires daily charging, it becomes more cumbersome for active seniors, as well as for seniors who may have cognitive decline. The Medical Guardian family of products all feature realistic battery life and charging options.

Fall Detector Option -
 Many seniors, including diabetics have tendencies to faint and since falls are so common among seniors, having automatic fall detection built in can be life-saving. If the emergency button senses a fall, it will automatically call into the monitoring station in case you are not able to. This is available as an add-on to all their systems except the Freedom Guardian. These services can not only give the senior quick access to first responders, but can also help family members see any trends in falling so they can follow up appropriately. Monitoring fall trends can give family members better information to tell their loved one’s physicians.

Monitoring Center Has Top Certifications - Their monitoring center gets top honors since it is UL Listed as well as TMA Five Diamond Certified. This means that their reps go through rigorous testing and are spot checked for their level of service, and also that the monitoring center maintains required back-up power systems, redundant monitoring equipment, and communication channels.


What We Dislike About Medical Guardian

Monitoring Center Not Company Owned - Although they contract with top monitoring centers, they are not company owned which would give Medical Guardian better control of the operation of the monitoring centers.

No Pill Reminder Option - Having the system remind you of when to take medication is a nice feature, although not required by all. Many of these services have the main unit console provide some sort of beep reminder on regular interval to remind you of when to take your medication. The downside to this medical monitoring option is that it will not tell you what or how much medication to take.

No Carbon Monoxide or Smoke Detector Options - Although this is not an essential feature for a medical monitoring company to offer, all seniors should have these items installed in their home.

No Activity Monitoring - Medical Guardian no longer offers this service. Activity monitoring can be extremely useful if you are worried about your loved one having an active life lifestyle or even if you need to monitor their day-to-day actions. It can alert you when there has been no activity so that emergency help or a caregiver can follow-up. 


Frequently Asked Questions (FAQ)

Is Medical Guardian covered by Medicare?
It’s common for older adults and their loved ones to search for what's exactly covered through Medicare. Currently, Medicare (parts A and B) do not reimburse for expenses related to medical alert devices. Some Medicare Advantage benefits could offset expenses from medical alert systems, but you would have to check with your plan administrator.

Does Medical Guardian offer monitoring based in America?
Yes. Their U.S. based monitoring service can make a big difference, especially when it comes to crisis situations where language barriers can delay treatment or intervention. Operators speak English, Spanish, and use a third party-translation system, if needed, for other languages.

Is Medical Guardian eligible for my HSA plan?
Health savings accounts are increasingly popular among older adults, but can still be a source of confusion in regards to knowing what is covered. Medical alert devices are likely covered under your HSA plan, but ensure you contact your plan administrator directly to double check.

What if I don’t have a landline?
Many people are disconnecting their landline phones and turning to their smartphones as their main means of communication. This choice does not negatively affect your Medical Guardian experience, as only the Classic Guardian requires access to a landline. You can still receive Medical Guardian services without a landline with any of the additional models.

Can I test out the Medical Guardian system for free before purchasing?
Medical Guardian does not currently offer a free trial period for their devices or systems. Fortunately, the monthly fee is reasonable and you can cancel when needed.

Can my spouse also use Medical Guardian systems and devices?
Depending on the system you choose, you can add on additional pendants or devices in order to ensure both you and your spouse have access to your Medical Guardian perks and protection.

What People Are Saying About Medical Guardian

Medical Guardian has been BBB accredited since 2009. They currently have an A+ Better Business Bureau rating. While searching for unbiased reviews we were able to find lots of satisfied customers and only an average of 10 complaints on the BBB website.

One such users describes having a hard time trying to cancel his mother's service. They never received the email instructions and had to call in several times before the issue was resolved. Medical Guardian did respond to the customer on the BBB site and acknowledged they dropped the ball and offered to refund the equipment fee as well. Another user pointed out that you will be billed starting when you place the order, not when you receive and activate it. Something to keep in mind.

There are also lots of happy customers who write about Medical Guardian's equipment saving their life or the life of someone they know. They are happy with the sense of security it provides and the exceptional customer care department team at Medical Guardian when they make an emergency call.

Bottom Line

Medical Guardian has professional, knowledgeable staff who answered all our questions when we performed this review. They also have an advanced website which provides straightforward information, so you don’t have to call and speak with a sales rep if you don’t want to.

Medical Guardian has many service options to choose from which can be overwhelming if you are not familiar with the medical alert market, however they do offer a buying guide on their website which is useful. Each product page on their website outlines the medical alert equipment you will receive and exactly how it works. They also offer the latest technology for a complete monitoring system, including no phone line cellular options, GPS, activity monitoring, and fall detection as well. Their equipment is modern looking too with the Mini Guardian being the smallest mobile device on the market and it's available in 3 colors too. There is not much to not like about Medial Guardian. If they had options for medication reminders, carbon monoxide and smoke detection monitoring, they would really have a complete medical monitoring system.  

We give top marks for their monitoring center which uses two operators on calls that require emergency assistance and they are available to you in many languages. They also have top certifications such as TMA Five Diamond Certification. We do wish their monitoring center was company owned for additional control over the service.

We feel Medical Guardian is a solid choice for all your monitoring needs, so consider them when making your medical alert device decision.

DISCLOSURE: We may receive referral fees from this company for purchases or inquiries made by you. Thanks to your support, we can maintain the website & offer you special discounts, at no cost to you.


  • Get a FREE Month, FREE Activation, FREE Ground Shipping, FREE 2nd Button, and FREE Lockbox for new customers purchasing annual plans.
  • 20% Off Mini Guardian Equipment cost for all subscription plans!



Although our experience with this company had these results, your experience may be different. If you're interested in this company's services, contact them to judge for yourself.

*Medical Guardian logo is a registered trademark of Medical Guardian, LLC

Modified: 2021-10-01