Medical Guardian vs Bay Alarm Medical

Date Updated: July 28, 2025

Written by:

Rachel Lustbader

Rachel Lustbader is a writer and editor with a background in healthcare and technology. Her work has been published on websites including HealthCare.com, BiteSizeBio.com, BetterHelp.com, Caring.com, and PayingforSeniorCare.com. She studied health science and public health at Boston University.

Both of Rachel’s grandmothers had very positive experiences in senior living communities, and Rachel saw firsthand the impact that kind, committed caregivers and community managers can have on seniors’ and their family members’ lives. With her work at Caring, Rachel hopes to help other families find communities, caregivers, and at-home products that benefit elderly loved ones and make life less stressful for family caregivers

For many seniors, the ability to retain as much independence as possible throughout their aging years can be an ongoing challenge. Even as one’s mental abilities remain sharp, the risk of physical injury due to falls or physical disability often increases, leaving seniors and their loved ones struggling to find peace of mind while still allowing the senior to live at home. In this case, a customized medical alert system may be the best and most affordable solution.

Medical alert systems include wearable or wall-mountable help buttons that users can press to quickly be connected with a 24-hour monitoring center. Seniors can find relief knowing help is always available in the case of a home emergency, such as a fire, or a medical emergency, such as a fall or illness. With ever-improving technologies, such as WiFi, GPS and cellular connections, many companies even offer devices seniors can wear outside the home to run errands, go to work or travel across the world.

Finding the Best System for You

With dozens of reputable medical alert system companies offering unique pricing and contract options, devices with varying battery life spans and valuable features, such as caregiver apps, voice-activated help buttons and smartwatch-style products, we know choosing the best system for your needs can be a challenge. To make your decision easier, we’ve created a detailed, easy-to-read comparison guide that explores the offerings and pricing structures of the most reputable medical alert systems companies.

Below, we review Medical Guardian and Bay Alarm Medical. Each of these companies works with U.S.-based, Five Diamond Certified monitoring centers that are staffed with highly trained operators who are able to connect users with the appropriate contacts for any situation that may arise. While both offer systems well-suited to seniors with active lifestyles, we found that Bay Alarm Medical is best for those seeking the lowest-priced options, and Medical Guardian is best for seniors prone to falls and caregivers seeking peace of mind.

Medical Guardian Overview

Founded in 2006, Medical Guardian is a more recent addition to the medical alert systems industry. It incorporates the latest technologies to provide its one-of-a-kind smartwatch-style device for mobile seniors, which offers voice-to-text SMS messaging. For at-home users, the company incorporates motion and door sensors that connect to a mobile caregiver app, so loved ones can easily keep track of a seniors’ changing habits and activity levels.

Pros of Medical Guardian:

Wall-mounted help buttons
Voice-activated help buttons provide extra protection in case of an injury or fall
Caregiver app tracks users’ activity through in-home motion sensors
U.S.-based monitoring system has a triple-redundant backup system so it remains operational even in environmental emergencies
A Care Circle of up to four contacts can be designated to receive automatic alerts and calls during non-emergencies
Smartwatch-style, all-in-one device available
Long, 5-day battery life with Active Guardian mobile pendant
Offers discounts with annual plans

Cons of Medical Guardian:

No price guarantee
Fall detection unavailable with Mobile Guardian or smartwatch Freedom Guardian plans
Higher monthly rates
One-time device fee with Freedom Guardian smartwatch plan
Shipping not included with plans under one-year terms

Bay Alarm Medical Overview

Bay Alarm Medical stands out for its low base monthly rates that start at only $19.95 for an in-home, landline plan. Its emergency monitoring center reports that calls are answered within 45 seconds, and operators can connect callers with a personal contact if they’d prefer to reach a loved one rather than an emergency service. The company provides users with wearable pendants with its mobile plans and also offers a unique device designed specifically for car use.

Pros of Bay Alarm Medical:

Includes an in-the-car device option that can be purchased on its own or as an addition to any plan
Low monthly rates
Free shipping with semiannual plans

Cons of Bay Alarm Medical:

$5 monthly fee for Caregiver GPS Tracking app
No smartwatch device offered
Shipping fees with most plans
No price guarantee

Pricing Comparison

Bay Alarm Medical offers some of the lowest pricing options in the industry, and its $19.95 base at-home plan (before adding fall detection) is $10 less per month than Medical Guardian’s comparable base plan. For the same price as Medical Guardian’s base at-home plan, Bay Alarm Medical users can sign up for its all-in-one mobile wearable device that can be worn at home and on the go.

The prices of each company’s optional add-on devices, such as extra wall-mountable help buttons, fall detection and lockboxes, are similar, but Bay Alarm Medical charges $5 for its optional Caregiver Tracking portal that allows loved ones to locate a senior users’ location. Medical Guardian, on the other hand, includes a robust caregiver app with its plans.

Neither company charges start-up device or activation fees with the exception of similar shipping costs and Medical Guardian’s $99 Freedom Guardian smartwatch-device plan. Unlike Medical Guardian, however, Bay Alarm Medical offers users a 30-day trial where they can receive a full refund within 30 days if they’re dissatisfied with their plan.

Our Pick

With Medical Guardian and Bay Alarm Medical’s unique offerings that appeal to users with differing needs, it’s difficult to pick a clear winner. While Bay Alarm Medical’s low pricing model greatly benefits users on a budget who are looking for high quality, basic monitoring services, its prices do add up as users choose to include more of its add-on features, such as fall detection, its caregiver tracking portal and additional help buttons. Through its in-the-car device, Bay Alarm Medical may appeal to seniors whose primary concern is remaining safe and secure while driving.

On the other hand, despite its higher upfront pricing, Medical Guardian’s detailed caregiver app, voice-activated wall buttons and optional home motion sensors offer an increased level of monitoring and peace-of-mind for caregivers that Bay Alarm Medical doesn’t comparably provide. As both companies offer reliable, high quality in-home and mobile systems with no long-term contracts, we think each is a valuable pick.

Compare More Medical Alert Systems

Click on the links below to read about Medical Alert system comparisons.