Medical Guardian Active Guardian Review

medical guardian active guardian
  • Connectivity: Cellular
  • Monitoring Range: Mobile
  • Battery Life: 120 hours
  • Cellular Monthly Fee: $49.95
  • Equipment Fee: Free
  • Fall Detection: $10.00
  • Languages Supported: 200
  • Customer Support: Phone, Email, FAQ
  • Additional Features: GPS, Lockbox

Our Active Guardian review will outline all the pros and cons of this mobile medical alert system. While it may be lacking in some other areas, this solution is best for people who value battery life above other features. At five days, this device has the strongest battery of all systems. 

This much power does come with a price. The battery makes the pendant a bit bulky, as do its multiple location technologies. Our review also takes into account that this is one of the priciest medical alert systems. Still, all things considered, this system is well worth your money.

Active Guardian Medical Alert Design andMajor Features

Size, Weight, and Durability

The Active Guardian is an all-in-one wearable device that weighs two ounces and measures 2.7 x 1.7 x 0.7 inches (H, W, D). That makes it slightly larger and heavier than its top competitor, the GreatCall Lively Mobile. However, the size is entirely justifiable due to the industry-leading five-day battery life of the Active Guardian. This gives you the liberty of not having to charge the device every single day. It impressed us during our Medical Guardian Active Guardian review significantly.

The device uses AT&T cellular service and also incorporates GPS location tracking and Wi-Fi location technologies, making it the only portable medical alert system that has both. 

Furthermore, the device is IPX5 waterproof, meaning it can be worn in the shower, and it can come equipped with automatic fall alert technology. With all of this included in a single device, we are willing to forgive its bulkiness, which was not an issue while we were wearing it for our Active Guardian review.

Ports, Slots, and Ease of Use

On the exterior of this white device, there’s a round, gray help button with Braille letters. Above it is the loudspeaker, while below it, we see dual microphones and four LED indicators. They are for the battery, call status, Wi-Fi, and GPS signal, which we found to be a bit distracting. 

On the sides, there’s a SIM card slot, an inactive USB port, and an on/off switch. On the top, it has slots for the lanyard, which come included. Also included are a clip-on carry case and a charging cradle.

Additional Features and Accessories

Fall Detection

Medical Guardian Fall Detection is one of the few additional features for this system. It costs an additional $10, but it’s one of the most important features you can get. The other accessory the company offers is a lockbox. It can be yours for free if you opt for the annual plan. Otherwise, it’s an additional $2 per month. 


Moreover, GPS comes included, and you don’t need voice extension and wall-mounted buttons. However, you can’t get fire and smoke monitoring, a check-in service, or multiperson monitoring without doubling the monthly subscription Medical Guardian cost. Nevertheless, this applies to all other mobile medical alert systems.

Monitoring Services

Response Times and Audio Quality

We have tested the Active Guardian numerous times, and it never failed to connect us to the live agent. Response times were fairly quick, though not as fast as those of our top pick. Still, they were perfectly fine, averaging around 25 seconds, and always under half a minute. 

The device provided clear and moderately loud audio. According to our experience with the company’s monitoring services, and based on Medical Guardian user reviews, its live agents are always friendly and professional. What’s more, they can provide help in 200 languages.

Location Tracking

It takes the help agents 25 to 30 seconds to pinpoint your exact location. The best mobile medical alert service on our list is capable of identifying your location instantly. We were a little disappointed by this because the system uses dual location technologies. The device first tries to connect to a Wi-Fi hotspot, and if it can’t establish a local connection, it uses the GPS signal.

Another disappointment came, noted by other Medical Guardian reviews as well, from the fact that this company does not offer GPS mapping and activity tracking. That is, the ability to track down med-alert users from home doesn’t exist. 

Medical Guardian also doesn’t have a mobile app for this specific device. Seeing as most rival systems, such as the Bay Alarm Medical GPS alert system, offer these features, Medical Guardian has stated that it will add them soon. However, we must note that the company does have an app that can link up to its other systems.

Contracts and Fees


Unlike the other mobile systems on our list, there is no device fee. So the Active Guardian plus the medical alert monthly cost comes down to around $45—twice the monthly cost of our top pick, which is a lot. You can shave off around $4 per month by opting for annual payments. Besides the free lockbox we mentioned before, you’ll also get a free month of service and free ground shipping. 

This is currently the only way to get free shipping. However, the company offers promo codes, so there might be one around for getting this system at your doorstep for free.


Medical Guardian doesn’t require you to sign an annual contract, but with all the things you get by opting to be billed annually, it’s worth considering. Continue reading our Active Guardian review to find out about the activation process. But at this point, we must also note that there are no activation fees. This is yet another plus for Medical Guardian because other companies usually charge an activation fee for mobile systems.

Ordering and Setup

Ordering Your System

You can view Medical Guardian’s rich offer on Medical Guardian’s official website. There you can compare various systems to choose the right one for you, as well as order them online with selected add-ons. You can also order by phone by calling 1-800-668-9200. Or, if you look elsewhere for the Active Guardian, Costco, Amazon, and other retailers offer the device as well.

Setting Things Up

When your device arrives, you first need to charge it for three to four hours before you can start using it. The system then has to be activated free of charge by calling the toll-free number. You will receive an activation instructions sheet that contains this number. 

When you call it, the agent will verify your information and ask you to add any contacts if you want. You can do this online as well. We, and most other Active Guardian reviews, also recommend you to perform a test before you start using it. It’s a good idea to test the unit once a month to make sure everything works as it should.

Final Verdict

The Pros

  • Excellent battery life
  • Accurate location tech
  • Wi-Fi radio
  • Fast response time
  • Waterproof

The Cons

  • Chunky device
  • Pricey

Final Verdict

The Active Guardian is a new device. In a way, it is a successor to the Premium Guardian, a formerly popular medical alert system. It will give you virtually unlimited protection—you can go anywhere there’s cell reception and be protected. 

The system has a fast-responding monitoring center, dual location technologies, fall detection capabilities, and an outstanding five-day battery life. As noted in our Active Guardian review, this is what makes it chunky and quite expensive. There are several more affordable mobile solutions out there. Ultimately, if battery life is your top concern, this is the way to go.

medical guardian active guardian
  • Range & Battery Life 10
  • Monitoring Services 9
  • Contracts & Fees 8
  • Help & Support 9
  • Additional Features 9
$49.95/mo Get a Deal