I switched to a medical alarm with no monthly fee because I didn't want another recurring bill eating into my budget. It's a simple device I wear around my neck, and if I fall or need help, I just press the button to reach emergency services. My sister worried it wouldn't be as reliable as the subscription services, but it connects directly to a monitoring center just like the expensive ones. The peace of mind is priceless without the ongoing cost. medical alarm no monthly fee 19