How do I get a medical alert button without paying monthly?
There is no federal program that gives out medical alert buttons, but you may be able to get one at no monthly cost through a Medicaid home and community based services waiver, which covers personal emergency response systems in most states, or through a loan program run by your Area Agency on Aging.
What this means
- In Medicaid language the device is called a personal emergency response system. Ask for it by that name or the worker may not know what you mean.
- Some counties, fire departments, and hospitals lend devices free to people who live alone, and some sheriff's offices run a daily check-in call instead.
- If you buy one yourself, devices that call a family member directly have no monthly fee, while devices that ring a monitoring center almost always do.
What to do first
- Call the Eldercare Locator at 1-800-677-1116 and ask whether your Area Agency on Aging has a personal emergency response system loan program.
- If you have Medicaid, call your case manager and ask for a personal emergency response system to be added to your care plan.
- Ask your hospital's discharge planner or social worker, especially after a fall, because they can often arrange a device as part of discharge.
- Ask about a free telephone reassurance program as a stopgap, where a volunteer calls you at the same time each day.
Meals on Wheels and Your Area Agency on Aging
Hot meals delivered to the door, and one local office that knows every other program in your county.
Medicaid Home and Community-Based Services, Including Paying a Family Caregiver
Medicaid can pay for help at home instead of a nursing home, and in most states it can pay your own family member to give that help.
What you'll need
- Proof of age and address
- Your Medicaid number if you have one
- A note from your doctor about fall risk, which many programs require
- The name and number of the person the device should call
Where to go
- Eldercare Locator at 1-800-677-1116 or https://eldercare.acl.gov/Public/Index.aspx — ask about device loan closets and daily check-in calls.
- Medicaid home and community based services: https://www.medicaid.gov/medicaid/home-community-based-services — your state waiver decides what devices are covered.
Reviewed by Jason Burns, Editorial Steward · Last verified August 26, 2026
Sources
- Home and community based services · Centers for Medicare & Medicaid Services
- Eldercare Locator · Administration for Community Living
Every program on this site is free to apply for. Anyone who asks you to pay to apply, or to “unlock” a government benefit, is a scam — hang up and call Senior Medicare Patrol or 211.
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