NO Monthly Fees: This medical alert system requires no recurring fees, ever - just a one-time cost. Wrist and Necklace panic buttons. Waterproof, wear in the shower and the tub. Uses a landline to call out. Uses a landline to call out. Dual Connectivity: Can connect to a landline or use an OPTIONAL cell phone adapter. Search Amazon for item B01IDZI5D2 to order the Adapter Emergency Calling: Pressing the button connects you to your emergency contacts or 911 Easy Setup: Simple plug-and-play installation with no professional installation needed. Portable Design: The remote control can be worn as a wristband or pendant for protection anywhere within 150 feet of the base unit Uses a landline to call out. Ensure your loved ones' safety and peace of mind with this Medical Alert System that calls family members in case of emergencies - without any monthly fees, ever! Designed for seniors or individuals living alone, this system uses your existing landline or cell phone adapter to connect with pre-programmed contacts at the press of a button. The included remote control allows for easy activation from anywhere in the home, providing an added layer of security. With no recurring costs, this reliable alert system offers a cost-effective solution for those seeking independence and prompt assistance when needed. Stay connected with your family and maintain your independence with this user-friendly and affordable medical alert device.