Acadian On Call was started in 1991 as a company that prides itself on going above and beyond industry standards and requirements in the medical alert industry. The company’s history as an Ambulance service and paramedic training facilities made expanding into the On Call Services niche a natural transition. Today, Acadian On-Call monitors and partners with more than 550 security companies across the nation, responding to more than 4 million alarms per year. The company maintains a close partnership with local fire and security companies, along with a qualified staff of certified dispatchers.

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The Good

  • Price
  • Contract
  • Monitoring
  • Customer service
  • Quality equipment
  • Convenient

Acadian On Call’s services are comprised of three basic components:

  • medical alarm base station
  • medical alarm pendant
  • monitoring center

The company offers its members a choice of three monthly subscription plans:

  • Traditional Medical Alert
  • Medical Alert Plus
  • Medical Alert Mobile

They get the equipment free. The devices are backed by a Lifetime Warranty and include access to Acadian’s high tech U.S. based, nationwide 24/7 monitoring centers in the event of an emergency with just the press of a button. The monitoring services at the company automatically uplinks with the base units to monitor functionality.
The company offers a series of pluses and benefit, including:


Depending on the subscription, Acadian charges anywhere from $29.95 – $41.95 per month for round-the clock monitoring and emergency dispatch services. There is no activation fee associated with setting up the account.


Acadian offers members a monthly subscription service. There is no contract. If at any point members would like to cancel their Acadian services, they can do so at any time without charge. And if you cancel within the first 30 days, you can get a full refund. If you discontinue service after paying a lump sum, you get the months you pre-paid for refunded to you.


Acadian monitors 24/7 and Free Medication reminders allow members to schedule the days and times they need to take medications using Acadian’s website. The medical alert console announces the reminders at the scheduled times.

Customer Service

Acadian has specially trained customer service representatives on call 24/7. Members have the ability to order online or by calling in, and there is an online support team prepared to answer any and all questions.

Quality Equipment

Acadian’s products are waterproof up to 3 meters deep and have a 2-Way Mobile Button that allows you to connect instantly to the monitoring center upon activation. The base station in your home has a built in speaker that becomes a high powered speaker phone, allowing you, your spouse or loved one to have two-way voice communication with a medically trained dispatcher, even without the use of a telephone.


Acadian’s devices, depending on the subscription, do not require a landline or cell phone. The home base unit functions as a cellular device.

The Bad

  • Warranty limitations
  • Design limitations
  • Limited medical information

There remain a few caveats to be aware of before making a purchase:

Warranty Limitations

Compared to its competitors, Acadian is much more conservative about full refund return policies. The company’s 30-day risk-free trial sounds good, but you have to cross your I’s and dot all your T’s while jumping through hoops to get the full refund.

The requirements go like this: The customer must call Acadian’s customer service number to inform them they no longer want the equipment and want a refund. Next you have to mail back the equipment to them. You’ll be responsible for all the shipping costs, which are non-refundable. And if the equipment is lost or damaged during delivery, you won’t get your refund. Plus, the equipment HAS to be in the original package, postmarked within 30 days of placing the order.

Acadian’s strict return policies insinuate that the company has a lot of confidence in the financial and physical well-being of their customers. To recommend that unsatisfied customers insure their return package for $250.00 (on top of the shipping costs) is a bit of a stretch for many elderly people and even their families. Such strict return policies mean you have to be crystal clear on the fine print prior to the 30-day trial and plan on possibly having to return it by saving the original package. For people needing medical alert service, remembering details is not the best customer service policy for this demographic.

Design Limitations

Similar to other devices in the medical alert industry, Acadian’s products are designed to be attractive and “normal” but are still obviously medical alert bracelets, watches and necklaces. Although an argument can be made that easy to press buttons are hard to make look “en vogue”, it may be off-putting to seniors who are self-conscious. One competitor is already producing alert button wristwear that mimics fashionable everyday watches.

Limited Medical Information

Some medical alert companies offer profiles with customer’s medical information. Upon signup, Acadian members are asked to fill out a profile with name and address information for EMT responders but it seems to lack information on medical issues and things like allergies to medication, which can be lifesaving in cases where the patient can’t talk.

The Bottom Line

Acadian On Call’s years of industry expertise make it a viable consideration for home care alert emergency support. Their emergency response service representatives seem to have more training than most industry competitors. There are other companies with more free benefits and more fashionable Call Button devices, but the company has competitive, low monthly subscription prices with quality, top-of-the-line product features.

They were one of the few companies that we reviewed that offers more than one product that was designed for a specific client’s needs. Acadian On Call makes it easy to choose from a landline, DSL, or mobile/GPS phone service. The most popular unit is the Cellular Medical Alert System and would be a great fit for most clients. It interfaces with cellular phone services and offers a neat electronic display with big and easy-to-read buttons.

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10 Acadian On Call Reviews

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  1. User Score


    May 11th, 2016 New Orleans, LA

    My experience is almost identical as Willemina (see below) so I am not going to waste my time writing a long review. We have used this service for many years and in the last 2 or 3 years customer support has deteriorated to an alarming level (pun intended). It is now so bad as to be useless .
    When you can’t contact a medical alert company with their equipment or by phone it is time to move on.

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  2. User Score


    June 29th, 2015 Paso Robles, CA

    My mother has Acadian On Call. She is 94 years old. About 6 weeks ago I checked her unit and it was not working so I went out and purchased new batteries (camera 123 battery which cost about $10) After inserting the new battery, it still was not working so I called the company and was told that my mother had an old unit and they will send a new one which took 10 days to receive (during this time my mother had no service at all! And why would they not send the new unit BEFRORE deactivating the old one???When I received the new base unit and batteries it seemed to work but the next day it was not when I tested it. I called the company and they sent a new battery (again I had to wait another 7 days for this to arrive. It is still not working so they told me they would send a new base unit with new batteries…still waiting and I currently have only 1 battery so none to charge in the unit while the one is in the pendant?. Needless to say, I have called and left many messages yesterday and today (found it strange that I reached a voicemail box as usually someone answers? ) and no one has returned my call? I called my brother who pays for it and complained to him but in the meantime my mother has no service! I’m frustrated and praying that my mother doesn’t fall and need to call for help because it DOES NOT WORK!!!

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  3. User Score


    May 1st, 2015 Brandon, MS

    Quick shipping, friendly service, and makes the family feel better knowing I’m protected.

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    April 9th, 2015 Baton Rouge, LA

    I like the security Acadian On Call provides my mother for emergency situations

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    April 7th, 2015 Baton Rouge, LA

    Never had the need for services. When testing the system, call center representatives answered quickly, respectfully and accurately. Thanks you!

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  6. User Score


    April 2nd, 2015 Beaumont, TX

    Very pleased with service.

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  7. User Score


    April 2nd, 2015 Alexandria, LA

    I have not been with Acadian on Call very long but so far, I am happy I joined the program. The people I deal with are friendly and helpful. They are always ready and willing to answer questions. I make an occasional test of my connection and it has always worked perfectly well. I have not had to use it for a real emergency so I cannot comment on that but I did use the ambulance service once for my wife and it was absolutely satisfactory.

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  8. User Score


    March 30th, 2015 Pearl River, LA

    EMTs are well trained. and take good care of the patient. They explain what they are doing and what will have to be done.

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  9. User Score


    March 30th, 2015 Palestine, TX

    This service provides a peace of mind for all of the family. We have never had a problem with Acadian and recommend them to all friends and family.

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  10. User Score


    March 30th, 2015 Houston, TX

    When given the opportunity to use Acadian On Call, they were very helpful. We only stopped the service due to my mother moving to a facility that had an emergency call system built in.

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