MedicAlert has changed since I joined. They've kept their older members on an old arrangement. I never paid for anything except the cost of the bracelet, and since then I've paid only for updates to the information only.

There's a collect-call number on my bracelet. If someone calls it, they will have access to my doctor's name and number and some information about what medicines I'm taking.

I looked at their Website. Looks like an adult "membership" ("essential") would cost $30 for 3 years--and I think you'd pay extra for the bracelet or pendant or whatever form of ID you wanted to have.

I found a bracelet on there that is like the one I've had for years, and it's $10.