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Thanks for the question Tonia! TruSense is not just a service, it actually provides its users with the hardware (the sensors and the Amazon Echo) for a one-time cost of $199. The monthly service cost for the activity reporting (and at-a-glance dashboard access for the caregiver) is $49.99 per month. The TruSense user guide walks the caregiver and older adult through installation and ways to utilize the Amazon Echo dot features. Please let us know if we can answer any additional questions! Rob Duebell, SVP, TruSense