I found another company called "Medic ID". They say they do not charge a yearly fee. But of course don’t tell you on their website what their initial fee to join is. I am emailing them now. They have some nice jewelry. But some of it looks like it would confuse the EMT’s they look so much like a normal piece of gold jewelry. I think we just may stick to Medic Alert. Plus you encourged me to go seek out that pretty girly bracelet and my daughter is begging me for this one in particular. Thanks for your help. I like having that peace of mind with Medic Alert I think.