The short version
- Decide what you need first: a safety check (is she all right?) or company (someone to talk to). They're different services.
- In the US, many sheriff's offices and some states run free automated daily calls, with a welfare check if nobody answers. Local aging agencies often arrange volunteer calls.
- In the UK and Ireland, free befriending calls come from Age UK, Re-engage and ALONE, and Royal Voluntary Service runs telephone companion calls. Most are weekly, and some have waiting lists.
- Paid services with a real person calling every day cost about $30 to $50 a month in the US when we checked.
- An AI companion like Dottie is company when your parent wants it. Dottie doesn't phone them and doesn't send alerts if they don't chat, so it isn't a check-in service.
A daily phone call does two jobs at once in most families. It tells you your parent is up, dressed and all right, and it gives them a voice to talk to. When you can't be the one ringing every day, it helps to separate those two jobs, because the services that do them are quite different.
If you're worried about a parent living alone more generally, our guide to an elderly parent living alone covers safety at home, and caring from a distance covers sharing the load.
Safety check or company? Two different jobs
A check-in or telephone reassurance call is short and about safety. It rings at the same time each day. If your parent answers, that's that. If they don't, there's a plan: try again, ring a named contact, and if needed send someone round.
Befriending is about company. A volunteer rings for a proper chat, often half an hour, usually once a week, and ideally it's the same person each time so a friendship can grow. It isn't designed as a safety net.
Many people benefit from one of each. If falls are the worry, a personal alarm is a different tool again.
The options at a glance
| Option | Who calls | How often | If they don't answer | Cost | Best for |
|---|---|---|---|---|---|
| "Are You OK?" programmes (US sheriffs) | An automated call | Daily, at a set time | Retries, then a key holder or a deputy | Free to eligible residents | A daily safety check |
| State and local reassurance (US) | Automated calls or texts, or a volunteer | Daily | Alternate contact, then a welfare check | Usually free | A safety check, sometimes with a friendly voice |
| Telephone befriending (UK, Ireland) | A matched volunteer | Usually weekly; ALONE offers daily or weekly | Not a safety service | Free from Age UK, Re-engage and ALONE | Company and conversation |
| Paid check-in calls | A member of staff | Daily, weekdays or every day; some weekly | Depends on the provider; ask | About $30 to $50 a month (US); weekly UK calls from £19.99 a month | A reliable daily human voice |
| Check-in apps | Nobody: your parent taps to say they're OK | Daily | Texts contacts; paid tiers add follow-up | Free basic plans; paid from about $150 a year | Confident phone users |
| Family rota | You, siblings, grandchildren, neighbours | Whatever you agree | You decide the plan | Free | Connection with people who love them |
| AI companion (Dottie) | Nobody: your parent taps to chat | Whenever they like, within a daily limit | Nothing happens; no alerts | $29/month (Daily) after a free week | Company between calls and visits |
Checked 26 October 2026 on each provider's website. Eligibility, prices and waiting times vary by area and may change.
Free telephone reassurance in the US
Sheriff and police "Are You OK?" programmes
Many sheriff's offices and police departments run a free automated programme, often called "Are You OK?" or "R U OK?". A computer rings your parent at the same time every day. If they answer, they're marked as fine. If they don't, the system tries again and then raises an alert. A few current examples:
- Dutchess County, New York. The Sheriff's Office system calls subscribers daily at the same time. If the call isn't answered within 15 minutes, the Sheriff's Office is alerted and can contact a friend or relative or send an officer. It's free for eligible residents who are elderly or disabled and live alone (Dutchess County Sheriff's Office).
- Brunswick County, North Carolina. A free telephone reassurance service for older adults or adults with disabilities who live alone, with calls between 7am and 11am, every day of the year. If nobody answers, staff try the subscriber and then a key holder, and an officer may be sent. You need at least two key holders (Brunswick County Sheriff's Office).
- Yuma County, Arizona. Daily computer-generated calls at a chosen time for residents who live alone and are over 60 or homebound. A missed call is retried, then a dispatcher rings, then a deputy may do a welfare check (Yuma County Sheriff's Office).
To find one near your parent, ring the non-emergency number of their local sheriff or police department and ask whether they run a daily reassurance call.
State programmes and Area Agencies on Aging
Some states run their own service. Maryland's Senior Call Check sends automated calls or texts every day between 8am and 4pm, free to residents aged 60 and over. If there's no reply, it tries twice more, then contacts an alternate, and if nobody can be reached it asks a non-emergency service to do a welfare check. Enrol on 1-866-502-0560 or online (Maryland Department of Aging).
Local Area Agencies on Aging often run or fund telephone reassurance, sometimes with a volunteer rather than a computer. Anne Arundel County in Maryland, for example, assigns each older adult a trained volunteer who rings at a set time every day (Anne Arundel County). To find what's available where your parent lives, contact the free Eldercare Locator, a public service of the Administration for Community Living, on 1-800-677-1116 (call or text) (Eldercare Locator).
Friendship Line (California)
The Institute on Aging's Friendship Line, 888-670-1360, is a free, 24-hour line for adults aged 60 and over and adults with disabilities. As well as answering calls, it makes ongoing outreach calls to people who ask for regular check-ins; it serves people throughout California (Institute on Aging).
Telephone befriending in the UK and Ireland
- Age UK Telephone Friendship Service. A free weekly chat of about 30 minutes with a matched volunteer, for people over 60 who can hear and be understood on the phone. When we checked, Age UK said the wait to be contacted was about 8 to 10 weeks. Call 0800 434 6105 (Age UK). You may still see the older name Call in Time in some listings; Age UK's and The Silver Line's friendship services were merged into one Telephone Friendship Service in 2020 (The Silver Line, "Our story").
- The Silver Line Helpline. Free, 24 hours a day, for people aged 55 and over, on 0800 4 70 80 90. It's a helpline your parent can ring any time, and it can refer them on to regular friendship calls (The Silver Line).
- Royal Voluntary Service Calls with Care. Telephone companion volunteers ring at a time, frequency and length you agree together; RVS says one 30-minute call a week can be all someone needs (Royal Voluntary Service).
- Re-engage Call Companions. Free, mainly for people aged 75 and over, with others considered case by case. Your parent can refer themselves, or you can with their permission (Re-engage).
- Independent Age. When we checked, its old regular-calls page redirected to its free group webinars for over-65s, so we couldn't confirm a current one-to-one phone friendship service. Its free helpline, 0800 319 6789 (Monday to Friday, 8.30am to 5.30pm), can talk through options (Independent Age).
- Ireland: ALONE. Free support for all older people, including telephone befriending with daily or weekly calls from a matched volunteer. The National Support and Referral Line is 0818 222 024, 8am to 8pm, seven days a week (ALONE).
Befriending is lovely for company but, with weekly calls, it won't tell you whether your dad got up this morning. If that's the worry, pair it with something daily.
Paid check-in calls from a person
If you want a real person ringing every day, and there's no free programme nearby, paid services exist. Two examples, with prices as published when we checked:
- CareCheckers (US). Calls from live representatives based in the US: one call a day on weekdays for $29.95 a month, or every day for $49.95 a month, with options for two or three calls a day. It also offers a $14.95 Monitored Check-In, where your parent checks in by call, text or email and a person follows up if they don't (CareCheckers).
- Careline365 Caring Calls (UK). Weekly calls rather than daily: a check-in call of around 5 minutes from £24.99 a month, or a companion call of around 15 minutes, weekly or fortnightly, from £19.99 a month (Careline365).
Some local Age UK branches and council alarm services also sell daily wellbeing calls, so it's worth asking locally. Before you pay, ask who makes the calls, what happens if your parent doesn't answer, and whether it's the same person each time.
Automated check-in apps
These flip the call around: your parent taps a button on their phone each day to say they're fine. Snug Safety, for example, has a free plan with one daily check-in that texts your chosen contacts if it's missed, and a paid Dispatch plan, $149.99 a year when we checked, that adds professional follow-up and can arrange a wellness check (Snug Safety).
Apps work well for someone who's confident with a smartphone and remembers to tap. They don't offer any conversation. The built-in Check In feature on iPhones, and Safety Check on Android phones, are designed for one-off journeys and time-limited checks, not daily routines (Apple; Google).
A family rota
The oldest system is still one of the best. Split the week between siblings, grandchildren and a kind neighbour, so that someone speaks to your parent every day and nobody carries it all. A shared calendar or group chat keeps it fair. Agree in advance what happens if nobody can get hold of them: who has a key, who lives closest, and when you'd call for a welfare check.
Rotas wobble in busy weeks, so a reassurance programme makes a good backstop. If you need fresh things to talk about, our list of questions to ask your parents about their life can turn a quick check-in into a proper chat.
Where an AI companion fits
We should be clear about what Dottie is and isn't, because it's easy to lump everything together.
- Dottie doesn't call your parent. They tap her on a tablet or phone when they'd like a chat, morning or midnight.
- She isn't a check-in service. If your parent doesn't chat today, nobody is told. Your family dashboard shows when they last chatted and a short summary, but no alert is sent.
- The help card is the exception. If they mention a fall, chest pain, trouble breathing or feeling very unwell, Dottie tells them to call for help and shows a red help card with press-and-hold buttons for the emergency number and the family contact. It appears on your dashboard the next time you open it. She doesn't call anyone by herself and doesn't detect falls. See our safety page.
- What she does well is company. A patient, friendly voice that remembers the grandchildren's names, plays the radio, offers a word game, and keeps the good stories for the family's story book.
So Dottie sits alongside a check-in call, not instead of one. A common pattern is a daily reassurance call for safety, a weekly befriending call or family visit for human company, and Dottie for the long afternoons in between. For more on the wider landscape, see AI companions for older adults and is AI companionship good for older people?
Do phone calls actually help?
For loneliness, there's good evidence that they can. In a 2021 randomised trial with 240 Meals on Wheels clients in Texas, people who got short, empathetic calls from trained lay volunteers for four weeks reported less loneliness, depression and anxiety than those who didn't (Kahlon et al., JAMA Psychiatry, 2021). An earlier evaluation of UK telephone befriending found it helped older people gain confidence, re-engage with their community and become socially active again (Cattan, Kime and Bagnall, 2011).
How to choose
- What's the worry? Safety, company, or both?
- Ask your parent. Some people love a daily call; others find it intrusive. Our guide to when a parent refuses help may help if they're reluctant.
- Check what happens if they don't answer, and make sure the named contacts really can respond.
- Check eligibility and waiting lists, and sign up early.
- Think about hearing. A phone call is hard work with hearing loss; a loud speaker or a hearing check may help more than any service.
- Review after a month. Is it working for them, not just for you?
Questions families ask
What is a telephone reassurance programme?
It's a regular call, often daily, to check that an older person who lives alone is all right. Some are automated calls run by a sheriff's office or a state agency; others are friendly calls from volunteers arranged by a local aging agency. If nobody answers, the programme follows up with a named contact or a welfare check. Many are free.
Are daily check-in calls free?
Many are. In the US, several sheriff's offices and Maryland's Senior Call Check offer free automated daily calls to eligible residents. In the UK and Ireland, befriending calls from Age UK, Re-engage and ALONE are free. Paid services, with a person calling daily, cost around $30 to $50 a month in the US when we checked.
What is the difference between a check-in call and befriending?
A check-in call is about safety: a quick call to confirm your parent is OK, with a plan if they don't answer. Befriending is about company: a longer, friendly chat, usually weekly, with the same volunteer. Some people benefit from both.
Does Dottie call my parent every day?
No. Dottie doesn't phone anyone. Your parent taps her on a tablet or phone when they'd like a chat. She isn't a check-in or alert service: nobody is notified if your parent doesn't chat. If they mention a fall or feeling very unwell, she shows a help card with buttons to call the emergency number or family, and it appears on your dashboard.
What if my parent doesn't answer a check-in call?
That depends on the service, so ask before you sign up. Automated programmes usually try again, then call a named contact, then ask for a welfare check. Befriending services are not designed as safety checks, so a missed call may simply be rescheduled.
In an emergency
Call 911 (US and Canada), 999 (UK) or 112 or 999 (Ireland). If you can't reach your parent and you're worried, ask their local police for a welfare check using the non-emergency number.
Sources
All checked on 26 October 2026.
- Dutchess County Sheriff's Office, "Are You Okay?"
- Brunswick County Sheriff's Office, "Are You OK? Service"
- Yuma County Sheriff's Office, "R U OK?"
- Maryland Department of Aging, "Senior Call Check and Social Connections"
- Anne Arundel County, "Telephone Reassurance"
- Administration for Community Living, "Eldercare Locator"
- Institute on Aging, "Friendship Line"
- Age UK, "Telephone Friendship Service"
- The Silver Line, "Helpline" and "Our story"
- Royal Voluntary Service, "Calls with Care"
- Re-engage, "How we work with older people"
- Independent Age, "Good to Know webinars" (helpline details)
- ALONE, "Referral information"
- CareCheckers, home page and plans
- Careline365, "Caring Calls"
- Snug Safety, home page and plans
- Apple Support, "Use Check In for Messages on iPhone"
- Android Help, "Get help during an emergency with your Android phone"
- Kahlon MK et al., "Effect of Layperson-Delivered, Empathy-Focused Program of Telephone Calls on Loneliness, Depression, and Anxiety", JAMA Psychiatry (2021)
- Cattan M, Kime N, Bagnall AM, "The use of telephone befriending in low level support for socially isolated older people: an evaluation", Health and Social Care in the Community (2011)
- Dottie, safety and privacy and pricing
