Brand new and unused. The box was scuffed and only taken out to check its condition and for pictures. No damage to it as shown in the pictures. No subscription plans are included, only the unit. Description Care@Home PERS+ by Essence is an enhanced Social Alarm designed to bring innovative solutions for the growing population of seniors that wish to live independently at home, giving them extra confidence with advanced emergency alerting capabilities that include voice recognition and fall detection technologies. The PERS+ features: Allows seniors to call for help from anywhere in their home and in any state of health Triggered by audible distress calls to activate emergency alerts Cellular based (4G), future proof The kit includes: Control panel Emergency pendant Consider pictures as a part of the description and judge any and all cosmetic or other issues to your opinion before purchasing. PLEASE NOTE THE PICTURE IS THE ACTUAL ITEM AND/OR ACCESSORIES YOU WILL RECEIVE. IF IT IS NOT PICTURED, IT IS NOT INCLUDED. We do our best to accurately picture and describe each and every one of our listings. Inevitably, you may receive an item that does not meet your expectations. It is no way our intention to mislead or cheat any customer. If you have any issues with your purchase, please message us before filing a refund request. Please note that all refund requests will require the return of the item in the same condition as it was sent. Any damage or material change to the condition of the item may result in a reduced refund, up to 50% in accordance with policy. All refunds on returns will be processed minus the original shipping charges that were incurred to ship it to you. We package our items in the most cost/time-effective way to provide competitive pricing. Should you require special shipping considerations (e.g. packaging or shipping timelines), please message us PRIOR to purchasing so we can work towards an amicable solution. Certain requests may incur additional charges. Post-purchase shipping demands will not be honored. Delivery times provided are estimates. Actual delivery times may vary due to carrier-related delays. We ship items as quickly as possible, but in some circumstances, it can take up to three business days for an item to be shipped. Once an item leaves our hand, we have no control over when it gets delivered. We only ship to the confirmed shipping address provided to us at the time of purchase. We cannot change the delivery address after a purchase has been made, so please ensure that your shipping address is correct.