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Yes, the Health & Safety packages are optional as only a Talk & Text plan is all that is required for Alexa.

You don’t need Wi-Fi to use Alexa so you will be able to use both Alexa at home or while away from home without having to look for Wi-Fi hotspots.

BUT, you will have to have, or create an Amazon account, and then use a computer or tablet to setup up Alexa on the phone as described in this video