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This certainly is an interesting product and solves the problem of configuring Alexa Calling for a remote loved one. After reading the FAQ on their site, I found that they don’t require the elder to have an Alexa account and they provide a phone number for making the calling connections. I believe that the only way a family member can call the elder is though the supplied app

The only downside I can see to this, in addition to the monthly fee of $19.95/mo subscription, is that since the elder does not use their own Amazon account they will be missing Amazon Prime Video and Amazon Music

They may be an acceptable tradeoff when weighed against the curated apps they supply.