The Steel Wheat medical ID bracelets are an uncomplicated woven design stainless steel bracelet, and is simple enough to wear with just about anything in your closet! This medic alert bracelet is offered with the Contempo ID which is interchangeable with all beaded bracelets, most leather bracelets, and all interchangeable medical bracelets Charms pictured are sold separately and will be attached to the medical information bracelet's ID tag. Sizes include what the bracelet length will be with the Contempo ID attached. Subtract 1.75" if you are ordering without the ID.