We got a cell phone after DW had a (minor) accident with the car and would have had great difficulty reaching me if not for the kindness of a stranger with a cell phone. Initially we got one from Verizon but it was a two-year contract at $15/month which was cheap at the time. Later we dropped that and now use two Tracfones for $20 for three months.
We go for weeks at a time without using them but they are convenient to have when needed, and both of us carry them. So for us they are optional, but nice to have.
However, I would say they are a necessity for someone who is out and about a lot, like a real estate agent.