13 Best Medical Alert Systems of June 2023

• The best medical alert systems provide fast, reliable access to medical assistance in the event of an emergency.
• Medical alert systems generally cost between $20–$30 per month, and some brands charge one-time equipment or activation fees. It’s important to determine upfront what your unique needs are, such as fall detection, and your budget for a medical alert system.
• Some brands offer discounts when you choose a quarterly or annual payment plan.
• The best medical alert systems on the market include companies like MobileHelp, Bay Alarm Medical, Medical Guardian, and others mentioned in this guide.

If you live alone or care for someone who has a medical condition, you may be interested in learning about what medical alert systems have to offer. Medical alert systems, also called life alert systems, provide added peace of mind for older adults who are aging in place, as well as their loved ones and caregivers.

When you activate your medical alert system (whether it’s an at-home or on-the-go device), it connects to the company’s 24/7 monitoring center, from where a monitoring center professional will respond when you push your device’s help button. They will then alert emergency services, your emergency contacts, or both, depending on the situation.

The best medical alert systems can provide vital support for older adults, but features and prices vary. It’s important to find a system that meets your unique needs and budget.

Our Reviews Team researched and tested the top medical alert systems on the market to help you make an informed decision for yourself or your loved one. Let’s take a look at our picks for the best medical alert systems in 2023.

• Best Premium Features: Medical Guardian
• Best All-Around System: MobileHelp
• Best for the Price: Bay Alarm Medical
• Best for No Extra Fees: ADT Health
• Best Customer-Friendly Policies: LifeFone
• Best At-Home Medical Alert System: GetSafe
• Best All-in-One Device: Medical Alert
• Best Health Services: Lively
• Best for Caregivers: Aloe Care Health
• Best Monitoring Center: Medical Care Alert
• Best Technologically Advanced System: HandsFree Health
• Best Two-for-One Deal: One Call Alert
• Best Mobile Medical Alert System: LifeStation
• Not Recommended: Life Alert

Our Reviews Team spent more than 2,500 hours conducting in-depth research and hands-on testing of medical alert systems. During our process, we:

• Engaged in ongoing independent research
• Consulted with licensed adult caregivers and doctors who specialize in caring for older adults
• Mystery shopped 13 medical alert system brands
• Surveyed medical alert system users
• Tested various medical alert systems
• Read hundreds of verified customer reviews from trusted third parties, such as Better Business Bureau (BBB) and Trustpilot

Read more about our medical alert system review methodology.

Table 1 below allows you to easily compare prices and features of the best medical alert systems of 2023. When comparing medical alert systems, pay special attention to connection type, device range, and battery life.

Best Premium Features: Medical Guardian

Score: 4.3/5
Starting monthly fee: $30 for at-home systems and $40 for on-the-go systems
Device range: 1,300–1,400 (ft.)
Connection type: Landline, AT&T or Verizon cellular
Fall detection: Additional $10 per month
Response time: 1–15 seconds

Medical Guardian offers a selection of optional, premium add-ons to its systems. Its wide assortment of extra features to customize your device led us to name Medical Guardian “Best Premium Features.” Very few other medical alert companies offer so many extras to tailor your system to your specific needs. This may be why a majority (43%) of our survey respondents use Medical Guardian for their medical alert system—the second most popular system is Bay Alarm Medical with 26%.

At-home medical alert systems

• Classic Guardian: For $30 per month and no equipment fee, the base unit of the Classic Guardian connects to a landline and has a range of 1,300 feet.

• Home 2.0: Working from a cellular connection, this system includes a base unit and help button with a 1,400-foot range. The equipment costs $149.95, and the monthly fee is $37.95.

On-the-go medical alert systems

• Mobile 2.0: This system comes with a help button that has a 500-foot range from the base unit, advanced location detection, and a three-day battery. The monthly fee is $45, and there is no equipment fee.
• Mini Guardian: This device has a five-day battery, weighs 1.3 ounces, and comes in three colors: white, black, and silver. The Mini Guardian also comes with a magnetic lanyard and belt clip. The cost is $149.95 for the equipment and $40 for the monthly fee.
• MGMove: The MGMove is a touchscreen smartwatch and medical alert system in one. It has a built-in speaker and microphone, allowing you to speak with the monitoring staff, as well as a step counter and weather app. Fall detection is not available for the MGMove. The monthly fee is $39.95 plus a $199.95 one-time equipment fee.

Extra fees and services

Medical Guardian offers an assortment of add-on products and services—most with an additional monthly cost. These include:

• An app for caregivers (free)
• Real-time text and email caregiver notifications when the help button has been pressed ($2.99 per month)
• Fall detection ($10 per month)
• A protection plan ($6.99 per month)
• A lockbox (a box attached to your front door that stores your keys to allow emergency services to enter your home for $2.99 per month)
• Standard and voice-activated wall buttons ($2.99 per month for standard and $4.99 per month for voice-activated)
• Support Circle app for the MGMove with messaging and daily reminder features ($5 per month)

Keep in mind Medical Guardian charges higher monthly fees than some competitors. Any add-ons will push your monthly costs even higher. But you won’t have to worry about hidden processing fees, and equipment fees only apply to certain systems.

Regardless of the model you choose, the Medical Guardian at-home systems match the industry high of 1,300–1,400 feet of range. We were also impressed with the on-the-go systems’ longer-than-average battery life (five days) and advanced location detection.

Medical Guardian full review

Medical Guardian customer service

Our customer service representative was helpful and responsive when helping us set up our account profile on the MyGuardian app. The same representative also helped us test the Mobile 2.0 system when it had a low battery. It took us about two minutes to reach a representative every time we contacted them over the phone.

Medical Guardian customer reviews

Be aware that Medical Guardian has low customer ratings on its BBB page—the company has a verified customer review score of 1.12 out of 5 based on 58 reviews. The majority of complaints express difficulties canceling the service and obtaining refunds. Despite the negative reviews, Medical Guardian is still accredited with the BBB and has an A+ rating, meaning the company works to respond to and resolve every customer complaint.

Use code “NCOA” for $50 off the Mini Guardian through December 2023.

Best All-Around System: MobileHelp

Score: 4.1/5
Starting monthly fee: $20 for at-home systems and $38 for on-the-go systems
Device range: 600–1,400 ft.
Connection type: Landline, AT&T cellular
Fall detection: Additional $11 per month
Response time: 1–15 seconds

Whether you are a single person who likes to stay at home or an active older adult, MobileHelp offers a range of options. We chose MobileHelp as the “Best All-Around System” because of its impressive device variety, as well as its extra features, low prices, and fast response time.

When we tested medical alert devices, MobileHelp had one of the fastest response times at 1–15 seconds, compared to the average of 15–20 seconds. This is an important point for many customers: The majority of respondents to our survey of 1,000 medical alert systems users said a fast response time was their most important consideration when choosing a medical alert system.

MobileHelp also has competitive pricing. In each product category (at-home, on-the-go, and bundled), we found at least one device with a lower price than competitors. For example, the MobileHelp Classic costs $20 per month, a full $10 less than many other at-home systems on the market with cellular connection. And two people in the same household can get a pair of mobile devices for $45 per month, which is just a few dollars more than what many providers charge for one.

At-home medical alert systems

• MobileHelp Classic: One of the highlights of this at-home system is an industry-high 1,400-foot range. This system’s monthly fee is $20.
• Touch Classic: For $55 per month, this touchscreen tablet offers games that may be good for your brain health such as Sudoku, a photo gallery, optional activity tracking (the ability to monitor the user’s health activity such as how many steps they walked), and medication reminders.
• The Wired Home: This system uses a landline connection and costs $25 per month.

On-the-go medical alert systems

• MobileHelp Solo: This system includes a mobile base unit for use in the home and on the go, as well as a waterproof help button. It costs $38 per month.
• MobileHelp Micro: This lightweight and discreet device has advanced location detection (the ability to locate the device user) and costs $40 per month. It’s about half the size of the Solo and weighs a little more than two AA batteries.

Bundled packages

These bundled packages may be a good option for households with more than one person:

• Duo: A combination of an at-home and on-the-go system for $42 per month
• Mobile Duo: Two on-the-go devices for $45 per month
• Touch Duo: A touchscreen tablet and on-the-go device for $55 per month

Extra fees and services

You won’t need to worry about equipment fees for six of the eight MobileHelp products, and if you take advantage of the referral program, you’ll get a $200 discount.

A few notable services also make MobileHelp worthwhile. MDLive is a telehealth service (meaning a service that offers health care remotely) that allows you to virtually visit a board-certified doctor through a video call without an appointment. You can use this service to treat non-emergency conditions such as the flu, a fever, or sore throat. You can also get new prescriptions or refills for certain common medications. MDLive does accept insurance, and the company says more than 60 million people have MDLive as part of their health insurance benefit. It’s a potentially useful way to supplement your primary medical care.

In addition to MDLive, the company offers another service called MobileHelp Connect Premium. With this service, you have access to an online portal and app that provides features like location detection, activity tracking, and medication reminders.

One of the main drawbacks of MobileHelp is the $11 per month fall detection add-on, especially since most companies charge $10 per month.

MobileHelp review

MobileHelp customer service

The MobileHelp customer service phone number was listed on our invoice, but it would have been helpful to have it in the quick start guide also. During one of our calls to customer service, we had to wait over five minutes and click through several menu options before speaking with a representative.

MobileHelp customer reviews

MobileHelp has positive customer ratings on its BBB page—it has a verified customer review score of 4.75 out of 5 based on 114 reviews. The majority of reviews express satisfaction with friendly customer service and quick response times. MobileHelp is accredited with the BBB and has an A+ rating, meaning the company works to respond to and resolve every customer complaint.

Best for the Price: Bay Alarm Medical

Score: 4.5/5
Starting monthly fee: $25–$30 for the at-home system and $35–$38 for on-the-go systems
Device range: 1,000 ft.
Connection type: Landline, AT&T cellular
Fall detection: Additional $10 per month
Response time: 1–15 seconds

Bay Alarm Medical is one of the most affordable medical alert systems on the market. The company’s offerings may be more limited than competitors, but the overall value of its industry-leading price combined with its fast response time (15 seconds on average) and quality devices led us to award it “Best for the Price.”

While most on-the-go systems have starting monthly costs between $35–$40, the on-the-go systems from Bay Alarm Medical start at $35–$38 (monthly costs increase based on the system you choose). Its at-home system starts at $25 monthly, which is at the lower end of the price range for in-home systems.

At-home medical alert system

• In-Home Medical Alert: For those with a landline connection, the starting monthly fee is $25. The price goes up to $32 per month for a system with a cellular connection. Fall detection is available for the landline and cellular system for $10 per month.

On-the-go medical alert systems

• SOS Mobile: This simple, lightweight mobile system includes location tracking and optional fall detection for $10 per month. It costs $30 per month with a one-time $99 equipment fee.
• SOS All-in-One: This compact device is designed to be used at home and on the go. Weighing 1.8 ounces (about the size of two AA batteries), the All-in-One looks like a standard mobile system, but unlike the SOS Mobile, it pairs with a help button bracelet and necklace. The starting monthly price is $38 plus a $99 equipment fee. Fall detection is available for $10 per month.
• SOS Smartwatch: In addition to connecting to the monitoring center, this sleek smartwatch includes a step tracker. It is $35 per month and has a $159 upfront equipment fee.

Bundled system

The bundled system from Bay Alarm Medical includes the SOS Mobile and an at-home cellular system. The starting price is $50 per month. At this price, you get two systems for a little more than what many providers charge for one. This is a great deal for households with multiple people or for those who live alone and want one system for home and one for going out.

While Bay Alarm Medical is one of the most affordable medical alert systems in our review, it does lack advanced features found in other systems, like medication reminders or voice-activated wall buttons. But if price is your number-one concern, we think Bay Alarm Medical is a good choice.

Bay Alarm Medical review

Bay Alarm Medical customer service

Overall, the customer service representatives we spoke with were friendly and helpful. During a call with a representative, they explained how emergency contacts worked and offered to help set up our contacts in the online portal. It took us less than a minute to talk with someone over the phone.

Bay Alarm Medical customer reviews

Bay Alarm Medical has high customer ratings on its BBB page—it has a verified customer review score of 4.3 out of 5 based on 138 reviews. The majority of the medical alert company’s reviews express satisfaction with helpful customer service and easy device setup. Bay Alarm Medical is accredited with the BBB and has an A+ rating, meaning the company works to respond to and resolve every customer complaint.

Best for No Extra Fees: ADT Health

Score: 4.2/5
Starting monthly fee: Starting at $29.99 for at-home systems and $39.99 for the on-the-go system
Device range: 300–600 ft.
Connection type: Landline, AT&T cellular
Fall detection: Additional $11 per month
Response time: 1–15 seconds

While your options are somewhat limited with ADT Health, the three medical alert devices from the company are simple and straightforward. Fees for at-home systems start at $29.99 per month—similar to competitors—and there are no hidden costs or extra fees. This means no activation fees, shipping fees, and processing fees if you decide to return the system. ADT even sends a prepaid shipping label for returns.

ADT also locks you into your original price, meaning your monthly fee will never increase, and replaces batteries for free. We think ADT Health is a good option for those looking for simple devices and straightforward pricing, which is why we named it “Best for No Extra Fees.”

About half of the companies in this list charge extra costs in the form of activation, shipping, or processing fees. ADT Health doesn’t charge any of those fees. For a more detailed overview of extra fees, see our overview of how much medical alert systems cost.

The at-home landline system is straightforward with just a base unit and a help button. It has a 300-foot range, which is notably small, and it does not feature optional fall detection. For some, this may be too bare bones.

The ADT at-home cellular system steps up the range to 600 feet and offers optional fall detection. Both base units include home temperature monitoring. The on-the-go system also provides two-way talk, GPS location detection, and optional fall detection through a separate necklace.

At-home medical alert systems

• Medical Alert Basic System: This at-home system uses a landline connection and costs $29.99 per month. The base unit has a 300-foot range and includes a home temperature monitor. It also comes with a complimentary help button.

• Medical Alert Plus System: Using a cellular connection, the Medical Alert Plus has a 600-foot range and includes a home temperature monitor and optional fall detection (a complimentary help button is also included). The monthly fee for this system is $37.99.

On-the-go medical alert systems

• On-the-Go System: At $39.99 per month, ADT’s on-the-go system comes with a cradle to charge your device and a help button.

Extra services and fees

ADT Health offers the following:

• An extra help button in the form of a wristband or necklace (one-time charge of $14.99)
• A fall detection button ($11 per month)
• An ADT lockbox (one-time charge of $29.99)
• A leather carrying case for the on-the-go device (one-time charge of $10)
• A waterproof wall-mount button ($2.99 per month)

While your options are somewhat limited with this company, the devices are simple and straightforward. Fees for at-home systems start at $29.99 per month—similar to competitors—and there are no hidden costs. This means no activation fees, shipping fees, and processing fees if you decide to return the system. ADT even sends a prepaid shipping label for returns. It also offers a price lock guarantee and free replacement batteries.

It’s important to note that if you already own an ADT home security system, you can receive a discount on your medical alert system. Call customer service at 800-716-3640 to get details.

ADT customer service

A customer service representative answered all of our questions within five minutes through the online chat. When we called customer service, we were on the phone for a few minutes and then transferred to a representative who was able to assist us. We like that the customer service phone number was on a sticker in large print on the at-home system, as well as in the user guide.

ADT Health full review

Best Customer-Friendly Policies: LifeFone

Score: 4.5/5
Starting monthly fee: $24.95 for at-home systems and $36.99 for on-the-go systems
Device range: 1,300 ft.
Connection type: Landline, AT&T or Verizon cellular
Fall detection: Additional $5 per month for most systems
Response time: 15–25 seconds

When it comes to added perks, LifeFone’s price structure and policies stand out from many other brands. The company offers a 30-day risk-free trial period, a price lock that guarantees the monthly price will never increase, and a lifetime warranty for manufacturer defects (the longest warranty on this list), making LifeFone the Reviews Team’s pick for “Best Customer-Friendly Policies.”

At-home medical alert systems

• At-Home Landline: At $24.95 per month, this system comes with a help button and has a 1,300-foot range and room temperature sensor. The sensor sounds an alarm and sends an alert to your contacts if room temperature goes above or below your settings, which can help detect fires early or warn that your heat isn’t working.

• At-Home Cellular: The cellular system’s features include a help button, 1,300-foot range, room temperature sensor, and medication reminders (programmed through the app). The monthly fee is $35.

On-the-go medical alert systems

• At-Home & On-the-Go VIPx: The VIPx has advanced location detection, optional fall detection for an extra $5 per month, a caregiver app, and three color options. It has a 10-day battery life and costs $45.95 per month.
• At-Home & On-the-Go VIP Active: The VIP Active is more compact than the VIPx, but it has a shorter battery life (five days) and just two color options (black and gold). The 1.7-inch long device is slightly longer than a standard sewing pin and costs $43.95 per month. It also includes a caregiver app and location tracking, with optional fall detection available for $5 per month.
• At-Home & On-the-Go Smartwatch Active: Unlike most medical alert smartwatches, the Smartwatch Active offers fall detection ($5 per month). It has a 24-hour battery life and includes a step tracker, weather app, and heart rate monitor. Another standout feature is its price—the Smartwatch Active is $49.95 per month with no equipment fee.
• At-Home & On-the-Go: LifeFone’s bundled system includes a base unit with either a cellular or landline connection, a help button with your choice of necklace or wristband, and a standard mobile device. This comprehensive system costs $39.95 per month.

Ways to save

With LifeFone’s referral program, you can receive a free month of service for every new customer you refer. Coverage for a partner is another way to save. With both at-home systems and the bundled system, basic service is free for partners. LifeFone also charges just $5 per month for fall detection—most other providers charge $10 per month.

Extra services and fees

The VIPx system supports AT&T and Verizon cellular coverage, which is a step above other providers on this list that just offer connectivity through one service. Keep in mind the VIPx is the only LifeFone system that offers an option between AT&T or Verizon coverage. In addition, LifeFone leads the industry when it comes to battery life: The VIPx’s battery lasts up to 10 days.

The LifeFone monthly fees will cost you a bit more than some of the other systems, but keep in mind you will not be charged for the LifeFone equipment, which is well-designed and filled with functions. You won’t have activation or processing fees either.

LifeFone customer service

We liked how accessible the LifeFone customer service phone number was when testing its medical alert systems. The number was listed multiple times in the user guide and activation instructions. When we called to speak to someone in customer service, the directory menu was easy to understand and navigate to the correct department.

LifeFone customer reviews

LifeFone has below-average customer ratings on its BBB page—it has a verified customer review score of 1.33 out of 5 based on three reviews. The reviews express dissatisfaction with the company’s return policy, customer service, and billing fees, but because the company’s rating is based on only three reviews, it’s easily skewed. Despite these negative reviews, LifeFone is accredited with the BBB and has an A+ rating, meaning the company works to respond to and resolve every customer complaint.

Use code “NCOA” for a free month and free shipping on annual and quarterly plans, free activation, and price-lock guarantee

Best At-Home System: GetSafe

Score: 4.1/5
Starting monthly fee: $30
Device range: System operates on voice activation (up to several yards away)
Connection type: Landline, AT&T cellular
Fall detection: Additional $10 per month
Response time: 25–35 seconds

GetSafe may be a good solution for anyone who frequently forgets to put on their medical alert necklaces and wristbands or who finds them uncomfortable. Instead of a wearable device, you place different types of life alert devices around your home. Since GetSafe offers no wearable devices and instead uses help buttons you activate by pulling a cord, pushing the button, or saying “Call 911,” we named it “Best At-Home System.” With no devices to wear and help buttons around your home in strategic places, your medical alert system is always active whether you’re wearing a device or not.

GetSafe systems include a base unit that should be in a central location, standard wall buttons you place in various spots, and voice-activated wall buttons in other rooms. GetSafe does include a simple personal help button with every plan in case users want to wear it, but it is not necessary for the voice-activated system to work.

Of all the systems we tested, GetSafe had the slowest response time at 25–35 seconds. This is worth noting because our survey respondents ranked a fast response time as the most important factor in a medical alert system.

At-home medical alert system packages

• Starter: Designed for small condos and apartments, the Starter kit includes the base unit, a voice-activated wall button, and a wearable button. It costs $79 for the equipment and has a $30 monthly fee.

• Standard: This mid-range system is for homes with two to three bedrooms and includes a base unit, two wall-mounted buttons, and a wearable help button. It costs $179 for the equipment and has a monthly fee of $30.

• Select: GetSafe recommends this deluxe package for older adults who live in multi-level homes with four to five bedrooms. It includes a base unit, three wall-mounted buttons, two standard wall buttons, and a wearable help button. It costs $279 for the equipment and also has a $30 monthly fee.

On-the-go medical alert system

• Optional wearable devices: The Mobile GPS Help Button can be bundled with any at-home system. It has a monthly fee of $20 plus a one-time equipment fee of $99.

Extra fees

Each GetSafe package has an upfront equipment fee of $79–$279. The company is one of the few providers that charges an equipment fee for both at-home and on-the-go equipment. Most providers only charge equipment fees for on-the-go equipment. The trade-off is the low monthly fee of $30 per month for all three systems. Add-ons include fall detection and location tracking.

GetSafe customer service

The customer service phone number was listed in the user brochure we received with our GetSafe equipment. We connected with a representative within a minute of each phone call, but online chat responses were longer. It took roughly three minutes to get a response each time we asked a question through the live chat.

Learn more in our full Getsafe review.

Best All-in-One Device: Medical Alert

Score: 4/5
Starting monthly fee: $20 for the at-home system and $40 for the on-the-go system
Device range: 800 ft.
Connection type: Landline, AT&T cellular
Fall detection: Additional $10 per month
Response time: 15–25 seconds

For older adults interested in a traditional on-the-go device that can be worn around the neck or attached to a belt, Medical Alert offers a great all-in-one system. Because one device performs all the functions, you won’t have to wear an additional necklace (like with other companies on this list). That’s why we named Medical Alert “Best All-in-One Device.”

Medical Alert designed its device to help reduce the risk of losing or forgetting one of the pieces. While many companies offer fall protection through a separate device worn on a necklace, Medical Alert gives the option of directly programming fall detection into the on-the-go device. This is a great choice for someone who doesn’t want to wear two devices.

At-home medical alert system

• Home System: Both the system with a landline connection ($20 per month) and the system with a cellular connection ($38 per month) have a help button, optional fall detection, and an 800-foot range.

On-the-go medical alert system

• Mobile System: With a price of $40 per month, this mobile device comes with a lightweight help button that connects you to a monitoring center 24 hours a day. The mobile system also offers GPS location tracking and two-way talk, which lets you speak back and forth with a monitoring center operator directly from the device itself.

Extra fees and services

At $48 per month plus a one-time $79 programming fee, the mobile device starts at a higher price point than some other systems on the market. But it does include a complimentary app that allows caregivers to directly contact the monitoring center, track a user’s location, and receive notifications if the user presses the emergency button.

Both the landline and cellular at-home systems also include a $79 programming fee. Fall detection is available for $10 per month for all systems.

If you have a pacemaker or defibrillator, it’s safer to attach the mobile device to a belt and wear the fall detection necklace around your neck. Medical Alert provides this option as well.

For more information on this system, check out our in-depth Medical Alert Review.

And, if you’re curious about the difference between prices of Medical Alert and Medical Guardian, visit our Medical Guardian vs. Medical Alert comparison.

Medical Alert customer service

We had a mixed experience with Medical Alert customer service. The representative who helped us purchase our device was friendly and helpful—they even gave us their direct extension if we needed anything.

A different representative called us to clarify something about our account. Since we were not able to take their call at that moment, we asked if they could call us back another time. The representative immediately hung up on us.

Medical Alert customer reviews

Be aware that Medical Alert has low customer ratings on its BBB page (where Medical Alert is grouped together with its parent company, Connect America). The medical alert system company has a verified customer review score of 1.25 out of 5 based on 20 reviews. The majority of complaints express frustration with the company’s policy that users must return the equipment in order to cancel the service, though this is common practice when you are renting medical alert system equipment from a brand. Despite the negative reviews, Medical Alert is still accredited with the BBB and has an A+ rating, meaning the company works to respond to and resolve every customer complaint.

Best Health Services: Lively

Score: 4/5
Starting monthly fee: $25 for on-the-go systems
Device range: N/A (on-the-go devices only)
Connection type: Verizon cellular (operates on the Verizon cellular network—no need to purchase a Verizon plan)
Fall detection: Additional $9.99 per month with Mobile Plus
Response time: 15–25 seconds

Lively stands apart for providing extra services for individuals with one or more health conditions. The company offers health check-ins, access to virtual urgent care, and a caregiver app for added security. These premium features make Lively our pick for “Best Health Services.”

Offering the choice of a smartphone or flip phone with built-in cameras, video chat, and games, Lively appeals to customers who are active and tech-savvy. And its devices also feature large buttons and fonts, making them easy to use. This is a strong selling point, as respondents to our survey ranked “ease of setup and use” as the second most important factor in a medical alert system, behind only “fast response time.”

Be aware that Lively devices are more advanced than the typical medical alert system, and some Lively customers have reported difficulty setting up their devices (see below). Lively is likely best for users who feel confident using technology.

On-the-go medical alert systems

• Jitterbug Smart3: This smartphone has a 6.2-inch screen, a camera, games, video chat, and voice typing. The standard price for equipment is $150 (although the company frequently offers sale prices as low as $75), and the monthly fee starts at $15 (not including 24/7 monitoring).
• Jitterbug Flip2: Lively’s flip phone has a backlit keypad, camera, magnifier, flashlight, and Amazon Alexa (a virtual assistant technology activated by voice). Its standard price is $100, and the monthly fee starts at $15 (not including 24/7 monitoring).
• Lively Mobile Plus: At $37.49 per month with a $50 equipment cost, the wearable Mobile Plus is waterproof (compared to just water-resistant).
• Lively on Apple Watch: Lively monitoring services can be added to a new or existing Apple Watch by purchasing the Lively Urgent Response app. There are two packages available: the basic health and safety package for $24.99 per month, and the premium package for $34.99 per month. Both allow you to contact the 24/7 monitoring center from your Apple Watch.
• Lively on Amazon Alexa devices: For $24.99 per month, you can turn your Amazon Alexa smart speaker into a medical alert system with the basic health and safety package. Just say, “Alexa, call for help” within range of your device to contact the monitoring center. The premium package is not available for Alexa devices.

Lively 24/7 monitoring and wellness services are available in a basic package for $24.99 per month, or a premium package for $34.99 per month. This package is optional for both Jitterbug phones, but the premium package isn’t available for Amazon Alexa devices. Keep in mind Lively does have equipment fees, and you will be required to purchase an additional talk and text package.

Extra services

Lively offers additional services on its smartphone, flip phone, and all-in-one wearable device:

• Lively Link caregiver app: Lively provides an app that complements each Lively product and enables caregivers to track your location and changes in daily activity. Lively Link is included with the basic and premium packages.
• Fall detection: For $9.99 per month, Lively offers fall detection for the Mobile Plus. Because being older or having a chronic disease such as Parkinson’s disease, diabetes, or chronic obstructive pulmonary disease (COPD) comes with an increased risk of falling, customers often want automatic fall detection in their medical alert system.
• Nurse On-Call: The Lively telehealth service, called Nurse On-Call, offers older adults the benefit of around-the-clock access to board-certified doctors and nurses who will answer questions and refill prescriptions of certain common medications. It’s a potentially helpful supplementary service to any older adult’s primary health care provider. This feature is included in the premium package.

Lively customer service

Every Lively customer service representative we spoke with was friendly, but getting help with purchasing the Lively app for our Apple Watch was difficult. Many representatives put us on hold or transferred our call. We were disconnected five separate times.

Fortunately, the final representative we spoke with figured out how to help us purchase the app in real-time so we wouldn’t be transferred again. We had a better experience with customer service representatives with simple troubleshooting questions when testing the equipment.

Lively customer reviews

Lively has low customer ratings on its BBB page—the company has a verified customer review score of 1.13 out of 5 based on 157 reviews. The majority of complaints express frustration with nonresponsive customer service and difficulties with device setup. Despite the negative reviews, Lively is still accredited with the BBB and has an A+ rating, meaning that the company works to respond to and resolve every customer complaint.

Read more in our full Lively medical alert review.

Best for Caregivers: Aloe Care Health

Score: 4.1/5
Starting monthly fee: Starts at $30 for the at-home system and $30 for on-the-go systems
Device range: 200 ft.
Connection type: AT&T cellular
Fall detection: Included with two of the four packages
Response time: 1–15 seconds

Aloe Care Health enhances communication between a caregiver or group of caregivers and the medical alert user. It all centers on the base unit, called the Smart Hub. Think of it like a small, hand-held speaker that rests on your table. With voice activation, older adults can ask the Hub to call a family member, caregiver, or the monitoring center. This feature is especially helpful for those with mobility or vision challenges. The ability of caregivers to call users directly through the Smart Hub device and to track users’ health information is why we named Aloe Care Health “Best for Caregivers.”

At-home medical alert systems

• Essentials: This basic package includes the Hub and one help button. The equipment cost is $150, and the monthly fee is $30.

• Essentials Plus: Essentials Plus is a bundled package. It includes the Hub, the Mobile Companion (see below), and one help button. It costs $250 for the equipment and $40 for the monthly fee.

• Total Care: Total Care includes everything in the Essentials Plus package, plus two motion sensors and a wall-mounted fall detection sensor for the bathroom. This premium package costs $350 for equipment and $50 per month.

On-the-go medical alert system

• Mobile Companion Go: The Aloe Care on-the-go device costs $30 per month with a one-time equipment fee of $100. This price includes advanced location detection, fall detection, and multisensory feedback.

By using the complimentary app, a caregiver can call the user directly through the Hub or send a message to other caregivers. The caregiver can also check on the temperature and air quality inside a user’s home. Sensors on the Hub record this information. The Hub has motion sensors as well, helping the caregiver note the most recent movements within a user’s home—a type of long-distance check-in.

Another feature that stands out about Aloe Care Health is that two of its four systems include fall detection, which survey respondents ranked as the most important special feature when shopping for a medical alert system.

Fees

Aloe Care offers advanced features that aid in accurate communication between the user and caregiver, but the help button has a short range of 200 feet, and pricey equipment fees run from $100–$350. The monthly fees are in the same range as other providers.

Aloe Care Health customer service

Every interaction with Aloe Care Health customer service was excellent. We were impressed with the company’s consistent follow-up. Almost every time we sent an email for scheduled assistance with our equipment, we received a call within minutes of our request.

Another time, we requested help setting up the app, but we missed the call back from customer service. A representative followed up with us the next day to ensure our issue was resolved.

Read our full Aloe Care Health review.

Best Monitoring Center: Medical Care Alert

Score: 4.8/5
Starting monthly fee: Starts at $27.45 for the at-home system and $36.62 for on-the-go systems
Device range: 600–1,000 ft.
Connection type: Landline, AT&T or Verizon cellular
Fall detection: Additional $10 per month
Response time: 25–35 seconds

Medical Care Alert has one of the best medical alert monitoring systems (also known as monitoring centers) in the industry, which is why we named it “Best Monitoring Center.” The company has two independent monitoring centers, each equipped with two diesel generators and two uninterrupted power supply units, which are ready to provide power and continue operating during natural disasters and other emergencies.

Even more impressive are its highly trained agents, all of whom are certified emergency medical technicians or emergency medical dispatchers, have completed at least two years of post-secondary education or military service, and have undergone a six-week training session certified by the Security Industry Association.¹ A Spanish-speaking agent is always available, as well, and the company provides support for deaf and hard of hearing individuals.

At-home medical alert systems

• Home System: Priced at $27.45 per month for a landline connection and $35 for a cellular connection, this system comes with a help button that extends as far as 1,000 feet from the base unit. Optional fall detection is available.

On-the-go medical alert systems

• Home & Away Ultra: Medical Care Alert’s all-in-one device has a three-day battery and advanced location detection. It will connect to either AT&T or Verizon cellular. The monthly fee is $36.62.
• Home & Away Duo: This system includes the Duo GPS device with a three-day battery, advanced location detection, and a wearable help button with a 400-foot range. Extra buttons can be purchased for use by another household member. The monthly fee is $40.

In addition to U.S.-based monitoring centers, Medical Care Alert has a great app. Its Remote Care 24/7 app comes with the Home & Away Duo system and enables caregivers to track a user’s location and schedule medication and appointment reminders.

One thing to note about Medical Care Alert: The prices on the website are a bit confusing. While there are monthly payment plans available, you’ll save money by paying quarterly, semiannually, or annually.

Medical Care Alert customer service

We had a pleasant experience speaking with a Medical Care Alert customer service representative over the phone when mystery shopping the brand. They were personable and asked thoughtful questions to help recommend the right package for us. They gave us an overview of product features, the return policy, and other helpful information while staying conversational and not pushy or sales-y.

Medical Care Alert customer reviews

Medical Care Alert has high customer ratings on its BBB page—the company has a verified customer review score of 4.33 out of 5 based on six reviews. Reviews express satisfaction with receiving free replacement devices and the patient, respectful customer service. But since there are only six reviews, the score is easily skewed. Medical Care Alert is accredited with the BBB and has an A+ rating, meaning that the company works to respond to and resolve every customer complaint.

Best Technologically Advanced System: HandsFree Health

Score: 3.6/5
Starting monthly fee: Starts at $30 for on-the-go systems (at-home system has no monthly fee)
Device range: System operates on voice activation (up to several yards away)
Connection type: T-Mobile cellular
Fall detection: Not available
Response time: 1–15 seconds

HandsFree Health is not your typical medical alert system. The system operates using two pieces of equipment that can be purchased separately or together: a smart speaker (like a smartphone but in the form of a small, hand-held speaker), and a smartwatch. It’s the advanced smart speaker, in particular, with its voice activation and hands-free calling (your contacts can call you directly through the speaker), that made HandsFree Health our pick for “Best Technologically Advanced System.”

At-home medical alert system

• WellBe Smart Speaker: This voice-activated smart speaker, similar to Alexa or Siri, reminds you of upcoming medical appointments and when to take your medication after entering information through the app. It includes a health database tailored to your specific health profile, so you can ask specific questions about vaccinations or various conditions. The smart speaker also calls the monitoring center in the event of an emergency. HandsFree Health charges $189 for the equipment, plus an additional $10 per month for monitoring (although the monitoring feature is optional).

On-the-go medical alert systems

• WellBe Smartwatch: The smartwatch provides a heart monitor and pedometer, and it’s equipped with medical alert functions such as a help button, two-way talk, and GPS location detection. It can also answer health questions from WellBe’s database. With a monthly fee of $45, the smartwatch is actually on the cheaper side for on-the-go systems. The equipment fee is $120.
• WellBe Medical Alert PLUS: Includes both the speaker and watch for $55 per month, plus a $160 equipment fee.
• WellBe Medical Alert Pendant: This compact device is similar to standard on-the-go systems and can be worn as a necklace or tucked in your pocket. It has a help button, two-way speaker, voice-recognition technology, and it’s the only WellBe system with a fall detection option ($10 per month). There is a $30 monthly fee plus $119.95 equipment fee.

If you’re like the majority of our survey participants who said they’d prefer to wear a smartwatch over a necklace or medical alert bracelet, this brand may appeal to you. HandsFree Health only offers a smart speaker or smartwatch.

A complimentary app comes with the system, allowing caregivers to manage health information from anywhere. HandsFree Health is best for people who are comfortable using smart technology.

If you’re interested in more smartwatches, read our review of the top medical alert watches.

HandsFree Health customer service

While the first customer service representative we spoke with didn’t have answers to our questions about the monitoring center, we appreciated that they recorded all of our questions and had another representative call us back with answers. This second representative was very knowledgeable, and they even explained new equipment features that weren’t in the user guide.

HandsFree Health customer reviews

HandsFree Health doesn’t have a BBB page, but its Amazon page has an average verified customer review score of 4.6 out of 5 based on four reviews. The majority of the medical alert reviews express satisfaction with the medication reminders and how easy it is to use the smart speaker.

Best Two-for-One Deal: One Call Alert

Score: 3.8/5
Starting monthly fee: Starts at $23 for the at-home system and $33 for on-the-go systems
Device range: 600–1,400 ft.
Connection type: Landline, AT&T cellular
Fall detection: Additional $11 per month
Response time: 15–25 seconds

Several medical alert system companies have bundled deals, but One Call Alert is the best discount we’ve seen, which is why we named it, “Best Two-for-One Deal.”

Most medical alert companies offer some sort of bundled deal, but the deals are usually for combining an at-home system with an on-the-go device. One Call Alert offers two of the same type of device (two mobile devices) at a discounted price. The bundle, known as the Mobile Double, offers two water-resistant, GPS-enabled devices with two-way communication starting at $45 per month. When purchased by itself, the Mobile On-the-Go device costs $38 per month. That means, with the Mobile Double, you’re getting one extra mobile device almost for free. An extra, almost-free device could be a great way to save money for spouses or roommates who both want to be protected while on the go.

In addition to the money-saving bundle, One Call Alert offers regular at-home and on-the-go systems.

At-home medical alert systems

• In-Home Landline: This device is One Call Alert’s most basic medical alert system. To use this system, you need to have an active landline. It comes with a wearable necklace that you can use up to 600 feet from the base unit that connects to the monitoring center in an emergency. The in-home landline system has no long-term contracts, no activation fees, or equipment fees. It costs $23 per month if you sign up for the annual payment plan, or $25 if you pay by month.
• In-Home Wireless: This system is slightly different than the in-home landline system because it connects to AT&T cellular network and no landline or internet connection is needed. It also doesn’t have any long-term contracts or activation and equipment fees. The in-home wireless could be a good option for those that want an at-home system, but do not have access to a landline. It costs $30 per month if you sign up for the annual payment plan, or $20 if you pay by month.

On-the-go medical alert systems

• Mobile On-the-Go: This on-the-go system comes with a portable unit and an additional wrist or necklace button. It’s a step up from the at-home units in that it can track your location, which can be a reassurance to you, loved ones, and other caregivers. Similarly to the at-home devices, there is no equipment or activation fees. It costs $33 per month if you sign up for the annual payment plan, or $38 if you pay by month.
• Mobile Double: The Mobile Double is a great option for those who have two people needing medical alert systems and want coverage for both individuals. It comes with two water-resistant devices that have location-tracking abilities and two-way communication, so you can talk directly to the monitoring center in the event of an emergency. Similarly to the at-home devices and the Mobile On-the-Go, there is no equipment or activation fees. It costs $40 per month if you sign up for the annual payment plan, or $45 if you pay by month.
• All-in-One: The All-in-One is the smallest and lightest device from One Call Alert. It uses GPS location tracking and two-way communication to keep you connected while on the move. It is water resistant, meaning it can withstand exposure to water and can be worn in the shower. It is the most expensive single mobile system from One Call Alert, starting at $39 per month. The All-in-One costs $32 if you sign up for the annual payment plan, or $40 if you pay by month.

One Call Alert customer service

If you are not a current One Call Alert customer, you can’t speak with a customer service representative over the phone unless you agree (by pressing 1) that the company can call or text you about its services. We don’t like that potential customers must agree to promotional calls and texts before speaking with customer service. 

We used the online chat feature on the brand’s website when mystery shopping. A representative responded immediately almost every time we used online chat, and they were able to answer our questions about product features we couldn’t find on the One Call Alert website.

One Call Alert customer reviews

One Call Alert is on BBB but the profile has not been claimed by the business, meaning it isn’t an official representation of One Call Alert. Customer reviews for the company were limited and of the ones we found, most commented on the ease of purchase versus using the actual medical alert systems.

Best Mobile Medical Alert System: LifeStation

Score: 3.6/5
Starting monthly fee: Starts at $33 for the at-home system and $38 for on-the-go systems
Device range: 500–600 ft.
Connection type: Landline, AT&T cellular
Fall detection: Additional $12 per month
Response time: 15–25 seconds

LifeStation has one of the most advanced on-the-go system offerings, earning it “Best Mobile Medical Alert System” from us. The company has two on-the-go products. The first device, the Sidekick, is small and easy to put in a pocket or wear around your neck when going shopping or meeting friends for lunch. The second device, the Sidekick Smart, has a higher monthly fee than other smartwatches with medical alert capabilities on the market, but it includes a variety of premium features. And you’re not required to pay an upfront equipment fee as you would with other providers.

At-home medical alert systems

• LifeStation At-Home Medical Alert System: The LifeStation medical alert system with a cellular connection costs $33 per month and has a 600-foot range.

On-the-go medical alert systems

• Sidekick: An all-in-one device that weighs only 1.4 ounces, the Sidekick includes advanced location detection for $38 per month with no equipment fee.
• Sidekick Smart: This black smartwatch costs $44 per month and comes with advanced location detection, two-way talk, a pedometer, daily weather forecasts, and a heart monitor.

Extra features

Both on-the-go products come with several additional safeguards to help older adults feel confident and secure while out and about. The monitoring center will alert registered family members when a loved one makes an emergency call. Caregivers can also track the user either through the company’s “Find My Loved One” feature or by connecting their device with Amazon Alexa.

We received inconsistent information from LifeStation’s customer service. Although currently advertised on the company’s website, LifeStation no longer partners with Uber Health to help get customers to their doctor appointments. When calling to confirm the availability of the service, we received several conflicting answers from different customer service members.

See how LifeStation compares to Bay Alarm Medical and other medical alert devices.

LifeStation customer service

LifeStation customer service representatives were helpful and thorough when setting up our account. Still, they couldn’t give us any information about testing fall detection or answer our questions about the feature. We also received conflicting product information that didn’t match the brand’s website.

LifeStation customer reviews

LifeStation has below-average customer ratings on its BBB page—the company has a verified customer review score of 1.56 out of 5 based on nine reviews. Reviews express satisfaction with fast response times and the automatic alerts sent to contacts when users press the help button. Other reviews express frustration with the returns process and long telephone wait times to speak with customer service. LifeStation is accredited with the BBB and has an A+ rating, meaning that the company works to respond to and resolve every customer complaint.

A medical alert system is a device that connects to a 24/7 monitoring center with the press of a button. Monitoring center staff can dispatch emergency services, loved ones, or both to the user’s location.

Medical alert systems can add security and independence for older adults, those with health conditions, or anyone living alone that may require immediate assistance.

“Medical alert services can help reduce the risk of living alone—increasing independence for older adults and providing peace of mind for their caregivers,” said Liron Sinvani, MD, director of the geriatric hospitalist service at Northwell Health in the New York City area. “In the event of a fall or medical situation, an alert system makes help available at the push of an emergency button.”

By providing reliable help if needed, research shows medical alert systems can help boost the confidence of older adults and those with disabilities or other health concerns.¹

How do medical alert devices work?

A medical alert system connects to a 24/7 monitoring center when you press the help button. Depending on the medical alert brand, your device may also use fall detection sensors or voice commands to connect to the monitoring center.

Not all medical alert systems have the same connection type—some only connect to landlines, while others use Wi-Fi or cellular connections (such as AT&T or Verizon cellular, which is the same technology your smartphone uses). On-the-go systems, for instance, connect via a cellular network, meaning you’re able to contact the monitoring center anywhere cellular service coverage is available.

You don’t need to be an AT&T or Verizon customer to use the medical alert systems on this list—you just need to live within range of either provider’s network, both of which cover a vast majority of the United States. With such comprehensive coverage, you shouldn’t have a problem, but if you want to make sure you’re in-network, use the Verizon Coverage Map and AT&T Coverage Map tools to verify that you’re covered.

Who should use a medical alert system?

Many people believe incorrectly that only older adults who live alone need a medical alert system. This couldn’t be further from the truth. People with certain chronic diseases, injuries, and recent illnesses may also benefit from a medical alert system.

Many older adults do have chronic diseases and/or physical or sensory disabilities that make a medical alert system a necessity. According to the Centers for Disease Control and Prevention, 85% of adults 65 and older in the U.S. live with one chronic disease, and 56% live with two or more.

Others who might find a medical alert system helpful include:

• Those at risk of falling due to dizziness or low blood pressure related to chronic diseases or certain medications
• People who go out alone and want the added safety a medical alert system provides
• Individuals who wouldn’t be able to stay in their home if they didn’t have a way to reach help quickly (as part of a comprehensive care plan that includes in-person caregiving)
• People recovering from a recent hospital stay, injury, surgery, or illness
• Anyone who needs assistance with daily activities, self-care, or management of a chronic disease

A medical alert system with fall detection is a good match for anyone living with a condition putting them at high risk for falls, like Parkinson’s disease, epilepsy, diabetes, COPD, and impaired vision or hearing, according to Dr. Sinvani. For those with a known heart condition, some medical alert devices are specifically designed for people with pacemakers or defibrillators.

Those living with dementia can also benefit from using an emergency medical alert system. Some companies manufacture products that are Bluetooth-enabled and can be integrated with smart home devices, like window and door sensors. These products can then alert a caregiver through their smartphone if a loved one wanders away from home.

Medical alert systems fall into one of two categories: in-home and on-the-go systems.

At-home medical alert systems

At-home medical alert systems typically have a base unit that communicates with trained staff at a monitoring center and a help button that connects to the base unit. You plug the base unit into an outlet, somewhere near the middle of your home. Base units also include a battery backup in case of a power outage.

Most at-home medical alert systems include a portable help button you can wear as a medical alert necklace, wristband, or carry in your pocket. With the help button, you can move around the house or yard and still be able to call for help by pressing the button.

Most systems let you choose between a landline or cellular connection.

On-the-go medical alert systems

An on-the-go system uses a mobile device with a cellular connection, enabling you to call for help when you’re away from home. Some systems also use a lightweight help button that communicates with the mobile device. You can carry the device in your purse or on your belt while wearing the help button around your neck or wrist.

On-the-go medical alerts come in a variety of sizes and types. They all contain rechargeable batteries and come with a charging unit that plugs into an outlet. Mobile systems can be in the form of a wearable device (such as a medical alert watch or necklace) and are usually lightweight and smaller than a cell phone. Lively also offers two cell phones with medical alert capabilities.

For more information, check out our how do medical alert systems work article.

While some special features are self-explanatory, others deserve a little extra attention. Learn more about five common medical alert system features.

• Range: This is the longest distance an at-home base unit can connect with your help button. Device ranges are typically between 300–1,400 feet. Range is not a factor you need to consider with on-the-go systems.
• Location detection: GPS tracking on medical alert devices is a feature that only applies to on-the-go systems. This feature allows monitoring center staff to quickly determine the location of a user during a personal emergency.

• Fall detection: Using sensors such as accelerometers, which detect motion, fall detection devices are designed to identify a fall and then send an alert to the provider’s monitoring center. Nearly every provider includes a disclaimer on its website stating that no device is 100% accurate.Be aware that false positives can occur (when the device mistakenly detects a fall that hasn’t happened) from things, like dropping your device or the device falling off a table.

Studies show these sensors aren’t as accurate on the wrist versus the waist and head.² In the event of a false positive, the company will reach out and verify whether you need assistance.

If fall detection is a feature you’re interested in, see our best medical alert systems with fall detection review.

• Help buttons: You will likely receive a help button with your system that can be worn as a necklace or emergency life alert bracelet. The help button is lightweight, comfortable to wear, and connects to the monitoring center so you have 24/7 coverage.

• Battery life: Since at-home systems are plugged into an outlet, the devices use batteries that typically last 30–32 hours as a backup in the event of a power outage. On-the-go systems come with chargers and typically last one to five days on a single charge.

In our Reviews Team survey of 1,000 medical alert system users, automatic fall detection was the top feature our survey respondents wanted with their medical alert system, followed by a mobile app for caregivers and family members and GPS location tracking.³

Starting monthly fees generally range from $20–$30. That doesn’t include one-time equipment fees, which can range from $50–$350, and activation fees of up to $100.

The cost of medical alert systems, also known as personal emergency response systems (PERS), depends on several different variables. For example, some providers require you to purchase equipment upfront, while others rent their equipment (all providers on this list have upfront purchasing).

Some systems come with the option to add extra products or services, which can mean added costs, while others might include a few freebies. One feature all of the systems in this article have in common is a connection to a monitoring center. This means all devices will include a monthly fee.

Take a look at the four major cost categories below.

Monthly fees

The type of system you select will determine its cost. In general, at-home systems tend to be the least expensive. Most monthly prices for these run between $20–$30. With on-the-go systems, you will often find monthly prices in the $30–$40 range. A few outliers do cost $50 or more. Bundled systems, which combine both at-home and on-the-go devices, are the most expensive. Most will cost more than $40 per month.

Here are the lowest starting monthly prices of the best medical alert systems:

• At-home landline: Bay Alarm Medical SOS Home, MobileHelp Wired Home, and One Call Alert In-Home Landline ($24.95)
• At-home cellular: MobileHelp Classic ($19.95)
• On-the-go system: HandsFree Health WellBe Medical Alert Pendant ($29.95)
• Medical alert smartwatch: Bay Alarm Medical SOS Smartwatch ($34.95)

You can opt for a medical alert system with no monthly fee (also called unmonitored medical alert systems) that doesn’t connect to a monitoring center but instead connects directly to 911 or your personal contacts in the event of an emergency. We don’t recommend these systems.

Unmonitored medical alert systems call 911 directly, which may not be necessary in all situations, and in some cases could be dangerous to the user if the police arrive without proper context about the reason for the alert. For example, if the user has dementia and can’t accurately follow directions from officers at the scene. If your unmonitored system is designed to only connect to a personal contact, you also run the risk of your contact being unavailable.

Equipment fees

Medical alert companies either rent or sell their equipment. If you rent the equipment, the cost will be included in your monthly fee, and you’ll need to return the equipment upon ending your subscription. If you buy the equipment, you’ll pay an upfront equipment fee. Often (but not always) it is the high-tech devices that cost extra. This might include a smartwatch, tablet, or smartphone. When ending your subscription, the equipment is yours to keep.

Add-ons

Nearly every provider offers optional add-ons that come with a one-time cost. Add-on services will likely have a monthly fee in the $3–$10 range. Because one in three older adults falls every year, according to the National Institute on Aging, one of the more popular and beneficial add-ons is fall detection.²

Certain companies include fall detection in their monthly cost, but the majority of providers charge an additional $10 per month for this service. In general, most at-home and on-the-go systems include optional fall detection. Check out NCOA’s Falls Free CheckUp to determine your risk for falls and what actions you can take to prevent them.

Hidden fees

Hidden fees refer to activation, initiation, processing, and membership fees. Most top providers will not add in these fees. Still, it is best to ask a customer service representative to be sure.

Medical alert systems can be costly, but there is one way you can save money on them: Select an annual subscription rather than a monthly fee.

Depending on the brand you choose, paying annually rather than monthly can save you up to $180 each year. See Table 2 for a breakdown of savings by provider.

Some medical alert companies offer seasonal sales, often around holidays and other times of the year. You may also qualify for discounts through the U.S. Department of Veterans Affairs (VA) or organizations like AARP.

Some local area agencies on aging may offer discounts or partial coverage for a medical alert system. Use the area agency on aging directory to search for available programs in your area.

If you’re living on a low to moderate income, you may be eligible for money-saving benefits programs to help you pay for daily expenses. Visit NCOA’s BenefitsCheckUp to learn more.

The best medical alert system for you will depend on your situation and lifestyle. Thinking about your budget and the factors that are most important to you in a device can help you narrow down the options.

These factors will be different for each shopper, but the majority of our survey respondents agreed that fast response time is the most important quality in a medical alert system. This was followed by the system being easy to set up and use, with price ranking as the third most important consideration.

As a starting point, refer back to Table 1 to compare the features and costs of the top medical alert brands. Then use the following tips as a guide when researching the best medical alert systems:

• Evaluate your needs: This will help you determine if you need an at-home system, an on-the-go system, or a bundled system. Choose a device that will make your life easier.

• Evaluate the providers: Start by looking at a company’s website since many include a chat feature, which is great for answering quick questions. Then give customer service a call to test the company’s responsiveness, and don’t forget to check medical alert systems reviews on verified third-party websites such as the BBB and Trustpilot.

• Evaluate the products: If a company offers a risk-free trial period, which usually lasts 30 days, take advantage of it. This way you can make sure you’re comfortable with a device before committing to it.

Keep reading for more tips on how to choose the best medical alert system for you.

Choosing a system for yourself

If you’re buying a medical alert system for yourself, you may want a device that’s easy to operate and install. In that situation, the Reviews Team recommends ADT Health, which has three straightforward, easy-to-use devices and no extra fees.

Choosing a system for a parent

If you are searching for the best medical alert system for your parent who may be on a fixed income, the Reviews Team recommends Bay Alarm Medical, named “Best for the Price” for its combination of low prices and device variety.

Choosing a system as a caregiver

If you are a caregiver helping someone else choose a medical alert system, we recommend Aloe Care Health, which earned the “Best for Caregivers” title for its voice-activated Smart Hub device that helps the user and caregiver communicate, as well as the integrative caregiver app, which allows caregivers to check on temperature and air quality inside the home and monitor the user’s movements.

Considerations when shopping for a medical alert system

Even if you’ve narrowed down your choices to three or four medical alert system companies, you still have multiple models and features to choose from.

Keep the following considerations in mind to help you narrow down your choices.

• Device type: Do you need to be connected to the monitoring center at home, on the go, or both? We recommend an at-home system if you spend most of your time at home and are accompanied by a caregiver when outside your home.A mobile system may be better if you’re more independent and enjoy on-the-go activities outside your home without caregiver accompaniment.

• Connection: If your area has poor cellular service, a medical alert system with a landline connection may be the right choice. Remember that you must have an active landline connection for the system to connect to the monitoring center.
• Range: Most at-home systems with cellular connection have a longer connection range than a landline system. If you have a large home or yard and prefer an at-home system, an at-home system with a cellular connection may be the best option.
• Battery life: If you’re often away from home, a lengthy battery life is important. Do you find yourself regularly away from home for hours at a time? Then an on-the-go device with a longer multiday battery life may be important.
• Fall detection: Are you or the person you’re buying a medical alert system for at risk of falling? You may want a wearable device with fall detection.
• Water-resistant: Water-resistant help buttons and mobile devices can be safely taken into the shower but cannot be submerged in water, such as while swimming or taking a bath. Waterproof devices can be fully submerged in water.

Medical alerts are not one-size-fits-all systems. Older adults have different needs, preferences, lifestyles, and budgets. The good news is customers have a wide variety of products to choose from when it comes to emergency medical alert systems.

A few companies, such as Medical Guardian and MobileHelp, offer a variety of options and advanced features for people who like to customize. Others, like GetSafe, specialize in one area, appealing to those who prefer not to use wearable devices, or Aloe Care Health, which caters to caregivers.

Many older adults live on a fixed income, and some providers, like Bay Alarm Medical, keep monthly fees low for this reason. Other providers, like LifeFone and LifeStation, extend cost savings by offering products with no equipment costs.

With so many systems on the market, you can feel confident that a bit of research will lead you to the right medical alert system for you or your loved one.

Have questions about this review? Email us at reviewsteam@ncoa.org.

1. Agboola S, et al. Healthcare Utilization in Older Patients Using Personal Emergency Response Systems: An Analysis of Electronic Health Records and Medical Alert Data. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5395921/
2. Broadley, Robert W. et al. Methods for the Real-World Evaluation of Fall Detection Technology: A Scoping Review. Sensors. June 2018. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6068511/
3. NCOA Adviser Medical Alert Systems Survey. 1,000 respondents. Conducted using Pollfish. Launched November 2021.
4. Security Industry Association. Information. Insight. Influence. Found on the internet at https://www.securityindustry.org/
5. National Institute on Aging. Prevent Falls and Fractures. Found on the internet at https://www.nia.nih.gov/health/prevent-falls-and-fractures
6. Letitia James NY Attorney General. Attorney General James Scores Victory for Thousands of Elderly New Yorkers. Found on the internet at https://ag.ny.gov/press-release/2021/attorney-general-james-scores-victory-thousands-elderly-new-yorkers
7. Centers for Disease Control and Prevention. Percent of U.S. Adults 55 and Over with Chronic Conditions. Found on the internet at https://www.cdc.gov/nchs/health_policy/adult_chronic_conditions.htm
8. National Alliance on Caregiving. 2020 Report. Found on the internet at https://www.caregiving.org/caregiving-in-the-us-2020/
9. Administration for Community Living. What is Long-term Care Insurance? Found on the internet at https://acl.gov/ltc/costs-and-who-pays/what-is-long-term-care-insurance
10. Medicare.gov. What Part A Covers Found on the internet at https://www.medicare.gov/what-medicare-covers/what-part-a-covers
11. Medicare.gov. What Part B Covers. Found on the internet at https://www.medicare.gov/what-medicare-covers/what-part-b-covers
12. Medicare.gov. How do Medicare Advantage Plans work? Found on the internet at https://www.medicare.gov/sign-up-change-plans/types-of-medicare-health-plans/medicare-advantage-plans/how-do-medicare-advantage-plans-work