Best medical alert systems with fall detection in 2024


9.8 Exceptional
Starting monthly fee: $19.95
Fall detection cost: $11 per month
Annual plans with one free month + 50% off fall detection + free shipping + free lockbox
Why we like it

While many medical alert systems with fall detection include equipment and monitoring fees, MobileHelp offers no extra fees for most medical alert devices. Only one model, the Classic at-home system, has a $49.95 processing fee. The fee is waived if you purchase quarterly, semi-annual, or annual payment plans.

Pros & Cons
Pros 30-day trial offered Can activate medication reminders Referral program Good program bundle options Cons Short range (600 feet) for certain systems Protection plan costs extra and no free warranty for wear and tear issues
Our review

Medical Guardian

9.7 Excellent
Starting monthly fee: $29.95
Fall detection cost: $10 per month
Military Appreciation Month: 50% off top products when you use the code: SALUTE50
Why we like it

The competitive combination of features, performance, and value makes Medical Guardian one of the best at-home and mobile fall detection systems on the market. The brand offers the most connection types on this list (landline, AT&T, and Verizon cellular) and has a fast overall response time of 1 to 25 seconds based on our testing. Its on-the-go devices also have an impressive five-day battery life. Falls are registered, and monitoring centers are automatically contacted, even at distances of up to 1,300–1,400 feet from the at-home base station, which links to the company’s monitoring center and connects to your fall detection device.

Pros & Cons
Pros No long-term contracts or cancellation fees Range of up to 1,400 feet with the Home 2.0 system Frequent deals and discounts Free month of service, free lockbox, and free shipping with annual subscription All devices are water-resistant Cons Monthly fees start at about $30 (not including fall detection) $149.95–$199.95 equipment fees with most systems
Our review

Medical Alert

9.6 Excellent
Starting monthly fee: $19.95 (when paid annually)
Fall detection cost: $10 per month
Why we like it

Medical Alert offers fall detection as an added service to all of its plans, which differentiates it from other medical alert systems on our list that only offer it with certain systems. That’s true even for the on-the-go GPS medical alert system button.

Pros & Cons
Pros Fall detection available with every device as an add-on No activation fees, long-term contract, or cancellation fees Landline and cellular plan options The Medical Alert Connect app lets you monitor your device, store health data, and connect with the help center Simple one-step setup All devices are waterproof Cons Base unit range of only 800 feet Must wear two devices if you want fall detection $99 one-time programming fee
Our review


9.8 Exceptional
Starting monthly fee: $24.95
Fall detection: $5 per month for most systems
Why we like it

The many features of the LifeFone medical alert system are a good fit for tech-savvy individuals. This system combines elements of a medical alert system with fall detection with an all-in-one home monitoring system, which means it offers extra options not available from other companies on this list.

Pros & Cons
Pros Multiple devices, including an on-the-go GPS button Frequent discounts and perks, such as a free lockbox with service Landline or cellular plans available No activation fees, long-term contract, or cancellation fees All devices are water-resistant Cons Fall detection is a separate necklace No detailed information about call center staffing or certification
Our review

ADT Health

8.3 Very Good
Starting monthly fee: $37.99
Fall detection cost: $11 per month
Why we like it

The Medical Alert Plus system from ADT starts at $37.99 per month. Its On-the-Go system is $39.99 per month. Fall detection can be added to both systems for an additional $11 per month, and there are no additional activation, processing, or equipment fees.

Pros & Cons
Pros No activation or equipment fees No long-term contracts or cancellation fees Monthly, quarterly, and annual payment plans Waterproof wearable help buttons Landline and cellular options 30-day trial period Cons Not all plans have the option to add fall detection Device range of 100–600 feet, lower than most other medical alert system companies
Our review

Best medical alert systems comparison, as of February 2024

Our comparison table below allows you to easily compare prices and features of the best medical alert systems with fall detection of 2024.

Monthly cost $19.95+ $29.95+ $19.95+ $24.95+ $29.99+
Range 600–1,400 feet 1,300–1,400 feet 800 feet 1,300 feet 300–600 feet
Connection type Landline, AT&T cellular Landline, AT&T cellular Landline, AT&T cellular Landline, AT&T or Verizon cellular Landline, AT&T cellular
Response time 25–50 seconds 1–25 seconds 15–25 seconds 1–25 seconds 45+ seconds
Battery life 30 days Up to 5 days Up to 5 days Up to 10 days 20 hours

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.

Why you can trust our expert review
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5 features to consider when choosing a fall detection device

Medical alert systems with fall detection often offer a wide range of features and services, making it difficult to determine which features truly matter. Here are our five top considerations to keep in mind when choosing which fall detection service and device will be the right fit for you or your care recipient:

1. Accuracy and reliability

One of the most important features of a fall detection device is its ability to detect real falls and minimize false alerts accurately. Seek out monitoring devices with multiple sensors and published clinical studies determining the device’s accuracy across diverse fall scenarios, such as a slow fall from a seated position or a hard fall while standing. A device utilizing accelerometers along with other sensors like gyrometers typically offer higher fall detection accuracy.

2. Detection speed

The faster your device detects a fall, the faster you can receive help from first responders. Look for devices with a strong record of quickly connecting users with a monitoring center—in our testing, we’ve determined an ideal speed to be 30 seconds or less.

3. Range and GPS capabilities

Range and GPS capabilities can vary based on indoor or outdoor use. If a device’s range relies on a stationary home base, it typically will have a limited range, when compared to wearable devices with GPS. On-the-go devices often allow location tracking and emergency detection no matter where you are. Determining the range you need in a device depends on the user’s activity levels and falls risks.

4. Ergonomics and wearability

The ideal fall detection device is lightweight, comfortable, and easily operated. Many companies also offer fashionable or more subtle devices like jewelry snap-ons for pendant necklaces and wristband styles. These devices blend in with the user’s everyday wear, making them more user-friendly.

Additionally, consider choosing a waterproof medical alert device, as they offer greater protection in high-risk areas like kitchens and bathrooms. Other factors to consider include battery life, so you can minimize the time needed to take the monitor off to recharge, and systems that offer reminder alerts, like medication and appointment reminders, which can help boost compliance.

5. User interface and displays

Everyone can benefit from technology with intuitive, user-friendly interfaces, though these features are especially important for the cognitively impaired. Seek devices with clear, simple displays, customizable text size, and audible guidance and alerts.

Frequently asked questions

Fall detection costs $10 per month on average. It’s typically offered as an additional fee for an existing medical alert system.  Companies like Lifeline and UnaliWear, include fall detection costs in the price of their medical alert systems.

Medicare Advantage, also known as Part C, may partially cover medical alert devices with fall detection but Medicare Part A and Part B do not offer coverage. Coverage varies by state, and you can learn more through our article on whether medical alert systems are covered by insurance. To fully understand your individual coverage, you’ll need to reach out to your insurance provider.

One of the most important features in fall detection systems is “automatic” fall detection. Without automatic fall detection, the system is the same as having a standard help button you press when you have an emergency.

We recommend waterproof fall detection devices, since falls frequently happen in the bath or shower. As a result, all devices on this list are either waterproof or water-resistant. Waterproof means the device is airtight and can withstand water no matter how long it’s submerged.  Water-resistant means it can withstand water to a certain degree, but not entirely. Typically, you could wear a waterproof device while swimming but a water-resistant device should only be worn in the shower.

Lastly, your fall detection device should be comfortable, easy to wear, and suit your personal style. You’re less likely to wear a device if you find it clunky or unattractive.

The accuracy of a fall detection system depends on the technology the device uses. Fall detection devices with the best accuracy use several tools to determine the difference between a fall and a normal movement.

For optimal accuracy, you may want to choose a fall detection necklace. Research shows medical alert bracelets and watches aren’t as accurate at detecting falls as necklaces. [2] Javier González-Cañete, Francisco and Casilari, Eduardo. A Feasibility Study of the Use of Smartwatches in Wearable Fall Detection Systems. Sensors. March 23, 2021. Found on the internet at [3]Lee, Yongkuk, et al. Experimental Study: Deep Learning-Based Fall Monitoring among Older Adults with Skin-Wearable Electronics. Sensors. March 2023. Found on the internet at Often, normal arm movements trigger a false alarm. While there are fall detection devices that fit in your pocket, the extra layer of fabric can prevent the device from sensing a fall.

Anyone who has a medical condition or lives alone should consider a fall detection device. Falls are the leading cause of serious injury among older adults, according to the CDC. [8]Centers for Disease Control and Prevention. Older Adult Falls Data. Found on the internet at

A standard home medical alert system may not provide needed protection if you can’t reach the base station or wall-mounted help button after a fall.

Medical Guardian, MobileHelp, LifeFone, ADT Health, and Medical Alert are our preferred brands for fall detection devices. But your individual needs will help determine the best option for you, taking into consideration your lifestyle, preferences, and budget.

All devices from Medical Alert have the option to add fall detection. While not all devices have fall detection for Medical Guardian, ADT Health, and LifeFone, a majority do have the option to add fall detection.

Your needs, preferences, and lifestyle will determine your best wearable device for fall detection.  While our top pick is MobileHelp for its fall detection technology, fast response time, and cost-effective options, factors such as comfort, ease of use, on-the-go capabilities, and other, personal requirements should determine your decision. Different devices suit different people. So it’s important to compare various products and ask questions while choosing the ideal fall alert device for you.

Yes. But even though some companies sell wearable fall detection options with no monthly fees, we haven’t found any reliable options we can recommend. We caution against purchasing any fall-detection devices promising free services or seem questionable. Since fall detection devices are needed for emergencies, it’s best to invest in a trusted and proven product, even if it does come with monthly fees.