Top 10 Best Medical Alert Systems for 2023 – Stay Safe and Independent at Home
Data released by the CDC shows that millions of people age 65 and older fall each year, with 800,000 hospitalized due to injuries. What’s more, falling once makes you twice as likely to fall again, according to the same fact sheet.
Your independence is precious. You don’t have to give it up just because you’re getting old. All you need is a reliable way to get help quickly and easily when you need it.
A medical alert system gives you access to unlimited support anytime, anywhere, if you’re alone at home or have an emergency while running errands. But with so many different systems on the market, how do you know which one is right for you and your lifestyle? We’ve tested and compared the best medical alert systems to help you stay safe and independent at home and spend more time with loved ones.
Our Top 10 Best Medical Alert Systems for 2023:
- Medical Guardian – The best medical alert system overall
- ADT Health – Best for a fixed monthly price
- MobileHelp – Best for telehealth features
- One Call Alert – Best for households using the same system
- Life Alert – Best for on-site dispatch center access
- UnaliWear – The best smartwatch to discover this fall
- LifeFone – Best for daily check-in calling subscriptions
- Lively – Best for a wide range of senior-friendly devices
- Medical Alert – Best for easy-to-use systems
- Lifeline – Best for accurate fall detection
Our Methodology: How We Reviewed the Best Medical Alert Systems
To compare the top medical alert systems, we prioritized the most reputable and established life alert companies. These providers are recognized for their experience, technology, and ability to offer fast, reliable care from well-trained staff. We also used seven questions to rate each of the 10 medical alert system companies, which were:
- How easy is the device to use?
- How affordable is the service?
- How reliable is the support team?
- Does the system include fall detection?
- Is the device comfortable and portable?
- What is the field range of the device?
- What technologies do it better than others on the market?
The top 10 best medical alert systems
Medical Guardian has been in business for 16 years and has more than 300,000 users. Its medical alert systems providing 24/7 monitoring at home and on the go, while its versatile devices can connect to landlines, WiFi and cellular networks.
Chris McDermott, advanced practice registered nurse and certified life care planner at Intercoastal Consulting & Life Care Planning (ICLCP), says the company’s connectivity options give consumers “the best of both worlds, as some others devices [are] limited to a landline or cellular service.” He adds, “[this] service also uses Verizon for its cellular network, which can be helpful if one is traveling somewhere with limited connectivity and has an emergency.”
Medical Guardian offers monthly, quarterly, or annual subscription options and offers add-on services, such as fall detection, for an additional cost. No long-term contracts are required and the initial subscription fee includes the price of the equipment.
Why we chose Medical Guardian: Medical Guardian offers features like automatic emergency response, fall detection, and an extended signal range of up to 1,400 feet. Plus, your certified Diamond Monitoring Center is available 24 hours a day and notifies your designated contact in emergency and non-emergency situations, no matter which subscription you choose.
Our experience: We feel that Medical Guardian’s product questionnaire effectively implies which device best suits our needs. After answering three questions, the site recommended that we try the MGMini Lite, a perfect device for activated seniors. However, we didn’t like being asked for our contact details before sharing this recommendation.
Read the medical tutor’s review
PROS
- No contracts or hidden fees
- Provides automatic emergency response in case of fall.
- Long-lasting battery life: up to 168 hours
CONS
- No free trials
- Some services require additional purchases
ADT Health has access to several US-based control centers and protects around six million users. They offer three service tiers, each with flexible payment options and a permanent price lock guarantee. ADT also provides access to additional services, including home temperature monitoring and around-the-clock support.
Their monitoring specialists are trained to assist seniors in various emergencies, including health-related concerns. These experts assess your situation, contact and dispatch emergency personnel to your home, and keep your family members updated as needed.
Helen Anderson, a nurse care manager at Hello Care in Portland, OR, tells the story of how ADT’s temperature detection feature once alerted them that a senior’s home was too hot over the summer. They were able to enter the house, where they found that the AC unit’s breaker had popped out. She adds, “the risks for older adults living alone are unpredictable, so a system that detects falls and temperature extremes covers more possibilities.”
Why we chose ADT Health: This service offers a waterproof wall-mount button free of charge for additional protection in the shower. ADT also includes two-way talk in every package to ensure clients can reach support whenever needed.
Our experience: We liked that ADT Health shipped and activated the medical alarm system at no extra cost. We also appreciated that their site clearly explains who each service tier is for – for example, stating that the Medical Alert Basic system is fit for people who mainly stay home and have a landline.
PROS
- Monthly costs are guaranteed not to increase
- Free shipping, activation, and equipment
- Offers a six-month money-back guarantee
CONS
- Home base units have a limited range
- No daily check-in service
With MobileHelp, you can choose between an in-home or on-the-go system, or a bundled package that combines the two. These medical alert systems suit seniors who spend most of their time at home and active older adults who enjoy being out and about.
MobileHelp’s devices have several valuable add-on services, such as MD Live and Mobile Vitals, which help seniors take charge of their health and maintain their independence. MDLive, for example, provides telehealthcare services that let you connect with a board-certified doctor through video calls.
John Buchanan, a registered nurse and former EMT at Saint Francis Hospital, remembers responding to an older woman who had fallen and hit her head. She lived alone with a MobileHelp system and only spoke Spanish. Fortunately, the monitoring representative on the base unit was able to interpret. He alerted John’s team that the patient had been taking blood thinners, so they took her to the hospital as a precaution. Tests later showed she had internal bleeding. John says, “without an interpreter, we might not have known her history or what medications she was taking.”
Why we chose MobileHelp: This provider allows you to try their service for 30 days. When you join, they don’t ask you to sign a contract or pay equipment fees (for six of the eight products offered).
Our experience: We like that MobileHelp offers a wide array of add-on services. We also appreciated their quick response times—from 1-15 seconds on average—indicating speedy and attentive service.
PROS
- Quick response times (1-15 seconds on average)
- Free 30-day trial period
- Access to telehealthcare features
CONS
- Charges processing fees for some systems
- Lost or damaged equipment may incur a fee
One Call Alert showcases a range of at-home and portable devices that are budget-friendly and easy to set up. The service’s Mobile Double plan gives users a good deal by bundling two on-the-go devices for the price of one ($44.95/month).
Their mobile devices are water-resistant and have built-in GPS tracking and two-way communication. Add-on services are available for an extra fee, including medication reminders, fall detection, and protection if the equipment is lost or damaged. There are no long-term contracts, upfront activation costs, or equipment fees. Some plans offer free shipping and a complimentary lockbox.
Why we chose One Call Alert: One Call Alert’s home base units have a backup battery that lasts up to 32 hours in case of power outages. Their emergency response centers are also available 24/7 from multiple locations within the US.
Our experience: Setting up our One Call Alert device was effortless—it worked right out of the box. We liked that the service allowed us to test our device without additional fees.
PROS
- Competitive starting price
- Ideal for two people using the same system
- Devices are easy to set up
CONS
- No guarantee that rates won’t increase
- Non-warranty
Life Alert is known for its famous television commercial “Help! I’ve fallen and I can’t get up!” They have offered remote and in-home monitoring since the 1980s.
Their customer service connects you with a support advisor who will guide you through the installation process. The Care Advisor also guides you on how to use the system and how to make it work best for your needs.
There is only one package to choose from (no add-ons), which includes a home base station with a hanging button, a moving HELP button, and a waterproof shower button. This service offers a fixed price guarantee, free shipping, and a lifetime warranty, but you must sign a three-year contract and pay a $200 activation fee to access their systems.
Why we chose Life Alert: Life Alert offers reliable service and fast response times through its on-site dispatch center. Their mobile devices provide GPS tracking throughout the United States and their batteries require no charging; They only need to be replaced once every 10 years.
Our Experience: We found Life Alert wearables to be lightweight and comfortable. We also liked that security dispatchers could hear intruders through the base station’s audio monitoring speakers.
PROS
- The devices are covered by a lifetime warranty.
- The mobile button has an industry-leading 10-year battery life
- Responsive speakers with audio monitoring capabilities
CONS
- Activation fees and three-year contract required.
- No automatic fall detection function
UnaliWear’s Kanega Watch is a smartwatch-like device that connects via cellular and WiFi networks. It offers 24/7 monitoring, fall detection, GPS tracking, and medication reminders. This watch is more expensive than other devices, but it’s quick and easy to set up.
UnaliWear’s emergency response center is Five Diamond certified, and operators are available around the clock. They have access to customers’ medical information, which you provide when setting up the device, so they know exactly what kind of help to send.
Why we chose UnaliWear: The Kanega Watch is waterproof and has four rechargeable batteries that can be easily swapped out. This means you never have to take it off – even when showering. You can activate it with a button or voice command, and it has integrated fall detection. The GPS tracking features make it easy for emergency responders to determine your location when you call for help.
Our experience: We like that the Kanega Watch is stylishly discreet. We also like that you can choose between three accent colors. champagne gold, black, and rose gold.
PROS
Customer service onboarding
Integrated fall detection
Pinpoint location detection:
CONS
- More expensive than other services
- Does not have an app
LifeFone has been in business for over 50 years. Their packages start at $29.95, with fall detection offered at an additional $5 per month. The initial subscription price covers the equipment’s cost.
This medical alert system stocks at-home units connecting to landlines with a 1,300-foot field range. They also sell on-the-go pendants with cellular connectivity options alongside a mobile app for caregivers that can track a user’s daily step goal, view their current location, and check their device’s battery level.
The company offers price lock, 30-day money-back, and lifetime manufacturer guarantees. Their referral program rewards you with a free month of service for every new customer you send their way
Why we chose LifeFone: LifeFone doesn’t charge activation or processing fees. It allows customers to subscribe to daily check-in calls and medication reminders, and its on-the-go VIPx pendants have a solid 10-day battery life.
Our experience: We thought LifeFone’s system was well-designed and easy to use—with a simple and minimized set of features. We also liked that the company gave us 30 days to test the service and told us we could cancel anytime without incurring penalty fees.
PROS
- Price lock guarantee
- Daily check-ins
- Long-range at-home devices
CONS
- No fall detection for at-home systems
- Add-ons are pricey
Lively’s systems are fit for active seniors who spend a lot of time outside their homes. Their devices, ranging from flip phones and smartphones to wearable medical alert equipment, provide on-the-go functionality and have cellular and WiFi connectivity options.
You can also install Lively’s services on any Apple Watch or Alexa device. However, their gadgets come with large screens, powerful speakers, and voice typing, making them exceptionally senior-friendly. You won’t be asked to sign long-term contracts, and monthly pricing depends on your selected service.
Why we chose Lively: Lively offers various customizable packages to suit different needs. The Premium Package, for example, allows you to contact on-call registered nurses and board-certified doctors without making an appointment. This telehealthcare feature makes the system an attractive option for people needing quick access to professional medical advice.
Our experience: We liked that Lively allows customers to use more than a single device option. We also appreciate that there are no long-term agreements or cancellation fees.
PROS
- Devices designed to be senior-friendly
- Customizable health and safety packages
- No long-term contracts or cancellation fees
CONS
- Charges activation fees
- No landline options
Medical Alert has an in-home system with a base unit and waterproof help button, wearable on your neck or wrist. There is also an on-the-go option with GPS and a help button, giving you more freedom to move around your house.
Medical Alert’s plans include access to a free mobile app that connects you directly to customer support, pinpointing your location and checking your device’s battery status. This company boasts industry-leading response times and 24/7 monitoring all year round, with access to trained response coordinators. They also charge no upfront device, setup, or activation fees.
Why we chose Medical Alert: You can select a bundled option that integrates the in-home and on-the-go systems. One device performs all the necessary functions – rendering their systems simple to set up and use.
Our experience: We found Medical Alert’s equipment integration made it very convenient to use this system. We also liked that the help buttons are lightweight and waterproof. However, we did notice that the mobile devices needed daily charging.
PROS
- Easy-to-use system
- Help buttons are lightweight and waterproof
- No upfront activation fees
CONS
- No medication reminders
- Mobile device needs to be charged daily
Lifeline (formerly Phillips Lifeline) has response centers throughout the US and Canada, with a team of specially trained emergency operators available around the clock. This provider also gives clients access to the Lifeline Cares application, which notifies families of any important information or updates about the user’s care. The app comes with mobile tools that let caregivers and family check in at any time—even if it’s not an emergency. But while pricing starts at $29.95 per month, you’ll need to pay additional activation and installation fees upfront.
Why we chose Lifeline: Lifeline’s AutoAlert technology uses what they term “a finely tuned algorithm” to increase the accuracy of their fall detection software. According to the system’s site, this senior safety technology can detect up to 95% of fall types.
Our experience: We liked that Lifeline gives users access to multiple optional add-on accessories, including a voice extender, medication dispenser, and lockbox. We also appreciated the option to have a technician install our device.
PROS
Free Lifeline Cares app
Average response time of 20 seconds
Accurate fall detection included in certain plans
CONS
- Charges cancellation fees
- Upfront activation and installation fees
Comparing the Best Medical Alert Systems: A Comprehensive Guide
Consult the comparison table below to compare the different services’ prices and features and find a medical alert system that fits your lifestyle. This table contains information about each system’s monitoring capabilities, device range, battery life, starting monthly fees, the cost of optional fall detection (if available), and whether the company offers trial periods. Note each system’s connection type: If a device connects to cellular networks like AT&T or Verizon, you won’t necessarily need to subscribe to that network, but check that you’re within the network’s coverage range.
What is a Medical Alert System?
A medical alert system is a type of alarm designed to quickly get help in case of an emergency. People buy these for themselves or a family member for several reasons, like living alone, being at risk of falling or having certain conditions that may require unexpected medical attention.
Devices offer different types of protection, including at-home and on-the-go monitoring – and programs vary in features and costs according to needs and lifestyle.
Choosing the Right Medical Alert System for Your Needs
There are two types of medical alert designs: at-home systems and on-the-go systems. Home alert systems typically consist of a base station and a wearable button that you can push whenever you need help. These connect to monitoring centers via landlines or cellular networks.
Once you activate the help button, your device contacts a trained operator who contacts emergency services or a designated family member, depending on the situation. At-home units are suitable for seniors who are home alone most of the time or only leave the house with caregivers.
In contrast, on-the-go systems give users more freedom to leave the house without supervision. These devices work as long as they are charged and connected to a cellular network.
They also have a wearable button that connects to a trained operator and sends help when activated. They don’t need a base station, so you can go about your day, stay active, and still feel safe at home or out and about.
Choosing the Right Medical Alert System for Your Needs
Choosing a medical alert system can be overwhelming: so many devices and features go with each plan. Check the equipment’s in-home range of use, real-time connectivity with the monitoring center, automatic fall detection, and its cost.
Before choosing one, assess your lifestyle and level of mobility, the size of your home, your budget, and health risks like falling or getting lost when you’re outside alone. This will help you determine which system is right for your needs: in-home or mobile.
While an in-home system works best for older adults who don’t go outside often, a mobile device is more suited for seniors who go out on their own to run errands or tend to their gardens.
How much does a medical alert system cost?
A medical alert system can cost between $20 and $50 per month to start, but this generally excludes taxes and additional fees, such as equipment activation and shipping.
Once you decide on the type of system you want to purchase and how many extra features you want to add, you can determine your monthly cost. However, watch out for hidden fees like equipment repair and cancellation charges.
Health insurance also usually does not cover medical alert systems, but check with your insurance provider to confirm this. You can contact them by calling the number on the back of your insurance card or through their website.
Key Features of Medical Alert Systems
There are several different features to consider when deciding which medical alert system is suitable for you. These include connectivity options, pinpoint location detection, two-way communication functionality, and medication reminders.
Here are a few essential features when choosing a medical alert system.
24/7 Monitoring Services
Your medical alert system should be monitored 24/7 by well-trained, professional operators certified by industry-standard organizations like the Security Industry Association (SIA) or the CSA Group. Life Alert, for example, has a network of Five Diamond certified monitoring centers throughout the US. Its operators spend up to a year training and learning about medical conditions, personal safety, and Life Alert equipment.
Multilingual support
If English is not your native language, find a monitoring service that employs operators fluent in several languages or has access to translation services. For example, Lively’s response agents can provide translation support in over 100 languages. Additionally, verify where the monitoring centers are located. If they’re outside the US or Canada, the operators may not be native English speakers.
Landline or Cellular Connection Options
Most companies offer systems that connect to a landline or cellular network. These mainly rely on AT&T or Verizon networks to connect your equipment to their monitoring systems. In most cases, however, you won’t have to sign contracts with these providers to receive monitoring. Your device will work as long as you live or travel in an area where these networks are available.
GPS Location Tracking
When you purchase an on-the-go system, you may have the option to add GPS location tracking to your service. Medical alert pendants, like the Kanega Watch from UnaliWear, connect through WiFi, cellular networks, and GPS signals to track your location. In an emergency, the monitoring center can pinpoint your location and direct emergency services or caregivers your way.
Activity Tracking
Some mobile medical alert systems offer activity tracking that can record your daily step count, heart rate, oxygen levels, and even how well you sleep. For example, MobileHelp’s activity tracking (which includes fall detection) can help you stay healthy by allowing you to monitor your daily activities for an extra $6 a month. This feature ensures you maintain an active and healthy lifestyle. It can also notify a designated family member if you’re inactive for an extended period.
Additional Help Buttons Placed Strategically
Extra emergency buttons can be mounted on walls or placed where accidents often occur, like bathrooms or staircases. They can also be used on bedside tables. Medical Guardian, for example, offers two wall-mountable buttons; one you can push and another that’s voice-activated.
Water Resistance for Increased Durability
A water-resistant device can’t be completely submerged in water, but you can wear it in the shower or mount it on the wall above the bathtub. Please fix the double space between “Alert’s” and “devices”.
Two-Way Communication Capability
Not all medical alert systems let you communicate directly with an operator when you need assistance. Confirm if your chosen system offers this feature before buying in. With some systems, like LifeFone, you can connect to an operator who speaks with you, assesses your situation and calls for help if needed. Other systems will call 911 or your designated emergency contact directly once you press the help button.
Medication Reminders and/or Dispensers
Track pills and when you take them with a medication reminder. This feature is convenient for individuals who live alone and need to keep up with several prescriptions daily.
It notifies you when it’s time to take your pills, which improves medication adherence and “can affect patient health positively.” Lifeline offers a programmable medication dispenser to measure and dispense the correct dosages as your doctor prescribes.
Caregiver Web Portal or Mobile App
Several medical alert companies offer a web portal or mobile app, some free and others at an additional cost. These apps and portals connect you and your family with your caregiver to help you better coordinate your care. The free Medical Alert app, for example, uses GPS technology to determine your location in an emergency.
Exploring Different Types of Medical Alert Systems
The two main types of medical alert systems, namely home and mobile, may or may not be monitored. A monitored system allows you to communicate with an on-call operator, while an unmonitored system notifies your family member or emergency services directly without contacting you.
In-Home Devices
A home medical alert system is a base station that connects to a landline or cellular network. It usually comes with a help button to wear it around the neck or wrist. You can also get optional accessories, including voice extenders and wall buttons. However, with a home system, the portable device only works if it is within range of the base station, making it the right choice for people who spend most of their time at home.
Mobile Devices
Mobile alert systems connect to a cellular network through several cell phone companies. These devices are usually portable and have a button that allows you to call for help when you are away from home. Many of them come with GPS tracking features, so the emergency call center or designated contact person knows exactly where you are when you call for help. The devices are ideal for active seniors who spend a lot of time away from home.
Understanding Medical Alert System Contracts, Warranties, and Policies
Some medical alert companies do not require you to enter into a contract and only charge a monthly fee as long as you use their services. However, most providers ask you to sign a contract. Make sure you understand what you’re agreeing to before you sign, especially since these companies will likely charge a cancellation fee if service is interrupted.
In addition to cancellation fees, you should also read your device’s warranty provisions to find out if there are hidden fees for replacing a lost or damaged device. Your home insurance policy may also cover your medical alert system in case of theft or damage. But you’ll need to check with your insurance provider to confirm coverage.
Insurance Coverage for Medical Alert Systems
Medical alert systems can be expensive, so having insurance coverage to help with expenses can alleviate some of the financial pressure. Unfortunately, most insurers, such as Medicaid, do not cover the cost of medical alert systems. These plans may vary by state, so contact your insurance provider to confirm whether they offer full or partial coverage, if applicable.
On the other hand, Medicare Advantage, also known as Medicare Part C, may cover at least part of the cost. If you are a veteran or the spouse of a veteran, you may also be eligible to receive coverage through VA benefits. Check with your VA insurance provider to confirm if you can get reimbursed for a medical alert system.
Emergency Medical Alert Systems with Fall Detection
Fall detection can sense when you’ve collapsed by monitoring your movement through sensors on your wearable device. When you fail, the device automatically alerts the monitoring center, notifying a family member or emergency services on your behalf. There is usually an additional fee of at least $10 a month for automatic fall detection. Still, individuals living alone and at high risk of falling should consider getting a medical alert system with this feature
Wearable Medical Alert Devices: Convenience and Safety
The main types of wearable medical alert devices include pendants, bracelets, wristbands, and smartwatches. These devices ensure you have access to emergency assistance wherever you go. They’re usually water resistant and can be worn in the shower and at night while sleeping. Some medical alert companies offer additional services with wearable technology like medication reminders and activity trackers—some can even measure the quality of your sleep. Also, because you’ll be wearing the device almost all the time, you need to choose one that is comfortable and easy to use.
Medical Alert Systems Tailored for Seniors
Medical alert systems create elderly care solutions that let seniors enjoy their independence in a safe environment for longer. In-home and mobile medical alert systems can assure older adults that help is just a push of a button away if they fall or experience an emergency.
When older adults live alone, they often need home health monitoring for medical and non-medical emergencies, such as experiencing shortness of breath or feeling unsafe. Medical alert systems can reduce the risk and fear of living alone by ensuring that elderly assistance is available whenever needed.
Additional Medical Alert Systems We Reviewed
Aside from the medical alert systems covered here, we reviewed other providers that are also worth exploring out:
LifeStation – Best for personalized emergency action plans
HelpButton – Best for active older adults who go on regular hikes and like to swim
Constant Companion – Best for caregivers and senior assisted-living facilities
Aloe Care Health – Best for access to a searchable online knowledge base
GetSafe – Best for voice-activated emergency buttons for seniors
Further Exploration and Resources
Allergy Safety: How Medical Alerts Help
9 Ways a Smartwatch Can Improve Health
What Are Unmonitored Medical Alert Systems, and Should You Get One?
Natural Intelligence does not provide medical advice, diagnosis, or treatment. If you think you may have a medical emergency, call your doctor or your local emergency number immediately.