Top 10 Best Medical Alert Systems for 2023 – Stay Safe and Independent at Home
Data released by the CDC shows that millions of people over the age of 65 fall each year, and 800,000 are hospitalized for injuries. What’s more, according to the same document, one fall doubles the likelihood of another fall.
Your independence is valuable. You don’t have to give it up just because you’re getting older. All you need is a reliable way to get help quickly and easily when you need it.
A medical alert system gives you unlimited access to help anytime, anywhere, whether you’re home alone or experiencing an emergency while going about your daily activities. 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 your loved ones.
Our Top 10 Best Medical Alert Systems for 2023:
- Medical Guardian – Best medical alert system
- ADT Health – Best for its fixed monthly price
- MobileHelp – Best for its telemedicine capabilities
- One Call Alert – Best for households using the same system
- Life Alert – Best for accessing an on-site dispatch center
- UnaliWear – Best smartwatch for detecting falls this fall
- LifeFone – Best for its daily follow-up call subscriptions
- Lively – Best for its wide range of devices for seniors
- Medical Alert – Best for its ease of use
- Lifeline – Best for its accurate fall detection
Our Methodology: How We Reviewed the Best Medical Alert Systems
To compare the best medical alert systems, we prioritize the most reputable and established medical alert companies. These providers are known for their expertise, technology, and ability to provide fast, reliable care from highly qualified staff. We also used seven questions to rate each of the 10 medical alert system companies:
- How easy is the device to use?
- How affordable is the service?
- How reliable is the support team?
- Does the system include a fall detection feature?
- Is the device comfortable and portable?
- What is the range of the device?
- What technologies make it better than others on the market?
The top 10 best medical alert systems
Medical Guardian has been on the market for 16 years and has over 300,000 users. Its medical alert systems provide 24/7 monitoring, both at home and on the go, while its versatile devices connect to landline, Wi-Fi, and cellular networks.
Chris McDermott, a registered nurse and certified long-term care planner at Intercoastal Consulting & Life Care Planning (ICLCP), says the company’s connectivity options offer consumers “the best of both worlds,” since other devices are limited to landline or cellular connections. He adds, “This service also uses Verizon for its cellular network, which can be helpful if you’re traveling with limited connectivity and have an emergency.”
Medical Guardian offers monthly, quarterly, or annual subscriptions, with additional services available for an additional fee, such as fall detection. There are no long-term contracts required, and the initial subscription fee includes the price of the device.
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 (427 meters). Additionally, its certified Diamond Monitoring Center is available 24/7 and notifies your designated contact in both emergency and non-emergency situations, regardless of the subscription you choose.
Our experience: We found Medical Guardian’s product questionnaire to be helpful in determining which device best suited our needs. After answering three questions, the site recommended that we try the MGMini Lite, an ideal device for active seniors. However, we were disappointed that it asked for our contact information before sharing this recommendation.
Read the Medical Guardian review.
PROS
- No contracts or hidden fees
- Provides automatic emergency response in the event of a fall.
- Long battery life of up to 168 hours
CONS
- No free trials
- Some services require additional purchases
ADT Health has access to multiple monitoring centers across the U.S. and protects approximately six million users. They offer three service levels, each with flexible payment options and a fixed price guarantee. ADT also offers access to additional services, such as home temperature monitoring and 24/7 assistance.
Their monitoring specialists are trained to help seniors in a variety of emergencies, including health issues. These specialists assess the situation, contact and dispatch emergency personnel to the home, and notify family members if necessary.
Helen Anderson, a nurse care manager at Hello Care in Portland, Oregon, tells how ADT’s temperature detection feature alerted them that a senior’s home was too hot during the summer. They were able to enter the home and discover that the air conditioning switch had been turned off. She adds, “For older adults living alone, the risks are unpredictable, so a system that detects falls and extreme temperatures provides more options.”
Why We Chose ADT Health: This service offers a free waterproof wall button for added protection in the shower. ADT also includes two-way communication with all packages to ensure customers can reach support if needed.
Our Experience: We liked that ADT Health delivered and activated the medical alert system at no additional charge. We also appreciated that their website clearly explains who each service level is for. for example, stating that the Basic Medical Alert System is suitable for people who spend most of their time at home and have a landline.
PROS
- Monthly costs are guaranteed and will not increase.
- Free shipping, activation, and equipment.
- Offers a six-month money-back guarantee.
CONS
- Home base units have limited access.
- They do not offer daily monitoring.
With MobileHelp, you can choose between a home or travel system, or a combination package that includes both. These medical alert systems are ideal for both seniors who spend most of their time at home and active seniors who like to get out and about.
MobileHelp devices come with several valuable additional services, such as MD Live and Mobile Vitals, that help seniors monitor their health and maintain their independence. For example, MD Live offers telemedicine services that allow users to connect with a qualified doctor via video call.
John Buchanan, a registered nurse and former emergency room physician at St. Francis Hospital, recalls treating an elderly woman who had fallen and hit her head. She lived alone, had a MobileHelp system, and spoke only Spanish. Fortunately, the monitoring representative on the base unit was able to translate. He informed John’s team that the patient was taking blood thinners, so they took her to the hospital as a precaution. Further tests showed that she was bleeding internally. John says, “Without the interpreter, we probably wouldn’t have known her medical history or the medications she was taking.”
Why we chose MobileHelp: This provider offers a 30-day trial. There are no contract or hardware fees when you sign up (for six of their eight products).
Our experience: We like that MobileHelp offers a wide range of additional services. We also appreciate their fast response times (on average 1 to 15 seconds), which indicates a responsive and attentive service.
PROS
- Fast response time (average 1 to 15 seconds)
- 30-day free trial
- Access to telemedicine features
CONS
- Some systems charge processing fees
- Fees may apply for lost or damaged devices
One Call Alert offers a wide range of affordable and easy-to-install home and mobile devices. The Mobile Double plan offers users a great deal by including two mobile devices for the price of one ($44.95/month).
Their mobile devices are waterproof and include built-in GPS tracking and two-way communication. Additional services are available for an additional fee, such as medication reminders, fall detection, and device protection against loss or damage. There are no long-term contracts, up-front activation fees, or equipment fees. Some plans offer free shipping and a free safe.
Why did we choose One Call Alert? One Call Alert’s base units have a battery backup that can last up to 32 hours in the event of a power outage. Their emergency response centers are available 24/7 in multiple locations across the United States.
Our experience: Our One Call Alert device was very easy to install; it worked perfectly from the start. We appreciated that the service allowed us to test the device at no additional charge.
PROS
- Competitive starting price
- Ideal for two people using the same system
- The devices are easy to install
CONS
- No guarantee that your bills won’t increase
- No guarantee
Life Alert is known for its famous TV commercial, “Help! I’ve fallen and I can’t get up.” They’ve been offering remote and on-site monitoring since the 1980s.
Their customer service connects you with a support consultant who will guide you through the installation process. The consultant will also guide you on how to use the system and optimize its performance to suit your needs.
There is only one package available (no add-ons), which includes a home base station with a pendant button, a portable “HELP” button, and a waterproof shower button. This service offers a guaranteed fixed price, free shipping, and a lifetime warranty, but requires a three-year contract and a $200 activation fee to access their systems.
Why we chose Life Alert: Life Alert offers reliable service and fast response times through its local dispatch center. Their mobile devices provide GPS tracking nationwide, and their batteries don’t need charging; they only need to be replaced every 10 years.
Our experience: We found Life Alert’s handheld devices to be lightweight and comfortable. We also liked that security operators could hear intruders through the base station’s audio monitoring speakers.
PROS
- The devices come with a lifetime warranty.
- The mobile button has an industry-leading 10-year battery life.
- Sensitive speakers with audio monitoring capabilities.
CONS
- Requires activation fees and a three-year contract.
- It lacks automatic fall detection.
The UnaliWear Kanega watch is a smartwatch-like device that connects via cellular and Wi-Fi networks. It offers 24-hour monitoring, fall detection, GPS tracking, and medication reminders. This watch is more expensive than other devices, but installation is quick and easy.
UnaliWear’s emergency response center is Five Diamond certified, and its operators are available 24/7. They have access to the customer’s medical information, which is provided during the device’s installation, to help them determine exactly what kind of help to send.
Why we chose UnaliWear: The Kanega watch is waterproof and has four easily replaceable rechargeable batteries. This means you never have to take it off, even in the shower. You can activate it with a button or voice commands, and it includes fall detection. GPS tracking makes it easy for emergency services to determine your location when you call for help.
Our experience: We like that the Kanega watch is sleek and understated. We also like that it comes in three colors: champagne gold, black, and rose gold.
PROS
- Customer support
- Built-in fall detection
- Accurate location tracking
CONS
- More expensive than other services
- No app
LifeFone has been around for over 50 years. Their plans start at $29.95, and fall detection is available for an additional $5 per month. The initial subscription price includes the cost of the equipment.
This medical alert system offers home devices that connect to landlines within a 400-meter radius. They also sell wearable pendants with cellular connectivity and a mobile app for caregivers that allows them to log a user’s daily step goal, view their current location, and check the device’s battery level.
The company offers a fixed price, a 30-day money-back guarantee, and a lifetime manufacturer’s warranty. Their referral program rewards you with a month of free service for every new customer you refer.
Why we chose LifeFone: LifeFone doesn’t charge activation or processing fees. It lets customers subscribe to daily follow-up calls and medication reminders, and its wearable VIPx pendants have a powerful 10-day battery life.
Our experience: We found LifeFone’s system to be well-designed and easy to use, with a simple and minimalistic feature set. We also appreciated that the company gave us a 30-day trial and let us know that we could cancel at any time without penalty.
PROS
- Fixed price guarantee
- Daily monitoring
- Long-distance home devices
CONS
- No fall detection for home systems
- Add-ons are expensive
Lively systems are ideal for active seniors who spend a lot of time outside the home. Their devices, ranging from regular phones and smartphones to wearable medical alarms, offer wearable functionality and cellular and Wi-Fi connectivity options.
You can also install Lively services on any Apple Watch or Alexa device. However, their devices have large screens, powerful speakers, and voice dictation, making them exceptionally practical for seniors. You won’t be locked into long-term contracts, and the monthly price depends on the service you choose.
Why we chose Lively: Lively offers several customizable packages to suit different needs. For example, the Premium package allows you to connect with registered nurses and qualified doctors 24/7 without prior registration. This telemedicine feature makes the system an attractive option for those who need quick access to professional medical advice.
Our experience: We liked that Lively allows customers to use more than one device. We also appreciated the lack of long-term contracts and cancellation fees.
PROS
- Free Lifeline Cares app
- Average response time of 20 seconds
- Some plans include accurate fall detection
CONS
- Cancellation fees
- Initial activation and installation costs
Comparing the Best Medical Alert Systems: A Comprehensive Guide
Check out the comparison chart below to compare the prices and features of different services and find the medical alert system that fits your lifestyle. This chart includes information about each system’s monitoring capabilities, device range, battery life, initial monthly fees, the cost of additional fall detection (if available), and whether the company offers trials. Consider the type of connection each system uses. If your device connects to AT&T or Verizon’s cellular networks, you don’t have to subscribe to that network, but make sure you’re in coverage.
What is a Medical Alert System?
A medical alert system is a type of alarm designed to help you get help quickly in an emergency. People buy them for themselves or a family member for a variety of reasons, such as living alone, being at risk for falls, or having certain medical conditions that may require unexpected medical attention.
The devices offer different types of protection, including home and on-the-go monitoring. Plans vary in their features and cost, depending on your needs and lifestyle.
Choosing the Right Medical Alert System for Your Needs
There are two types of medical alert systems: home systems and mobile systems. Home alarm systems typically consist of a base station and a portable button that can be pressed when help is needed. They connect to monitoring centers via landline or cellular networks.
When the help button is activated, the device connects to a qualified operator, who then contacts emergency services or a designated family member, depending on the situation. Home systems are suitable for seniors who spend most of their time at home alone or go out only with caregivers.
On the other hand, mobile systems give users more freedom to leave the house without supervision. These devices work as long as they are charged and connected to a mobile network.
They also have a mobile button that connects to a qualified operator and, when activated, sends help. They do not require a base station, so you can go about your day, stay active, and feel safe at home or on the road.
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 a few different features to consider when deciding which medical alert system is right for you. These include connectivity options, precise location tracking, two-way communication functionality, and medication reminders.
Here are some important features to consider when choosing a medical alert system.
24/7 Monitoring Services
Your medical alert system should be monitored 24/7 by professional, highly qualified operators who are certified by leading industry organizations such as the Security Industry Association (SIA) or CSA Group. For example, Life Alert has a network of Five Diamond certified monitoring centers throughout the United States. Their operators spend up to a year training and studying about medical conditions, personal safety, and Life Alert equipment.
Multilingual support
If English is not your native language, look for a monitoring service that employs operators who are fluent in multiple languages or have access to translation services. For example, Lively’s response agents can provide translation support in over 100 languages. Also check the location of the monitoring centers. If they are located outside the United States 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 systems typically use AT&T or Verizon networks to connect your device to their monitoring systems. However, in most cases, you do not need to sign a contract with these providers to receive monitoring service. Your device will work as long as you live or travel within the coverage area of these networks.
GPS Location Tracking
When purchasing a wearable system, you can choose to add GPS location to your service. Medical alert bracelets, such as the UnaliWear Kanega Watch, connect via Wi-Fi, cellular networks, and GPS signals to track your location. In an emergency, the monitoring center can determine your location and direct you to emergency services or caregivers.
Activity Tracking
Some mobile medical alarm systems offer activity tracking that records your daily step count, heart rate, oxygen levels, and even the quality of your sleep. For example, MobileHelp’s activity tracking (which includes fall detection) helps you stay healthy by letting you monitor your daily activities for an additional $6 per month. This feature ensures that you maintain an active and healthy lifestyle. It can also notify a designated family member if you become incapacitated for an extended period of time.
Additional Help Buttons Placed Strategically
Additional emergency buttons can be mounted on walls or placed in areas where accidents often occur, such as bathrooms or stairwells. They can also be used on bedside tables. For example, Medical Guardian offers two wall-mounted buttons: one that can be pressed and the other that can be activated by voice.
Water Resistance for Increased Durability
The waterproof device cannot be fully submerged in water, but it can be used in the shower or mounted on the wall above the bathtub.
Two-Way Communication Capability
Not all medical alarm systems allow you to immediately contact an operator when help is needed. Before purchasing, check to see if the system you choose offers this feature. With some systems, such as LifeFone, you can connect with an operator who will speak with you, assess your situation, and request assistance if necessary. Other systems will immediately call 911 or your designated emergency contact when the help button is pressed.
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 consists of a base station that connects to a landline or cellular network. It usually includes a help button that can be worn around your neck or wrist. You can also purchase additional accessories such as voice extenders and wall buttons. However, with a home system, the wearable device only works if it is within range of the base station, making it ideal for those who spend most of their time at home.
Mobile Devices
Mobile alert systems connect to the cellular network through various mobile phone carriers. These devices are usually portable and have a button that allows you to call for help when you are away from home. Many of these devices include GPS tracking capabilities, so that an emergency call center or designated contact knows exactly where you are when they call for help. These 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 alarm system companies do not require a contract and only charge a monthly fee if you use their services. However, most providers require a signed contract. Make sure you understand what you are agreeing to before signing, especially since these companies will likely charge a cancellation fee if you stop using the service.
In addition to cancellation fees, you should also read the terms of your device’s warranty to find out if there are any hidden fees for replacing a lost or damaged device. Your homeowner’s insurance policy may also cover your medical alarm system in the event of theft or damage. However, you should check with your insurer to confirm coverage.
Insurance Coverage for Medical Alert Systems
Medical alarm systems can be expensive, so having insurance coverage to cover the cost can help ease the financial strain. Unfortunately, most insurers, such as Medicaid, do not cover the cost of medical alarm systems. These programs can vary from state to state, so contact your insurer to find out if they offer full or partial coverage.
On the other hand, Medicare Advantage, also known as Medicare Part C, may cover at least some of the cost. If you are a veteran or the spouse of a veteran, you may also be eligible for coverage through the Veterans Administration (VA) benefits. Check with your VA insurer to see if you are eligible for reimbursement for a medical alert system.
Emergency Medical Alert Systems with Fall Detection
Fall detection can detect if you have fainted by monitoring your movements using sensors on your wearable device. In the event of a fall, the device automatically notifies a monitoring center, alerting a family member or emergency services on your behalf. Automatic fall detection typically costs at least $10 per month. However, people who live alone and are at high risk of falling should consider purchasing a medical alert system with this feature.
Wearable Medical Alert Devices: Convenience and Safety
The main types of wearable medical alert devices include pendants, wristbands, bracelets, and smartwatches. These devices provide access to emergency help no matter where you go. They are usually waterproof and can be worn in the shower and at night while you sleep. Some medical alert companies offer additional services with wearable technology, such as medication reminders and activity monitors; some can even measure sleep quality. Moreover, since you will be wearing the device most of the time, you should choose one that is comfortable and easy to use.
Medical Alert Systems Tailored for Seniors
Medical alert systems create care solutions for seniors that allow them to enjoy their independence for longer in a safe environment. Home and mobile medical alert systems can reassure seniors that help is just a push of a button away in the event of a fall or 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.




