Your later years should be a time of joy, not constant worry. Yet for many older adults and those with health concerns, the fear of an unexpected fall or medical emergency can create a lot of anxiety.
This is where medical alert systems can make a difference. These smart, wearable devices are intended to provide a safety net, giving both users and their families peace of mind.
But choosing the right medical alert system can feel pretty overwhelming, no matter your age, especially with all the technology involved. It’s easy to get lost in the options, and sometimes it just feels like a lot to process. That’s why I decided to take the time to do the research and put together a list of what I now consider to be the best medical alert systems out there, so you don’t have to navigate it all on your own.
Best medical alert systems: shortlist
- Best value medical alert system: LifeFone Vip Flex
- Best waterproof medical alert system with fast response time: Lively Mobile2
- Best fall detection medical alert system: LogicMark
- Best medical alert system with fall detection: LifeFone VIP Active
- Best for active adults: Alert-1 On-The-Go
- Best user friendly design: UnaliWear
- Best medical alert system for non-English speakers: Medihill
- Best compact alert system: Medihill Hotpod
- Best home alert system: Alert-1 In-Home
- Best nationwide coverage: Smart Med
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How we compiled our list of the best medical alert systems
When putting together our medical alert reviews, we prioritized user safety, reliability, and overall value when comparing each medical alert system.
We focused on several key features to provide peace of mind and practical support.
| Emergency response time | Monitoring service | Battery life | Range and connectivity | Cost |
| Known for swift response time | Reliable 24/7 monitoring | A long battery life | Extensive range and reliable connectivity | Balanced affordability with quality |
- Emergency Response Time. We only considered medical alert systems with proven rapid connection to emergency services.
- Monitoring Service. We selected alert systems known for their reliable 24/7 monitoring services to ensure that help is always available when needed.
- Battery Life. We understand a long battery life is essential for in-home and mobile systems to reduce the risk of possible disruptions.
- Range and Connectivity. We evaluated each system's range and reliability for greater peace of mind.
- Cost. We chose systems that we felt found the balance between affordability and quality.
Best medical alert systems: an overview
In the following section, we take a good look at each of our choices for the best medical alert systems for seniors in 2024.
We highlight each system’s unique features, strengths, and potential drawbacks using the criteria we listed above.
We hope that you’ll have the knowledge you need to choose the system that best fits your needs and priorities.
1. LifeFone Vip Flex — best value medical alert system
The LifeFone At-Home & On-the-Go VIP flex™ is on our top list of medical alert systems. The small, lightweight design offers flexible wearing options—wristband, belt clip, or necklace.
The device’s battery life lasts up to five days, and the company provides helpful low-battery reminders via text and email.
The advanced location technology uses cellular, WiFi, and GPS services to pinpoint your location.
You can add the optional fall detection feature for an additional $5 a month.
The company also offers several additional services, such as daily check-ins and a LifeFone protection plan for additional charges.
LifeFone At-Home & On-the-Go VIP flex™ does not have a start-up fee. You have the option of paying monthly, quarterly, or annually. Monthly payments start at $41.95.
2. Lively Mobile2 — best waterproof medical alert system with fast response time
The Lively Mobile2 is a highly versatile medical alert system designed to provide peace of mind at home or on the go. This completely mobile device does not require additional equipment or a base station, allowing you to carry it wherever you need it most. With features such as fall detection, enhanced GPS, and 24/7 emergency assistance, it adds safety and security for users in health-related emergencies.
According to the brand, the Lively Mobile2 offers fast call response time, connecting you to certified Urgent Response Agents with the touch of a button. For added safety, an optional fall detection service automatically contacts an agent when a fall is detected, even if the button is not pressed. The device's waterproof design is also suitable for wear in areas like the shower or during outdoor activities.
The accompanying Lively Link app keeps loved ones informed, sending alerts and location information to family members if the device is activated. For even more support, users can access nurses, doctors, and care advocates through premium subscription plans.
The brand claims the device's long-lasting battery ensures up to 40 hours of standby time, and the health check button allows users to easily confirm device status.
The Lively Mobile2 is FSA, HSA, and HRA eligible and comes with no long-term contracts, offering flexible monthly plans starting at $24.99.
Additionally, the system is backed by a one-year warranty, with an extended warranty option available.
Disclaimer — the brand claims fall detection may not detect every fall, so users are encouraged to press the button manually if they need assistance. The effectiveness of the button signal can vary depending on factors such as device sensitivity, battery life, and environmental conditions.
3. LogicMark — best fall detection medical alert system
The LogicMark Freedom Alert Mini earned its place at the top of our list of the best medical alert systems due to its impressive combination of features.
The device uses a 4G LTE connection, ensuring a robust connection for emergency calls and GPS location tracking. This combination is crucial for swift response times.
We were particularly impressed by the patented fall detection technology, which automatically contacts emergency services when a fall is detected.
The device also comes with geo-fencing capabilities, which notify your care team if you move beyond a designated safe zone.
We love that the accompanying Caregiver Companion app provides further peace of mind by allowing loved ones to monitor your location, receive alerts, and even communicate directly through the device.
The sign-up fee is $54.99, and the monthly subscription is $34.99.
4. LifeFone VIP Active — best medical alert system with fall detection
The LifeFone VIP Active is a discrete and reliable mobile medical alert system that helps you retain more independence.
We love the device’s lightweight design, which comes in multiple colors and can be worn as a pendant. Its water-resistant feature and five-day battery life make it practical for daily wear and peace of mind.
We admire the advanced location technology that utilizes cellular WiFi and GPS to ensure emergency responders know your exact location. Fall detection is available for an additional fee and provides an extra layer of security.
When you sign up with LifeFone, you develop a personalized emergency care plan that includes phone, email, and text notifications to keep your loved ones informed. An extra feature of the LifeFone VIP Active is that if you misplace it and are unable to find it, the Customer Care team can ring the device and use GPS to help you locate it.
Plans start at $41.95 per month with no start-up cost.
5. Alert-1 On-the-Go — best for active adults
The Alert-1 On-the-Go Medical Alert System stood out to us for its comprehensive safety features designed for active older adults.
We appreciate the integrated fall detection technology and the built-in GPS that runs on the nationwide Verizon network without you needing a personal cell phone.
If the device detects a fall, it immediately contacts the Command Center and allows you to speak with an emergency responder while the GPS provides your precise location. The command center can dispatch help and notify your pre-determined Circle of Care.
You can wear the device in several ways, such as a pendant, belt clip, or in your pocket.
Plans start at $48.95 monthly. When you pay annually, the monthly cost is discounted to $39.95. There are no start-up or equipment fees, and shipping is free.
6. UnaliWear — best user-friendly design
The UnaliWear Kanega Watch stood out to us for its comprehensive services, user-friendliness, and sleek design. We particularly appreciated the RealFall™ technology, which helps reduce false alarms while ensuring genuine falls are swiftly detected.
We love that you can activate emergency services through fall detection, button push, and voice activation. The GPS technology can pinpoint your location.
The watch is pre-programmed and ready to use as soon as it arrives. The battery is easy to swap out, so you never need to remove it to charge.
The inclusion of nationwide Verizon cellular coverage, and automatically switching between WiFi and cellular networks, ensures that the watch is always connected.
The set-up fee is $299, and monthly costs start at $79.95.
7. Medihill — best medical alert system for non-English speakers
The Medhill Smart Watch stood out to us for going above and beyond basic emergency functionality.
We were impressed by the combination of features, such as the SOS button with real-time location sharing and fall detection. We love that you can choose from 140 languages to communicate with your emergency responder.
We also love the stylish watch design and health monitoring capabilities like heart rate tracking and step counting.
The two-way calling feature lets you directly communicate with the emergency monitoring center. The long battery life of up to 48 hours and water resistance make it practical for everyday wear.
There are several plans to choose from, with monthly charges starting at $37.12.
8. Medihill Hotpod — best compact alert system
The Medihill Hotpod is a compact and reliable emergency medical alert system you can wear as a wristband or belt clip. With GPS tracking, an easy SOS button, and two-way calling capabilities, the MediHill Hotpod can give you peace of mind at home and on the go.
We love the fun colors you can choose from and the long battery life of up to 72 hours. Place the device on a charging station or use a portable USB charger when the battery runs low.
Fall detection and built-in vibration and motion sensors are available as an extra layer of protection if you are prone to falls.
Prices start at $32.99 per month and vary depending on the type of plan that’s best for your needs.
9. Alert-1 In-Home — best home alert system
The Alert-1 provides a reliable home-based protection option. We appreciate the system’s generous 600-foot range and the fact that you can wear the device as a pendant or wristband.
The alarm is shower-proof, making it practical for 24/7 use. The easy help button and the optional fall detection upgrade, for $10 a month, can give you peace of mind while you move around your home.
It’s important to note that the system requires a landline connection, which may be a limitation for some users. When the device’s button is pressed, the Command Center speaks through the base at the landline connection. They also send out alerts to your Circle of Care.
Plans start at $19.95 a month, and there are no equipment or start-up fees.
10. Smart Med — best nationwide coverage
The Smart Med Alert Elderly Cellular Medical Alert Device offers comprehensive safety for older adults with its cellular connectivity, fall detection technology, and user-friendly design.
We were impressed with the device’s nationwide coverage, eliminating the need for landlines or WiFi.
We love the built-in fall detection feature, as it adds an extra layer of security.
The device is lightweight and wearable as a pendant. We also appreciate that it’s water-resistant for practicality and the ability to call for help while in the shower.
The manufacturer says the device has a long battery life but does not specify the length of time..
The device costs $67.95 and the plan's services starts at $39.95 a month.
Comparing the best medical alert systems
| Alert system | Style | Water-resistant | Fall detection | Sign up cost | Monthly cost start at | 30-day money-back guarantee |
| LifeFone Vip Flex | Pendant Watch Belt clip | Yes | Additional cost | $0 | $41.95 | Yes |
| Lively Mobile2 | Pendant | Yes | Additional cost | $0 | $24.99 | Yes |
| LogicMark | Pendant | Yes | Yes | $54.99 | $34.99 | Yes |
| LifeFone VIP Active | Pendant | Yes | Additional cost | $0 | $41.95 | Yes |
| Alert-1 On-the-Go | Pendant Belt clip Pocket | Yes | Yes | $0 | $39.95 | No |
| UnaliWear | Watch | Yes | Yes | $299 | $79.95 | Yes |
| Medihill | Watch | Yes | Yes | $0 | $37.12 | 30-day free trial |
| Medihill Hotpod | Belt clip Wrist band | Yes | Additional cost | $0 | $32.99 | Yes |
| Alert-1 In-Home | Pendant Wrist band | Yes | Additional cost | $0 | $19.95 | No |
| Smart Med | Pendant | Yes | Yes | $67.95 | $39.95 | No |
What are medical alert systems?
Medical alert systems are special devices designed to provide quick and convenient access to emergency assistance for anyone experiencing a medical emergency or safety concerns.
These wearable medical alert devices can be worn as a pendant around the neck, on the wrist, or clipped to a belt or pocket.
Each medical alert system has a button you can press to connect with a 24/7 emergency response center. Some devices have two-way communication features, fall detection, and GPS technology.
Early systems relied on landline connections, but newer technological advancements allow devices to connect with cellular networks. This allows you to have your device while living an active lifestyle.
Many devices come with the option for the emergency response center to contact your loved ones in an emergency.
Researcher’s insights
To get a clearer perspective on medical alert systems — what they really are, the purpose they serve, and even the ins and outs that can go overlooked, like limitations or stigmas often brushed aside by advertisers or publishers — we turned to one of our in-house researchers, Dominyka Sitavičiūtė. Here’s what she had to say on the topic.
Medical alert systems explained
Originally designed as a safety net for older adults and people with health concerns during emergencies, medical alert systems have evolved to benefit a much broader audience. Whether you are an athlete, a runner, a skier, a mountaineer, or someone who simply enjoys outdoor activities like foraging, hiking, or even swimming in open waters, these systems can offer an added layer of security. They are particularly useful for activities that come with some risk or may leave you temporarily isolated. These specialized devices are intended to provide quick access to emergency assistance whenever needed. Typically, they are wearable — whether as a pendant, a wristband, or clipped to a belt or pocket.
Limitations
Despite the many pros and initial appeal of medical alert systems, there are a few drawbacks that people should be aware of.
Probably one of the biggest concerns today is the potential variability in how accurately these systems detect medical emergencies across different brands and models. Some may trigger false alarms, which could lead to unnecessary stress, inconvenience, or even higher medical bills due to unneeded emergency responses. At the same time, there’s also the risk of them — despite the intent — failing to detect emergencies, such as a fall or other critical events. For instance, if you are using a stationary device and happen to be far away from it when an emergency occurs, it could delay the help you need most at that moment.
Stigmas
In some cases, medical alert systems can carry a bit of a stigma, particularly among older adults who might see them as a sign of frailty or a loss of independence. And so this perception can really discourage people from using these devices, even though they could do a lot to improve safety and peace of mind — after all, they are designed with the best intentions in mind.
To help shift this mindset, I’d say choosing a discreet or stylish option, along with promoting education that emphasizes how these tools actually empower rather than diminish independence, could go a long way in encouraging people to see them in a new light.
Bottom line
Although medical alert systems are definitely valuable tools for addressing safety, they shouldn’t be seen as replacements for human oversight. Instead, they should be viewed as supplementary aids — again, not complete solutions. From my perspective, relying solely on these devices without any additional support, like regular check-ins from caregivers or family members, could leave some gaps in your emergency preparedness.
Benefits of using medical alert systems
Medical alert systems play a crucial role in enhancing safety and improves overall well-being with several benefits.
Increased safety and security
Medical alert systems provide you with convenient access to emergency responders if you are at risk of falls, medical emergencies, or other safety concerns. With a simple press of a button, you can connect with a trained emergency responder who can assess your situation and dispatch appropriate help.
Time and again, these devices provide timely intervention in situations when calling for help from a phone may not be possible.
Enhanced independence and confidence
Having a medical alert system can provide you with the confidence you need to remain independent. Knowing that help is quickly available if you need it in case of a fall or other medical emergency can empower you to maintain your active lifestyle and engage in activities you enjoy without hesitation.
Faster emergency response
In an emergency, every second counts. Medical alert systems facilitate faster response times by providing direct access to trained experts who can dispatch emergency services and contact your loved ones.
Not having a medical device can cause delays by not being able to reach the phone or access help in a timely manner.
The GPS location tracking feature also expedited the response process by providing accurate location information.
Types of medical alert systems
There are several types of medical alert systems available to meet diverse needs and preferences.
In-home systems are best if you primarily spend time at home. They offer reliable coverage within a specific range of the base unit and are often connected to a landline.
Mobile systems, on the other hand, use cellular networks to provide coverage wherever there is cell service. These devices are best if you lead a more active life.
Advancements in technology have led to newer features like fall detection and activity monitoring, which can track movement patterns and notify emergency services if a fall is detected.
Some devices can even track heart rate and count steps which can be helpful if you have specific health goals.
How to install and maintain your medical alert system
Installing and maintaining your medical alert system is important for ensuring its reliability in an emergency.
For in-home systems, it’s best to place the base unit in a central location where there is a clear and strong connection to your landline.
For mobile systems, ensure the device is fully charged and familiarize yourself with its features and operation. Some systems program the device when you order it, and some ask that you call when the device arrives to set it all up.
It’s important to do regular maintenance checks to test your signal strength and ensure that it connects you to the emergency call center. Familiarize yourself with the user manual and how to contact customer support for any questions.
Does Medicare cover medical alert systems?
Unfortunately, Medicare does not cover the cost of medical alert systems. This is because they are not considered “durable medical equipment” under Medicare’s guidelines.
There are situations when Medicaid and private insurance companies offer coverage for medical alert systems. To find out if you have coverage, call your insurance provider and ask what your plan covers.
Sometimes a medical order from a doctor is needed for insurance to cover a medical device. Ask your insurance provider about any necessary documentation you need for coverage.
Best medical alert systems — conclusion
Medical alert systems offer immediate access to emergency assistance whenever you need it. With the push of a button, you can communicate two-way with an emergency responder who can dispatch appropriate help.
The type of device that is best for you depends on your lifestyle and preferences. Some systems use cellular networks and provide nationwide coverage, which gives you the freedom to stay active.
If you are a person who doesn’t leave home much, you may do best with an in-home system that uses a landline to connect with emergency responders.
Other features you can choose from are fall detection and GPS location technology.
You can also choose different ways to wear your device. There are several options such as a wrist watch, pendant, connect it to a belt loop, or put it in your pocket.
Whichever device you choose, you and your loved ones can have the peace of mind that you can be quickly cared for when needed.
FAQ
Can medical alert systems detect falls automatically?
Some medical alert systems have the capability to detect falls. It uses sensors to detect sudden changes in movement or impact. If you opt for a device that has fall detection, it will immediately call the emergency response center when it detects a fall.
Are there waterproof medical alert systems available?
Yes. Most medical alert systems are designed to be water-resistant. This allows for the practicality of wearing it while showering. In the event of a fall or emergency in the shower, the button is easily available.
How easy is it to cancel a medical alert system service?
Cancellation policies vary depending on which provider you choose. Many of them allow you to cancel at any time. Be sure to check the website or call customer service to find out the cancellation process before purchasing a medical alert system.
Can I integrate a medical alert system with other smart home devices?
Some medical alert systems may have the capability of integrating with other smart home devices. The ones reviewed in this article do not have those capabilities. All medical alert systems contact a designated emergency response center who then notifies emergency responders and the pre-chosen personal contact list.
3 resources
- National Institute on Aging. Services for older adults living at home.
- Sensors (Basel, Switzerland) Latest Research Trends in Fall Detection and Prevention Using Machine Learning: A Systematic Review.
- NHS. Personal alarms, monitoring systems (telecare) and key safes.
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