Best Medical Alert Necklaces

Medical alert necklaces can be more stylish than you’d think. We found fashionable and functional necklaces you can use to call for help.
Best overall
Medical Guardian Mini Guardian GPS medical alert system
Mini Guardian
  • Icon Pros  Light
    Mobile device
  • Icon Pros  Light
    Fall detection available
Budget mobile pick
Lively Mobile Monitor
Lively Mobile Plus
  • Icon Pros  Light
    Mobile device
  • Icon Pros  Light
    Fall detection available
Budget in-home pick
Best fall detection
philips lifeline gosafe equipment
Philips GoSafe 2
  • Icon Pros  Light
    Mobile device
  • Icon Pros  Light
    Built-in fall detection
Classic fashion pick

You can take two routes with medical alert necklaces: stylish designs with limited tech or clunky designs with excellent tech. We've yet to see a marriage between style and function in these devices.

That said, we think the Medical Guardian Mini Guardian does the best job of combining powerful GPS, fall detection, and two-way talk technology with a discreet pendant. It comes in three colors.

The more stylish options (including our fave charms from Bay Alarm Medical) just house a help button and must be worn within range of the base station. We'll show you all the options on the market so you can pick the medical alert necklace that suits your style. 

Light Bulb
What is Medical ID jewelry?

Medical alert necklaces are often confused with medical ID jewelry. Medical ID jewelry is more like traditional jewelry or dog tags.

They can be as fashionable or practical as you want and are usually engraved with personal information. If you have an emergency, these pieces make it easier for first responders to start treatment.

Emergency contact info, allergies, medications, and other data are common on medical ID necklaces and bracelets. People with diabetes or other conditions often wear medical ID jewelry. We’ve seen medical ID necklaces for both kids and adults.

While these necklaces are different from the medical alert devices on our list, we do have medical ID bracelet recommendations, most of which have options for medical ID necklaces as well.


Compare medical alert necklaces

Product
Monthly fee starts at
GPS location
Two-way communication
Waterproof
Learn more
Best overall
Medical Guardian Mini Guardian GPS medical alert system

Medical Guardian Mini Guardian

$39.95

Icon Yes  LightYes
Icon Yes  LightYes
Icon Yes  LightYes
Budget mobile pick
Lively Mobile Monitor

Lively Mobile Plus

$24.99

Icon Yes  LightYes
Icon Yes  LightYes
Icon Yes  LightYes
Budget in-home pick
Bay Alarm Medical charms

Bay Alarm Medical

$21.95

Icon No  LightNo
Icon Yes  LightYes
Icon Yes  LightYes
Best fall detection necklace
philips lifeline gosafe equipment

Philips GoSafe 2

$49.95

Icon Yes  LightYes
Icon Yes  LightYes
Icon Yes  LightYes
Classic fashion pick
Medical Guardian Icons necklace

Medical Guardian Icons Collection

$37.94*

Icon Yes  LightYes
Icon No  LightNo
Icon No  LightNo

Amazon.com price as of 9/15/2021 at 7:00 a.m. (MT). Read full disclaimer.
*The Icons Collections necklace is a $2.99 add-on feature. This price represents the monthly costs for the Home Guardian system with this add-on fee applied.

Medical alert necklace reviews 

1. Medical Guardian Mini Guardian: Best overall

Best overall
Medical Guardian Mini Guardian GPS medical alert system
Medical Guardian Mini Guardian
Starting from
$124.95 + $39.95
/mo

The Medical Guardian Mini Guardian is a three-in-one help button, GPS locator, and fall-detection device. It's small enough to fit comfortably in pockets, purses, and bags, but it can also be worn as a necklace. 

It's more expensive than the Lively Mobile Plus, but it uses more than just GPS tech to track your location, which makes it less error-prone.

Pro Heading
Pros
Pro Bullet Portable device
Pro Bullet Waterproof build
Pro Bullet Multiple GPS technologies
Con Heading
Cons
Con Bullet Not fashionable
Con Bullet Fall detection costs extra

GPS medical alerts like the Mini Guardian replace an at-home base station with a small GPS device (about the size of a pager). When you’re in trouble, press the button on the necklace or GPS unit to call for help. You’ll speak to a Medical Guardian monitoring professional through the portable GPS unit.

The Mini Guardian is waterproof, so you can wear the necklace while in the shower. 

As for looks, it’s not exactly a head-turning accessory, but it could save your life when you need it. You could customize its appearance with some contact paper. (Any other creative ideas?)

Learn more about the Mini Guardian and Medical Guardian's other medical alert devices from our full review.

2. Lively Mobile Plus: Budget mobile pick

Budget mobile pick
Lively Mobile Monitor
Lively Mobile Plus
Starting from
$49.99 + $24.99
/mo

*Amazon.com price as of 9/15/2021 at 7:00 a.m. (MT). Read full disclaimer.

The Lively Mobile Plus medical alert necklace can call for help anywhere it has a cellular signal. One standout feature is its GPS location, which helps emergency responders or your emergency contacts to find you when you call for help. It also has a built-in two-way speaker so you can talk to the emergency operator directly through the device.

Pro Heading
Pros
Pro Bullet Two-way communication
Pro Bullet Automatic fall detection
Pro Bullet Caregiver app
Con Heading
Cons
Con Bullet Best features cost more
Con Bullet Larger than most necklaces

If you’re looking for a medical alert necklace for a loved one, Lively has a companion app that lets you keep an eye on them directly through your phone.

Like most medical alert devices, you can get fall detection built into Lively Mobile Plus. But you’ll need to pay a little extra per month for this feature. If you’ve been injured from a fall before, it’s worth the money.

The starting price for the Lively Mobile Plus is about $50 for the device and about $25 for the Basic monthly subscription. But the Basic plan provides only emergency calling services. You’ll have to pay around $30 per month or more if you want features like the mobile app or fall detection.

Read our full review of Lively (formerly GreatCall) to learn more about this device.

3. Bay Alarm Medical: Budget in-home pick

Budget in-home pick
Bay Alarm Medical charms
Bay Alarm Medical
Starting from
$25 + $21.95
/mo

Bay Alarm Medical is one of our favorite medical alert systems. It offers affordable monitoring with plenty of options for in-home, GPS, and even auto medical alert devices.

If you’re looking for an in-home system that will compliment your style, you can customize the med alert necklace with one of four “Bella Charm” clip-on pendants to go over your lanyard button.

Pro Heading
Pros
Pro Bullet Waterproof build
Pro Bullet Easy installation
Pro Bullet Stylish design
Con Heading
Cons
Con Bullet Available for in-home systems only
Con Bullet Must stay in range of base station

Image: Cathy Habas, SafeWise

The pendants cost around $25 each and make your med alert look like wearable art. These clips are waterproof, so you can wear them in the shower and bath like a standard medical alert necklace.

Unfortunately, this charm clip add-on is available only for in-home systems through Bay Alarm Medical. These systems come with a landline or cellular option. And you can opt for additional buttons to place throughout your house.

Like many in-home medical alert systems, you’ll need to stay within range of the base station. You get 1,000 feet of roaming space, which is plenty of room to move around your house and still call for help when you need it. Read our full review of Bay Alarm Medical to learn more about this medical alert system.

4. Philips GoSafe 2: Best fall detection necklace

Best fall detection necklace
Phillips Lideline GoSafe 2
Philips GoSafe 2
Starting from
$99.95 + $49.95
/mo

Like our top pick, the Philips GoSafe 2 is another all-in-one medical alert necklace. It has automatic fall detection already built in, GPS tracking, an emergency button, and two-way communication.

Unlike other picks of ours, fall detection comes included in the monthly bill. It’s nice not to debate adding that extra $10 per month, but the bill already sits at a steep $49.99 per month.

Pro Heading
Pros
Pro Bullet Fall detection included
Pro Bullet Five types of GPS technology
Pro Bullet Small and comfortable to wear
Con Heading
Cons
Con Bullet Expensive monthly fee
Con Bullet Self-installation fee

It’s not what we’d call fashionable, but it’s small enough to wear comfortably wherever you go. The device itself is only a couple inches long, so you can slip it under your shirt or jacket and keep it out of the way until you need it.

It uses five GPS locating technologies too, so EMTs and your emergency contacts will get an accurate location when you call for help. If you’ve ever fallen for nonsense directions from your vehicle GPS system, you’ll understand how helpful this increased accuracy is.

Our biggest complaint about the Philips Go Safe 2 is the pricing and fees. For this Philips device and all the ones we’ve come across, you have to pay an installation fee, even if you install the device yourself. And for just under $50 per month, you may need to make room in your budget to accommodate it.

Read our review of Philips Lifeline medical alert systems to see more products like this.

5. Medical Guardian Icons Collection: Classic fashion pick

Classic fashion pick

The Medical Guardian Icons Collection has four gorgeous medical alert pendants styled after Audrey Hepburn, Dolly Parton, Tippi Hedron, and Farrah Fawcett. These devices are genuinely pretty pieces of jewelry designed by Trelawear, but they aren’t as practical as our other picks on this list.

Pro Heading
Pros
Pro Bullet Looks like real jewelry
Pro Bullet Built-in help button
Pro Bullet Works with Home Guardian and Mobile Guardian systems
Con Heading
Cons
Con Bullet No two-way communication
Con Bullet Not waterproof
Con Bullet No automatic fall detection

The Icons Collection pendants are available only with the Home Guardian and Mobile Guardian kits. They cost an extra $2.99 per month. They work as a simple alert button but lack two-way communication and fall detection. They aren’t waterproof either, so you won’t be able to wear one in the shower.

Images: Medical Guardian

Luckily, the Icons pendants come paired with other devices. The Home Guardian home unit is made of a simple base station and a wearable (your Icons Collection necklace). At 600 feet, its range is significantly shorter than other in-home units. But it has a loud two-way speaker, power outage protection, and strong cellular signal to stay connected with the monitoring center.

The Mobile Guardian kit is the other compatible system for the Icons Collection. The Mobile Guardian is a two-piece GPS system with a GPS unit and the necklace wearable. You’ll need to stay within 350 feet of the GPS unit, but you can call for help using the Icons necklace anywhere your GPS device is. So you can go to lunch with friends, go to your grandkids’ recital, and take a walk in style (and safety).

We love the way the Icons Collections medical alert jewelry looks, especially if you don’t want a clunky medical alert necklace. But you’ll have to sacrifice a few features in the name of fashion.

Learn more about Medical Guardian from our full review.

More medical alert necklaces we considered

LifeFone's vanity pendant

Honorable mention
medical alert necklace
LifeFone Vanity Pendant
Starting from
$71.95 + $29.95
/mo

Compatible with LifeFone's in-home base stations, the Vanity Pendant hides a help button and nothing more. It only comes in one style and costs a hefty one-time fee of about $72.

Get the full scoop on LifeFone's equipment and services in our review.

Trelawear

Honorable mention

Trelawear designed Medical Guardian's fashionable pendants. But they have other styles to choose from that you can pair with different monitoring services like LifeFone and MobileHelp. This lets you choose a service you can afford and trust.

You also have the option of purchasing a Trelawear pendant directly from Trelawear.com. Each one retails for about $175. You then pair it with an iPhone app called FallCall for fall detection and help monitoring, which costs around $20 per month.

Medical alert companies do not offer fall detection services with their Trelawear devices, which makes us a little skeptical about whether this device offers accurate fall detection when paired with FallCall. If you're at high risk of passing out or becoming dizzy, we recommend a proven fall detection device like the Philips Lifeline GoSafe 2

Medical Care Alert

Honorable mention

Medical Care Alert offers an antique-style jewelry pendant for their in-home help button. It comes in silver or bronze and costs around $50 up-front. 

One thing to note about Medical Care Alert is that there's no monthly payment option. You'll have to pay on at least a quarterly basis.

Final word

Medical alert devices don’t have to be clunky and unfashionable. But when you have to call for help in an emergency, practical features win over style. Take the Medical Guardian Mini Guardian, for example, which lacks in looks but wins overall for core features. In contrast, the Medical Guardian Icons Collection looks more like jewelry but is limited in function.

Look for a medical alert necklace that connects to a monitoring center quickly, whether you’re home or on the go. Automatic fall detection, waterproofing, and two-way communication should be features you look for in any medical alert system.

Medical alert necklace FAQ 

Medical ID jewelry like bracelets and necklaces are usually standard gold or silver pieces with emergency information like allergies, contacts, and medications engraved. 

Medical alert necklaces come equipped with a call button that contacts an emergency operator who will send help to your location when you need it. 

Both necklaces (or lanyards for some devices) and bracelets have a one-touch call button to contact help when you need it. 

The choice boils down to personal preference and comfort. You’ll need to wear your device at all times, so choose one that won’t get in the way of your daily activities. Most medical alert systems give you a choice between the two. 

Automatic fall detection is a feature built into medical alert devices that detects a change in altitude and speed. If you fall down, trip, or slip, the device will automatically call the monitoring center in case you need assistance. 

Most medical alert systems require you to order online or call in to have one shipped to your home. The only device we found available in stores is the Lively Mobile Plus by GreatCall which you can find at local Walgreens or Rite Aid stores. GreatCall has a store locator on its website if you want to find one near you.

How we reviewed the best medical alert necklaces

All of the best medical alert systems have a lanyard or necklace option of some kind. We wanted to find the perfect combination of style, functionality, and comfort. We put practical features first, so devices with features like two-way talk and fall detection landed on top.

Showers and bathtubs can be a dangerous place for older adults due to slippery surfaces. That’s why we added waterproofing to our list of considerations. It’s important to have a medical alert necklace that can go with you everywhere. (We’re talking about the greatest bath accessory since the rubber ducky.)

And, of course, we considered style. A medical alert necklace isn’t much use if you don’t want to wear it every day. We found a couple options that were more fashion-forward choices disguised as everyday jewelry.

Learn more about how we approach reviews like this one from our methodology page.

Disclaimers

Product prices and availability are accurate as of the date/time indicated and are subject to change. Any price and availability information displayed on Amazon at the time of purchase will apply to the purchase of this product. Safewise.com utilizes paid Amazon links.

Certain content that appears on this site comes from Amazon. This content is provided “as is” and is subject to change or removal at any time.

Katie McEntire
Written by
Katie McEntire
As a renter, pet-owner, and woman living alone, Katie McEntire takes safety seriously. She’s tested devices like pet cameras, home security systems, and GPS trackers in her own home and devices in the name of safety. In addition to testing, writing, and reviewing for SafeWise, she also makes videos for the site’s YouTube channel. She’s been featured on publications like TechGuySmartBuy, Forbes, Healthy Moms, and Digital Care. Katie has a Bachelor’s degree in Technical Writing from Austin Peay State University in Clarksville, Tennessee. She’s held previous writing positions at Overstock.com and Top Ten Reviews.

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