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
Mini Guardian
4.8 out of 5 stars
4.75
Starts from
$39.95/mo.
  • pro
    Mobile device
  • pro
    Fall detection available
Classic fashion
medical guardian necklace
Icons Collection
4.8 out of 5 stars
4.75
Starts from
$37.94/mo.
  • pro
    In-home device
  • con
    No fall detection
Budget pick
Bay Alarm Medical charms
Bay Alarm Medical
4.8 out of 5 stars
4.75
Starts from
$24.95/mo.
  • pro
    In-home device
  • con
    No fall detection
Also classy
medical alert necklace
LifeFone Vanity Pendant
4.5 out of 5 stars
4.5
Starts from
$29.95/mo.
  • pro
    In-home device
  • con
    No fall detection
Most options
Trelawear + MobileHelp
4.5 out of 5 stars
4.5
Starts from
Call for Quote
  • pro
    In-home or mobile device
  • con
    No fall detection

Info current as of post date. 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.

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. 


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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
Best for
Monthly fee starts at
GPS built-in
Two-way talk built-in
Waterproof
Learn more
Best overall
Icon Yes  LightYes
Icon Yes  LightYes
Icon Yes  LightYes
Classic fashion pick
Icon No  LightNo
Icon No  LightNo
Icon No  LightNo
Budget pick
Icon No  LightNo
Icon No  LightNo
Icon Yes  LightYes
Also classy
Icon No  LightNo
Icon No  LightNo
Icon No  LightNo
Most options
Icon No  LightNo
Icon No  LightNo
Icon No  LightNo

Info current as of post date. 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
4.8 out of 5 stars
4.75
Starts at
$149.95 + $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 medical alert necklace. 

It's more expensive than other options on our list but has the best features: GPS tracking, automatic fall detection, and a water-resistant design. It comes in three colors: bronze, black, or white.

pro
Pros
pro Portable device
pro Waterproof build
pro Multiple GPS technologies
con
Cons
con Not fashionable
con 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 or maybe a cute crochet cover. 

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

2. 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.

pro
Pros
pro Looks like real jewelry
pro Built-in help button
pro Works with Home Guardian and Mobile Guardian systems
con
Cons
con No two-way communication
con Not waterproof
con 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.

3. Bay Alarm Medical: Budget pick

Budget pick
Bay Alarm Medical charms
Bay Alarm Medical
4.8 out of 5 stars
4.75
Starts at
$25 + $24.95
/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
Pros
pro Waterproof build
pro Easy installation
pro Stylish design
con
Cons
con Available for in-home systems only
con Must stay in range of base station
con No fall detection

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.

Note: Bay Alarm Medical updated their Bella Charms in early 2022. The Stella (black background with sparkling confetti) and Marina (teal color with coral-like designs) are still available, but the paisley and floral charms pictured below have been replaced with two animal prints: the Gemma and the Marella. 

Senior safety expert Cathy Habas holding one of the four Bay Alarm Bella Charms in her hand to demonstrate its size. Three other charms are visible on a table.
Senior safety expert Cathy Habas modeling the Bay Alarm Bella Charm during hands-on testing.
Senior safety expert Cathy Habas modeling the Bay Alarm Bella Charm during hands-on testing.

Images: Cathy Habas, SafeWise

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. LifeFone's Vanity Pendant: Also classy

Another classic necklace
medical alert necklace
LifeFone Vanity Pendant
4.5 out of 5 stars
4.5
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. 

pro
Pros
pro Stylish design
con
Cons
con Available for in-home systems only
con Must stay in range of base station
con No fall detection

This pendant doesn't support fall detection technology, but LifeFone's a great company for those looking for extra support services like daily check-in calls and medication reminders.

If you'd prefer to pay an upfront fee in order to pay less over time, LifeFone's vanity pendant is also a more affordable alternative to Medical Guardian's Icon Collection.

Read more in our full LifeFone review.

5. Trelawear + MobileHelp: Most options

Most options

Trelawear designed Medical Guardian's fashionable pendants. But they have other styles to choose from that you can pair with different monitoring services like MobileHelp (our recommendation) and  LifeStation.

This lets you choose a service you can afford and trust—but you have to order these medical alert necklaces over the phone from either company. The good news is both MobileHelp and LifeStation have mobile devices that pair with Trelawear, so you can wear this medical alert necklace on the go or in your home.

pro
Pros
pro Multiple colors available
pro Multiple monitoring services available
con
Cons
con Must stay in range of base station or iPhone
mobilehelp trelawear

LifeStation's Trelawear design
Image: Trelawear

MobileHelp sells two designs: black onyx resins stones surrounded by a circular faux-gold or platinum-colored braid. LifeStation sells a lapis blue resin stone surrounded by a square platinum-colored braid. 

You also have the option of purchasing a Trelawear pendant directly from Trelawear.com, in which case you've got plenty of other colors and designs to choose from. 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 Mini Guardian.

Read our full MobileHelp review or LifeStation review to narrow down your choices.

More medical alert necklaces we considered

Medical Care Alert

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.

Lifeline GoSafe 2

Phillips Lideline GoSafe 2
Philips GoSafe 2
4 out of 5 stars
4
Starts at
$99.95 + $49.95
/mo

Like our top pick, the Lifeline GoSafe 2 is another all-in-one medical alert necklace. It has automatic fall detection already built in, an emergency button, and two-way communication. It also includes GPS, but only the professional monitoring center can access location data.

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
Pros
pro Fall detection included
pro Five types of GPS technology
pro Small and comfortable to wear
con
Cons
con Expensive monthly fee
con 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.

Read our review of Lifeline medical alert systems for more information.

Lively Mobile Plus

Lively Mobile Monitor
Lively Mobile Plus
3.8 out of 5 stars
3.75
Starts at
$49.99 + $24.99
/mo

Amazon.com list price as of post date. 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
Pros
pro Two-way communication
pro Automatic fall detection
pro Caregiver app
con
Cons
con Best features cost more
con 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.

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. 

Learn more on our fall detection FAQ page.

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.

Cathy Habas
Written by
Cathy Habas
With over seven years of experience as a content writer, Cathy has a knack for untangling complex information. Her natural curiosity and ability to empathize help Cathy offer insightful, friendly advice. She believes in empowering readers who may not feel confident about a purchase, project, or topic. Cathy earned her Bachelor of Arts degree in English from Indiana University Southeast and began her professional writing career immediately after graduation. She has contributed to sites like Safety.com, Reviews.com, Hunker, and Thumbtack. Cathy’s pride and joy is her Appaloosa “Chacos.” She also likes to crochet while watching stand-up comedy specials on Netflix.

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