Best Medical Alert Systems 2025

Bay Alarm Medical is our top pick for "best medical alert system" based on the results of our hands-on testing, product research, and mystery shopping. Medical alert systems—also called personalized emergency response systems (PERS)—share a lot of features from brand to brand, but we think Bay Alarm Medical does the best job keeping prices low without skimping on important features like reliable fall detection, easy-to-use designs, and long-lasting batteries. 

We also like Medical Guardian for premium features like smartwatch messages and voice activation, Medical Alert for impressive fall detection technology, and LifeFone for remote caregiving services like daily check-in calls and activity 

Below, we'll give our verdict on 19 medical alert system brands, walk you through our review methodology, and answer common questions to help you find the best medical alert system for you. 

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The idea medical alert system is:

• Easy to use. "There shouldn't be any numbers to dial, just a big button," says Sally Russell, MN, CMSRN, CNE. That button should also be easy to feel or to see without your glasses. 
• Confidence-boosting. For many people, that means the device shouldn't draw attention. "People don't want everyone to know that they're wearing a help button when they go out in public," Russell notes.
• Tailored to your lifestyle. If you don't leave the house alone, an in-home system should meet your needs. But if you're active and independent, use an on-the-go device.
• Useful for caregivers. Apps that show the device's current location, battery life, and cellular connectivity can give caregivers extra peace of mind—and minimize daily nagging.
• Easy on your wallet. Balance features with affordability to find a medical alert system that meets your budget.
• Professionally monitored. We don't recommend direct-to-911 dialers for most people because not every emergency requires 911. You can end up getting fined for too many non-emergency calls to 911, whereas a professionally monitored service has multiple benefits.

And that's just for starters. Read our complete guide to choosing a medical alert for an explanation of common features and the people who benefit from them most. We also have a quiz near the bottom of that page that will help you find a medical alert system based on your needs.

We chose Bay Alarm Medical as the overall best medical alert system company because it balances quality, variety, and affordability like no other. Whether you're looking for an accurate GPS medical alert, a fashionable alert necklace, or a medical alert system with a long-lasting battery, Bay Alarm Medical has what you need for a reasonable price.

• Go ahead and buy Bay Alarm Medical if you want quality equipment from a reputable company and want to pay one-time fees for accessories rather than monthly fees. 
• Keep shopping if you want a medical alert smartwatch with extra features.

We tested all of Bay Alarm Medical's equipment before we made it our top recommendation. Everything was a breeze to set up and use, right down to the caregiver app.

• When we placed test calls, the monitoring center agents were friendly and easy to understand.
• The caregiver map accurately displayed the location of the mobile systems.
• The fall detection pendant went off every time we dropped it.
• All of the buttons were easy to press and activate.
• The SOS Home button works within 1,000 feet of the base station, and this gave us plenty of coverage in a 1,600 square-foot home.
• All of the wearable buttons were easy to take on and off without assistance.

We especially loved the Bella Charms, which cover the emergency pendant and give you a beautiful incentive to wear it everyday. Bay Alarm Medical also sells colorful wristbands for people who prefer to wear the help button as a bracelet. 

One of our testers was especially impressed with how easy the buttons were to put on. "I liked that Bay Alarm had adjustable lanyards so you don't feel like the button is swinging too low and getting in the way," she said. "I also had no trouble putting the smartwatch band on by myself." 

We also like Bay Alarm Medical because it's one of the few medical alert brands to offer a one-year price lock guarantee. Plus, its monitoring center boasts the industry’s four most prestigious certifications and offers support in around 170 languages.

Bottom line: Bay Alarm Medical is a reputable, well-established company with responsive devices, customizable packages, customer-friendly policies, and affordable prices.

Check out our full Bay Alarm Medical review for more details about our testing experiences.

Medical Guardian is our pick for the best medical alert with premium features because it offers a variety of unique add-ons and capabilities. As you might expect, Medical Guardian is a little more expensive than the other brands on our list because it has more to offer. 

• Go ahead and buy Medical Guardian if you want hard-to-find tech like voice activation or a medical alert smartwatch messaging app. 
• Keep shopping if you're on a tight budget.

One of our favorite premium features is the "social circle" upgrade for the MGMove smartwatch. For an extra $5 per month, you can message back and forth with caregivers. We appreciate that Medical Guardian didn't try to cram a texting keyboard onto the MGMove smartwatch screen, as that would likely be difficult for people with limited dexterity or vision to use.

Instead, MGMove users can send voice messages to caregivers. Caregiver messages appear on the watch screen as text, but there's also an option to have the watch read the message out loud. This is such a thoughtful design for an older audience.

That extra $5/mo. also unlocks a reminder feature. Caregivers can set up reminders in the app for things like medication or upcoming appointments. You could even send movement reminders—it's totally customizable.

Other premium features you can get with Medical Guardian include:

• Voice-activated wall buttons ($4.99/mo.). Aloe Care Health and GetSafe are the only other brands with this kind of technology. 
• Smart test button. On the in-home cellular system, this test button verbally confirms that the system is connected and ready to place a call. 
• Real-time caregiver alerts ($2.99/mo.). Called OnGuard Alerts, this allows caregivers to instantly receive text or email updates when an emergency call is placed. Otherwise, caregivers may not learn that the user needed medical assistance until EMTs have already arrived. MobileHelp and Aloe Care Health offer similar services.
• Multiple location tracking technologies. GPS works best when the device is outside in full view of the sky. Medical Guardian uses 4G LTE signals and Wi-Fi to improve location tracking accuracy in urban areas. 

Medical Guardian equipment is high-quality even without additional features, but we appreciate the ability to customize the system. 

Bottom line: Medical Guardian is a reputable, reliable brand with all the bells and whistles, but it can get expensive because every upgrade increases the total monthly price. 

Check out our Medical Guardian review or Medical Guardian product guide for more details.

We consider Medical Alert "best for fall detection" because its equipment relies on a variety of sensors to detect falls, including an accelerometer, gyroscope, and barometric pressure sensor.

The more sensors in a device, the more accurately it detects falls. Medical Alert had the most fall detection sensors out of the 75+ devices we considered.

The data from all three sensors is cross-referenced, which reduces false alarms and improves fall alert accuracy. While this technology blows away the competition, you still need to recognize—as with all automatic fall detection technology—that you're not guaranteed 100% accuracy.

• Go ahead and buy Medical Alert if you're shopping for someone who's at a high risk of falling.
• Keep shopping if you want a system with extra features and accessories.

Medical Alert's products don't come with a lot of accessories or premium features, so you may want to skip this brand if you're looking for wall buttons, voice activation, or on-the-go bracelets. But if you don't mind sticking to the basics—especially when they're done well—then Medical Alert could be right for you.

We found Medical Alert’s representatives to be the most knowledgeable of all the ones we talked to, which goes a long way whether you're shopping around or calling for help. 

Bottom line: Medical Alert's equipment is packed with sensitive fall detection technology, and the company offers good customer support.

Get all the details in our complete Medical Alert review.

LifeFone is our pick for "best remote caregiver services" because you can pay an extra $19 per month for the monitoring center to check in with your loved one each day. We think this is an important safety net that can help make sure your loved one hasn't experienced an emergency where they couldn't press the button or didn't activate fall detection. 

The in-home system and VIPx device have two more optional layers of protection. "Activity assurance" ($6/mo.) on the in-home system prompts the user to press a button to signal that everything's okay. And if you purchase the caregiver app ($8/mo.) for the VIPx, you can receive notifications for the user's first activity of the day and track their steps to make sure they're up and about.

• Go ahead and buy LifeFone if you're looking for multiple safety nets beyond a help button and automatic fall detection.
• Keep shopping if you're looking for the most affordable on-the-go devices.

The VIPx is also the only medical alert system on the market with geofencing. This allows caregivers to mark boundaries on a map and get alerts when the device crosses those boundaries. If the care recipient leaves their home, for example, caregivers would get an alert. 

The catch? These VIPx features only work with an app that costs $8 per month. 

Meanwhile, the in-home systems monitor temperature, and the landline base station can double as a loudspeaker for your phone. Just press the wearable help button to answer an incoming call. 

Bottom line: LifeFone devices come with some rare optional features, but adding them to your system can significantly increase the total monthly price. 

Learn more in our full LifeFone review.

We chose ADT as the most trusted name in medical alert systems because the company has been around for more than 150 years and provides senior sensitivity training to its professional monitors. Plus, ADT owns six monitoring centers throughout the US, so you can trust someone will answer the phone even if there's a power outage or high call volume. 

And we're not the only ones who think ADT is reputable. Newsweek has named the company "the most trusted brand in home security" for the last four years, and ADT also landed on the much more competitive list of "most trustworthy companies in America" over the same time span. In 2024, it even ranked among the "most trustworthy companies in the world." 

So if you tend to buy products because you feel good about the brand, you're in the right place. 

• Go ahead and buy an ADT medical alert if you value a brand's reputation and longevity. 
• Keep shopping if you're looking for a medical alert smartwatch or need an in-home system with a generous range. 

ADT medical alert equipment is pretty basic, but that can be a good thing because there's less to get confused about. You won't find any innovative medical alert smartwatches or bracelets with fall detection among ADT's medical alert lineup—just a landline in-home system, cellular in-home system, and on-the-go base station with a separate bracelet or pendant.

But we do like that the in-home systems monitor ambient temperature. This feature alerts you to temperatures that are too hot or too cold. Some medical conditions, like diabetic neuropathy, make it harder for people to feel these temperature changes on their own and to maintain a healthy body temperature, and older adults are more at risk of complications from the dangers of extreme temperatures because it's more difficult for their bodies to regulate temperature.

ADT is also one of the few systems you can snag with a lifetime price lock guarantee—definitely a big deal if you rely on limited income like social security. 

Bottom line: ADT is a well-established brand that's unlikely to go out of business and leave you without protection.

Learn more about ADT Medical Alert in our full review. 

We chose MobileHelp as the best company for bundling in-home and on-the-go medical alert systems because of its affordable "duo" prices. If you're not sure whether you need an in-home or mobile system, or you and your spouse have different needs, then a MobileHelp bundle is a budget-friendly way to get the best of both worlds.

Most medical alert companies make you pay full price if you want to get more than one system. With MobileHelp, you basically get a mobile system at full-price and pay an extra $10/mo. for an in-home system. Or, if someone else in your household wants their own mobile device, theirs is an extra $15/mo. 

• Go ahead and buy MobileHelp if you want to save money while buying two systems for the same household or want to keep upfront fees to a minimum.
• Keep shopping if you're looking for a medical alert smartwatch. 

MobileHelp hasn't changed its equipment much over the last few years, but it remains a popular brand because it's affordable and reliable. There are no equipment fees or activation fees, so you don't have to pay much money upfront to get started.

All you have to pay is shipping costs, which average around $12.50 and are waived if you pay for a full year in advance. Like all the medical alert brands we recommend, MobileHelp lets you cancel any time. You can even get a prorated refund for unused monitoring days. 

MobileHelp was recently acquired by Medical Guardian, and there's now some overlap between the brands. For example, both offer "On Guard Alerts" ($2.99/mo.) so caregivers can be notified in real-time when the emergency button is pressed. But for now, the main distinction is that Medical Guardian has all the bells and whistles while MobileHelp is more budget-friendly—especially for people who want to buy two systems.

Bottom line: MobileHelp offers reliable medical alert equipment on a free-lease basis, and its monthly fees tend to be more affordable than the competition.

Learn more in our full review of MobileHelp.

We chose Aloe Care Health as the best medical alert system with smart features because its emergency base station is voice activated and serves as a loudspeaker for incoming and outgoing caregiver calls. It also tracks motion, temperature, and air quality to help caregivers monitor the home environment from afar.

Although we're sad to see the company's radar-based fall detection sensor has been discontinued, Aloe Care Health remains one of the most innovative medical alert companies we've ever seen.

• Go ahead and buy Aloe Care Health if you need to prioritize communication with the care recipient, other caregivers, and the professional monitoring center.
• Keep shopping if you need a system with a generous in-home range.

When we tested Aloe Care Health devices, we were especially impressed by the caregiver app. It's one of the easiest to use on the market and offers the most comprehensive insights. Caregivers can download the Aloe Care app and place calls directly to the base station for quick check-ins. As long as the call isn't denied by the recipient, it will automatically pick up after a few rings.

Caregivers are also welcome to call the monitoring center if they’re concerned about their care recipient's well-being. And if an emergency call is placed, the monitoring center can get caregivers on a three-way call so they stay updated in real-time.

Despite all the smart features packed into Aloe Care Health equipment, the in-home system has a very short range—the wearable button only works within 200 feet of the base station, and it doesn't include fall detection. To reap the full benefits of the system, we recommend getting both the in-home smart hub and the on-the-go device. 

Bottom line: Aloe Care Health caters to caregivers who want more than one way to check on someone's safety, and it's also a good option for people looking for a voice-activated medical alert. 

Learn more about our testing experience in our full review of Aloe Care Health. Or, compare it to another voice-activated system in our GetSafe vs. Aloe Care Health head-to-head review.

We considered more than 75 products across nearly 30 brands. Here are a few that didn’t quite make the cut.

Lively is our runner-up for "best remote caregiving services." The company only sells an on-the-go device called the Mobile2, and it comes with extras like "Ask Lively" plus a care advocate and a nurse hotline for medical advice and prescriptions. 

Lively also partnered up with some big names in the tech industry. It's now the professional monitoring option for Apple Watches and Alexa Together. Although it can get pricey, Lively's concierge services are worth looking into.

Learn more in our full Lively review. 

UnaliWear makes the Kanega Watch, which we consider one of the best medical alert watches on the market. It has removeable battery packs that are swapped out daily so you never have to take the watch off to charge it. 

The Kanega Watch also has sensitive fall detection and artificial intelligence that learns the wearer's typical movements in order to cut down on false alarms. There's also a voice-activation option for people who may not be able to press the emergency button. 

It's one of the most expensive medical alert watches on the market but, based on our research and customer reviews, it seems to be worth the price. 

We found only one medical alert company that didn’t charge hidden or extra fees: Lifenet. With this medical alert company, you won’t get hit with activation, restocking, or cancelation fees. You don’t even have to pay shipping on orders or returns.

We also like these Lifenet policies and services:

• Prorated refunds
• Batteries monitored and replaced by the company
• Affordable spouse coverage ($3.99/mo.)
• Daily remote check-in service ($5.99)
• Free lifetime warranty

Lifenet equipment is basic, so don't expect too many bells and whistles. The in-home system is competitively priced (starts at $29.95/mo.) but the mobile system is expensive (starts at $49.95/mo.). It can be a little tricky to order on the website, so we recommend calling to make sure you get everything you need. 

Medical Care Alert offers similar equipment to Bay Alarm but costs around $5 to $7 more each month. We also found its website a little confusing because there’s no way to easily see its full product lineup.

It’s worth mentioning that Medical Care Alert used to offer a fall detection device with the holy trinity of sensors: an accelerometer, gyroscope, and magnetometer. This product was discontinued because it relied on the now-defunct 3G cellular network.

If Medical Care Alert releases this device again with 4G or 5G cellular service, we’ll sit up and pay attention. But for now, we think other brands offer better value. 

Lifeline is owned by Connect America, the same company that owns Medical Alert. Both brands offer the same equipment, but Lifeline is more expensive. Lifeline also offers professional installation for an additional $99, but we think this is a bit of a scam since the equipment just needs to be plugged in and tested. 

Learn more in our full Lifeline review.

GetSafe, a branch of Bay Alarm Medical, is the only medical alert company that charges a flat rate for monitoring—$29.95—no matter how many buttons you want in your home. (GetSafe recommends one button for each room in your home for best results.) Other companies charge an extra monthly fee for every button.

But GetSafe is also one of the only companies that requires you to pay an upfront equipment fee, which can be challenging for some. 

The other draw is the company's voice-activated buttons. GetSafe is marketed as an alternative emergency system for people who don't want to wear a button.

Learn more in our full GetSafe review.

LifeStation deserves a shout-out as the only other medical alert company besides Lifeline to combine an accelerometer and a barometric sensor in its fall detection device. LifeStation’s basic in-home package starts at $35.95 per month, which is one of the most expensive starting fees in the industry. GPS tracking, fall detection, wall buttons, spouse coverage, and a warranty all add to the monthly fee.

Learn more in our full review of LifeStation.

Galaxy Medical Alert Systems is a good choice for Canadians, but the company serves US customers as well. The equipment and services cover all the bases, but you may want to shop elsewhere if you want a lot of extra accessories. Customers say the fall detection devices work well thanks to high sensitivity, but this sometimes causes false alarms. 

Life Alert is an industry pioneer famous for its TV commercials, but it hasn’t moved its sales and marketing into the 21st century. There’s almost no information about the system online.

We called to discover the cost of Life Alert. It’s by far the most expensive medical alarm system on the market, with monitoring prices starting at nearly $50/month. The minimum activation fee is around $95. The price significantly increases if you add a GPS button, and there’s no automatic fall detection option at all (pretty ironic for the company that launched "I've fallen and I can't get up" into the lexicon).

Learn more in our full Life Alert review or check out our recommended Life Alert alternatives.

QMedic offers a cellular in-home system and a mobile GPS button. The in-home system includes artificial intelligence (AI) to learn how the wearer typically moves throughout the day. If the device doesn't detect motion for a while, it sends an alert to the monitoring center and to caregivers. We love this as an extra layer of safety.  

Unfortunately, QMedic isn't currently available to the general public. 

Our hearts definitely went pitter-patter when we saw this gorgeous medical alert watch. The BellPal doesn’t look like a medical alert device at all, but it includes GPS tracking, fall detection, and an SOS button. However, BellPal only works when it’s close to a smartphone.

We were also bummed to see that you have to take this watch to a jeweler every four to six months to replace the battery. We know “replace battery” would end up on our to-do list for weeks. That’s why many other companies just send you a new wearable device instead of asking you to do it yourself.

Unfortunately, BellPal is no longer available. We'll update this page if anything changes. 

FastHelp is not a monitored medical alert system, so we don’t recommend it for most situations.

Because it always calls 911 directly, you may get fined for false alarms. The 911 dispatchers and emergency responders also won’t have your medical history, lockbox code, or emergency contacts on file. In contrast, monitored systems retain this information and relay it to the emergency service for fast, accurate, and safe help.

The main advantage of FastHelp is that you only pay a one-time equipment fee. Since there’s no emergency monitoring, there are no monthly fees.

Learn more in our full FastHelp review.

We consider Bay Alarm Medical the overall best medical alert company because it covers all the bases at a competitive price. But every person and situation is a little different, so you might prefer the price, tech, or policies of another company. The key is to find a device that makes you feel confident and independent. 

Read answers to more senior safety FAQs.

Below, we'll take a closer look at what goes into our proprietary weighted scoring system, which we used to find the best medical alert systems on the market.

Comparing in-home and mobile medical alert systems is like comparing apples to oranges, so we evaluated these devices separately.

To start, we compared each medical alert company's lowest monthly cost for an in-home cellular system. We didn't compare landline prices, because some companies don't offer landline-compatible equipment. However, we did take into consideration whether a landline option was offered. 

Next, we compared the lowest equipment fees, regardless of whether it was available as a landline or cellular system. As it turns out, most companies lease their in-home base stations for free, so those that charge up-front fees are far more expensive than the competition. 

Rounding out our in-home cost comparison was our analysis of hidden or extra fees, such as activation or installation fees. We prefer to see no extra fees, and hidden fees (those not mentioned until the checkout page or charged after the first month of service) are a definite no-no in our book. 

Many older adults have low incomes, and the poverty rate tends to increase with age. Therefore, we prefer medical alerts with lower prices. However, we recognize that some people are capable of spending more to get the best services and features. That's why price is just one factor we consider when choosing the best medical alert systems.

Systems with a longer backup battery life, longer signal range, and extra features were viewed more favorably than others. 

We prefer brands that offer a variety of in-home medical alert accessories and services so that people can make custom packages to suit their needs. 

Some of the in-home equipment options we evaluated included fall detection, voice activation, wall buttons, jewelry pendants, colorful wristbands and accessories like a lockbox or an emergency packet for first responders. Extra services include medication reminders, daily check-in calls, and caregiver app compatibility.

Finally, we investigated whether each company monitors and replaces their help button batteries for free so there's one less thing for caregivers to worry about and no chance for a lapse in protection. 

Because mobile devices often feature more technology than in-home devices, we scored them separately. 

As with the in-home devices, we preferred on-the-go devices with lower equipment fees, lower monthly costs, and no extra or hidden fees. 

We also preferred standalone devices that aren't dependent on a smartphone for two-way communication, as this severely limits the device's convenience and reliability. 

We liked seeing more than one wear option, such as a belt clip or bracelet adapter, so that users can wear the device in a way that makes them feel comfortable and confident. 

Battery life is another important consideration for mobile medical alert systems. A longer battery life is better because it means the device can be worn for an extended period of time without charging, and that the device is less likely to run out of juice when placing an emergency call or sending real-time location data. We like to see mobile medical alerts with at least a three-day battery life, but 24-hours is more common among medical alert smartwatches. 

We also compared the number and type of fall detection sensors (tri-axial accelerometers, barometric pressure sensors, magnetometers, and gyroscope)  and location technologies (GPS, Wi-Fi, and 4G) within these devices.

Caregiving features were also considered in our medical alert rankings but given less weight than other categories because medical alert systems still work without these features. 

We looked for smartphone apps or online portals geared toward caregivers and considered the cost of these tools. We preferred systems with location tracking and battery alerts on the app, plus medication reminders and inactivity alerts. 

We also noted any unique features available to caregivers, such as geofencing or real-time alerts from the monitoring center.

We compared each medical alert brand across 13 policies and attributes, including:

• Warranties
• Trial periods or money-back guarantees
• Price lock guarantees
• Cost of spouse coverage
• Prorated refunds
• Cancellation penalties
• Lost or damaged equipment fees
• In-home button battery monitoring and replacement
• Five Diamond-certified monitoring center

Free lifetime warranties, lifetime price lock guarantees, generous trial periods, free spouse coverage, and minimal penalties and fees earned higher scores. 

We tested products from Bay Alarm Medical, LifeFone, LifeStation, Aloe Care Health, and GetSafe for this review, giving us extra insight into how each medical alert device performs in real-world situations and whether advertised claims are accurate.

Our hands-on testing process includes the following:

• Unbox the equipment and set it up according to the included instructions. Is the set-up process easy to understand? Are there any issues that an older adult might encounter?
• Charge the mobile devices. Would the charger be easy to use if someone had limited dexterity or poor eyesight? How do users know that the device is charging?
• Wear the help buttons and smartwatches. Are they comfortable and lightweight? Are the clasps easy to use? 
• Place multiple test calls to the monitoring center through each device, including wall buttons and voice-activated equipment. Is it easy to activate the call? How long does it take the monitoring center to answer? Is the audio loud and easy to understand?
• Log in to the caregiver app. Is the device's GPS location accurate? Do you receive push-notifications when the battery is low? 
• Wear GPS-enabled devices throughout the day. Does it accurately track your location?
• Do not charge mobile devices again until prompted by a notification from the device itself, the caregiver app, or a call from the monitoring center. How long did the battery last? 

Learn more about our methodology.

• How to Talk to Your Parents about a Medical Alert System
• 10 Ways to Upgrade Your Home for an Older Family Member
• GPS Trackers for People with Dementia
• Best Safety Devices for Seniors
• Best Senior Smartwatches and Wearables

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