Our Top Pick

Medical Guardian

Best Overall

(800) 295-9350

Visit Site

• Our top pick for best medical alert system
• Fast average response time

• Longest in-home device range

(800) 295-9350

Visit Site

Bay Alarm Medical

Best Customer Service

(877) 522-9633

Visit Site

• Highest customer service score
• Most options for contacting customer service

• Rare 15-day free trial

(877) 522-9633

Visit Site

MobileHelp

Best Value

(877) 827-6207

Visit Site

• Lowest starting monthly cost
• No hidden fees

• Offers various device bundles

(877) 827-6207

Visit Site

Our picks for the best medical alert systems of 2025:

• Medical Guardian: Best Overall
• Bay Alarm Medical: Best Customer Service
• MobileHelp: Best Value
• Medical Alert: Easiest Setup
• LifeFone: Longest Battery Life

Knowing you’re prepared no matter what comes your way can help your peace of mind. Whether you stock up on extra canned goods in case of a weather event, or choose one of the best medical alert systems so you know help is always available, feeling prepared can provide a sense of security. 

Still, our research shows most people who purchase a medical alert system do so after they experience a fall or a medical emergency. In our February 2025 survey of people who recently purchased a medical alert system, almost 75% of our respondents said they decided to buy a device after a fall or medical emergency.¹ 

Choosing a medical alert system before something bad happens can save you from injury and costly medical bills. Plus, today’s medical alert systems address many of the reasons people avoided these devices in the past. They look sleeker and more discreet. And they offer advanced features, like fall detection or health tracking.

Comparing the best medical alert systems of 2025

*Response times can vary based on connectivity type, location, and more. We consider an average response time of less than 60 seconds as passing the test.

Our reviews of the top medical alert systems

Medical Guardian: Best Overall

We chose Medical Guardian as our “Best Overall” medical alert system because it has one of the fastest average response times, a long battery life, and a great mix of helpful features and a variety of device types and styles. When we evaluated features and tested the devices ourselves, we gave Medical Guardian a score of 9.9/10.

Our Top Pick

Medical Guardian

Best Overall

(800) 295-9350

Visit Site

• Avg. response time: 29 seconds

• Max. in-home device range: 1,400 feet

Medical Guardian features

• Avg. response time: 29 seconds
• Max. in-home device range: 1,400 feet
• Max. battery life: Five days
• Fall detection: Yes, $10 extra/month
• GPS tracking: Yes

(800) 295-9350

Visit Site

What we like: From the well-designed packaging that was easy for our testers to open and unbox to the step-by-step instructions for charging and getting the device up and running, everything about getting started with Medical Guardian’s products is simple and straightforward.

Medical Guardian devices come in a variety of styles, so users who want an on-the-go device can choose from the MGMini, which can be worn as a necklace or attached to a belt, the MGMini Lite, which is worn on the wrist with a single button to press in an emergency, or the MGMove, which is a smartwatch. The brand’s at-home devices also offer the option to wear the help button as a necklace or on the wrist.

Other things we like:

• Caregiver app: The MyGuardian Portal and app comes with all of the brand’s devices, allowing users to connect with their Care Circle (contacts they add to the app), pay subscription fees, follow the device’s location history, if applicable, and more. We particularly like the Care Circle, which allows care partners to connect with each other and coordinate care in an emergency.
• GPS options: All of Medical Guardian’s on-the-go devices include GPS location tracking, so if you have an emergency requiring immediate help, they can find you, even if you can’t tell the care center where you are.
• Longest in-home range: The MG Home Cellular has the industry’s longest in-home range: 1,400 feet. 
• Five days of battery: We appreciate Medical Guardian’s focus on providing devices with a long battery life. The MGMini Lite and the MG Move can be charged for the day in just a couple of hours. And the MGMini includes five days of battery life.

What could be better: Medical Guardian does have the highest starting cost on our list: the MGClassic costs $36.95 per month. That’s $12 more per month than the starting monthly cost for in-home devices from Bay Alarm Medical and MobileHelp ($24.95). While the monthly cost for Medical Guardian’s home devices is higher than other brands on this list, the monthly cost of Medical Guardian’s on-the-go devices are similar to other brands. 

Other things we wish were better:

• Visual appeal: As one of our testers notes, The MGMini Medical Guardian’s small device which can be worn as a necklace or clipped onto a belt or purse strap, is “more functional than fashionable,” and is not discreet. 
• Hidden fees: Medical Guardian did lose points in our testing process for having hidden fees. While no equipment fees are mentioned as you choose the device and add features to the cart, when you go to checkout, all devices (except MG Classic) have equipment fees ranging from $149–$199.

Our testing experience with Medical Guardian

We tested Medical Guardian’s entire range of products, including their at-home devices, the MGClassic and MGHome Cellular, and their on-the-go devices, the MGMove, MGMini, and the MGMini Lite. We evaluated each device according to 16 different criteria. Here’s what we learned. 

Unboxing and setting up the devices was easy. While some brands package devices in a way that makes it difficult for those with hand dexterity issues, that wasn’t a problem with Medical Guardian’s devices. As one of our testers reported, “I had no issues taking everything out. The soft foam cushioning that the device and charging cradle were in was easily pulled out so I could get to the materials underneath.” 

Once we got our Medical Guardian devices out of their boxes, it was time to set up our devices, which earned the brand another 5/5 in our testing. One of our testers noted, “I really like the manual’s pictures and clear labeling of where everything is for setting up and charging the device.”

One feature our testers liked was how quickly and easily devices connected to our WiFi network. We didn’t need to go through any special steps. The help button also narrates what’s going on when you push it. “I like that the help button walks you through what’s next,” said a tester. “It tells you it’s initiating the call, that the call is in progress, when it connects, and when you’re standing by for an operator.” 

The MGMini and MGMini Lite have a simple design, each with one main help button. But they both ensure users know when they’re charging, and fully charged. The MGMini Lite lights up red and announces, “charging” when the device is in its cradle, while the MGMini blinks red if the battery is under 20%, and becomes a solid red when it’s charging, but more than 20%. 

We also tested how long it took the monitoring center to connect, averaging around 29 seconds, which was very fast, considering Medical Guardian gives you a window of a few seconds to cancel the call in case you didn’t mean to press the button. Medical Guardian had the second-fastest average response time (behind LifeFone, with 22 seconds), but we consider any average response time under 60 seconds to have passed the test.

Overall, our testers were impressed with Medical Guardian’s devices, caregiver app, and long at-home range. We found the brand’s clear communication and responsiveness to stand out amongst competitors, improving the overall user experience. 

Comparing Medical Guardian models

The Medical Guardian customer experience

• Warranty: One-year warranty covers replacement of any system or accessory with manufacturing defects. Damage from regular use (wear and tear) or accidental damage is not covered.
• Trial period: None
• Customer service:
• Phone: 800-295-9350 Monday through Friday from 9 a.m. to 8 p.m. ET and Saturdays from 9 a.m. to 5 p.m. ET.
• Email: MGCustomerCare@medicalguardian.com
• Chat: Chatbot on website operates during the same hours as phone support.

Bay Alarm Medical: Best Customer Service

We chose Bay Alarm Medical as “Best Customer Service” because every experience we had with staff throughout our buying and testing process was excellent. Also, Bay Alarm Medical is one of only two companies on this list with customer service available seven days a week while offering three ways to contact their staff (phone, email, and chat). Plenty of availability and great interactions earned Bay Alarm Medical a customer service score of 10/10.

Bay Alarm Medical

Best Customer Service

(877) 522-9633

Visit Site

• Avg. response time: 51 seconds

• Max. in-home device range: 1,000 feet

Bay Alarm Medical features

• Average response time: 51 seconds
• Max. in-home device range: 1,000 feet
• Max. battery life: Three days
• Fall detection: Yes, $10/month extra
• GPS tracking: Yes

(877) 522-9633

Visit Site

What we like: Bay Alarm Medical sets itself apart through exceptional customer service. When our testers shopped the brand to get a feel for its sales tactics, we found the salesperson caring, funny, and very detailed in their responses. “I left the call really trusting him and believing he had my best interests in mind,” said a tester.

We also appreciate Bay Alarm Medical’s range of devices, including its SOS Home device, the SOS All-in-One 2 for use at home and on-the-go, the SOS Micro, a simplified wristband-style of device, and its SOS Smartwatch. 

Other things we liked: 

• 15-day trial: Only two devices on our list offer a trial period, and while this one is a little short, it does give you enough time to test it out and ensure it meets your needs.
• Well-designed app: Bay Alarm’s app allows users and caregivers to manage the account, set up and maintain a safety plan, and track mobile devices.
• Free warranty: Bay Alarm Medical’s base device comes with a free warranty covering manufacturer defects and normal wear and tear. 
• Bella Charms: Bay Alarm’s Bella Charms, which can be purchased for an additional fee, make the help buttons look like jewelry.

What could be better: The SOS All-in-One 2 isn’t very discreet: It blinks red regularly and has a clinical look. You can wear one of the external help buttons and dress them up with a Bella Charm, but you’ll still want the main device nearby, as that has the speaker you’ll use to talk to the monitoring center. This setup is a little clunky for the average user, despite the SOS All-in-One 2 being their best-selling device. 

Other things we wish were better:

• Shorter battery life: Bay Alarm Medical has the second-shortest maximum battery life on this list (three days). 
• Limited free shipping: Bay Alarm Medical only offers free shipping on devices when you sign up for the annual or quarterly plan. We’d like to see that offer extended to all plans.
• No option to cancel a false alarm: One key feature we’re always on the lookout for is being able to cancel a call to the help center if a user presses the button accidentally. Bay Alarm’s devices don’t offer call cancellation.

Our testing experience with Bay Alarm Medical

We tested Bay Alarm Medical’s range of devices to get a clear picture of the whole user experience. We were impressed with our initial sales call with their team. Bay Alarm operators went out of their way to put us at ease in a situation where we may feel vulnerable. 

When we told a Bay Alarm sales representative that a parent had recently fallen, and we felt overwhelmed, they treated us with respect. Their tone was concerned, not condescending or pushy, and we liked that they asked a lot of questions about how our mom was doing and what their lifestyle was like. 

When we received our devices, we carefully unpacked them, focusing on our first impressions of the devices, their packaging, and the user manual. Though our overall impression was good, one of our testers shared their pros and cons for the user manual: “I like how the user manual is clear and to the point, but it is very small, and I feel like there is some information missing that I would’ve liked, such as how long it takes to charge and how long the battery is expected to last after a full charge.” 

Despite some missing details in the manual, we did find setting up Bay Alarm Medical devices to be an easy process. Our SOS Home Cellular device quickly and automatically connected to our network. One of our SOS All-in-One 2 testers explained, “It was easy to figure out what was included in the box and how to charge the device. The device arrives already activated so there is not really any set-up needed before use.”

You can’t cancel a call if you accidentally press the help button, so you’ll have to speak with one of the call center staff and tell them you’re OK and don’t need support. As one of our testers pointed out, “I could see this being a little bit annoying if it happened often, but you need to hold the button for three seconds [to get help], that probably deters false alarms.”

We did find the monitoring staff to be good sports about our repeated calls during testing. They said they were glad we weren’t having a real emergency and remained cheerful throughout all of our test calls.

Comparing Bay Alarm Medical models

The Bay Alarm Medical customer experience

• Warranty: Standard warranty for the base station, protecting it from issues occurring from “normal wear and tear” or manufacturing defects. Users can purchase a protection plan for their device for $2.95–$4.95/month.
• Trial period: 15 days 
• Customer service:
• Phone: 877-522-9633, Monday through Friday, 6 a.m. to 6 p.m. PT; Saturday and Sunday, 8 a.m. to 12 p.m. PT and 12:30 p.m. to 4:30 p.m PT
• Email: cs@bayalarmmedical.com
• Chat: Chat on website, Monday through Friday from 7 a.m. to 3:30 pm PT, and Saturday and Sunday from 8 a.m. to 4:30 p.m. PT. 

MobileHelp: Best Value

We chose MobileHelp as the “Best Value” medical alert system because of its low starting monthly prices ($24.95), no hidden fees, and comprehensive selection of devices. MobileHelp also offers various bundles, so you have extra ways to save. The brand’s affordable pricing, regular deals, and lack of extra fees earned our highest affordability score of 9.4/10.

MobileHelp

Best Value

(877) 827-6207

Visit Site

• Avg. response time: 49 seconds

• Max. in-home device range: 600 feet

MobileHelp features

• Average response time: 49 seconds
• Max. in-home device range: 600 feet
• Max. battery life: Four days
• Fall detection: Yes, $11/month extra
• GPS tracking: Yes

(877) 827-6207

Visit Site

What we like: Most medical alert systems have some type of extra fees on top of the monthly monitoring subscription, so users can expect to pay a one-time extra payment of $100–$200 when they first sign up. Yet MobileHelp charges no extra fees (one of only two companies on this list to do so), so you can get started with their medical alert system for under $100. Plus, if you choose an annual plan, you’ll receive one month free, so you’ll only need to pay for 11 out of 12 months.

MobileHelp also lets you bundle devices to save money. The Mobile Duo bundle offers two Micro devices for the price of one. And if you want a home device and an on-the-go option, the brand’s Home Duo bundle offers both. 

Other things we liked:

• User and caregiver app: MobileHelp Connect^® is the brand’s online app, providing users and caregivers with emergency and non-emergency alerts, system status alerts, and location information.
• Lifetime warranty: We appreciate MobileHelp’s lifetime warranty—most brands offer more limited warranties.
• Extra discounts for annual plan: Those who choose to pay annually also receive a free lockbox and free shipping.

What could be better: MobileHelp’s Classic Cellular and Classic Landline devices have a lower range than most of the competition, a short 600 feet. For reference, Medical Guardian’s in-home range is more than double that, at 1,400 feet.

Other things we wish were better:

• Bulky devices: MobileHelp’s mobile devices, the Micro and the Solo are not very stylish or discreet. Our testers found them heavy, bulky, and they clearly stand out as a medical alert device. One tester said, “The heaviness on the chest and the fact that it is clearly an alarm device makes me feel a little self-conscious.”
• Pricier fall detection: Fall detection through MobileHelp is an extra $11 a month, while the industry standard is $10 a month.
• No call canceling: Once the button is pressed, there is no way to cancel a call to the monitoring center.

Our testing experience with MobileHelp

We tested MobileHelp’s in-home and mobile devices, starting with opening the box. We appreciate MobileHelp’s simple packaging, and one tester noted the MobileHelp Solo’s user manual was very useful for understanding the device.

“The user manual has a helpful key of indicator colors to follow along with as you go through the setup process,” said a tester. “The system also audibly said ‘system ready’ when on the charger to give some indication that the device was working and charging. The instructions are on the smaller font size side, which might be hard to read for someone with vision impairment.” 

Like Bay Alarm Medical, there’s no way to cancel a call if you’ve pressed your button accidentally. But when we did connect with the monitoring center, our testers found every person who answered the call to be polite, professional, and helpful. 

While the MobileHelp devices performed well in our tests, they consistently scored poorly in “wearability.” The mobile devices are large, clunky, and heavy. None of our testers felt they would forget they were wearing the device, and the lanyard on the mobile devices cannot be adjusted for length. 

Users who don’t mind a bulky mobile device could benefit from MobileHelp’s prompt response time, clear, affordable pricing, and longer battery life.

Comparing MobileHelp models

The MobileHelp customer experience

• Warranty: Lifetime warranty is included as long as you’re actively subscribed to a service plan. 
• Customer service: 
• Phone: 877-827-6207, Monday through Friday, 8 a.m. to 8 p.m. ET, and Saturday, 9 a.m. to 6 p.m. ET
• Chat: Available on the MobileHelp website, Monday through Friday, 8 a.m. to 8 p.m. ET, and Saturday, 9 a.m. to 6 p.m. ET

Medical Alert: Easiest Setup

We chose Medical Alert as the “Easiest Setup” because our testers found Medical Alert very easy to use straight out of the box. All directions were laid out clearly with visual cues. Medical Alert got a perfect 5/5 score for unboxing and ease of setup. 

Medical Alert

Easiest Setup

(800) 906-0872

Visit Site

• Avg. response time: 42 seconds

• Max. in-home device range: 800 feet

Medical Alert features

• Average response time: 42 seconds
• Max. in-home device range: 800 feet
• Max. battery life: Two days
• Fall detection: Yes, $10/month extra
• GPS tracking: Yes

(800) 906-0872

Visit Site

What we like: We think Medical Alert’s easy setup makes it a great option for those who are new to medical alert systems and want a simple device. Our testers unanimously found Medical Alert’s instructions straightforward and intuitive. One tester stated, “I liked the quick start guide. It's very easy to follow and has good pictures.”

The brand’s devices were also easy to handle and use. You can choose from a home device that connects via landline or cellular, a mobile device in either the standard size or mini, or a smartwatch.  

What else we like: 

• Free mobile app: Medical Alert’s devices come with a free mobile app available for multiple users, connecting caregivers with the device user. The helpful app uses GPS to pinpoint your location if you have a mobile device, lets you manage your account, and offers subscribers and emergency contacts real-time notifications when you call the response center.
• Verbal confirmation: One key feature of the Medical Alert Mobile device is the announcement that it’s charging when placed correctly in the charger. This small reassurance was a big help, so we didn’t have to double-check with the user manual to see if we should be looking for a specific light or other signal. 

What could be better: We really wish Medical Alert didn’t charge programming or activation fees, which are typically $99.95, unless you choose the Smartwatch, which costs $159. The brand does allow you to cancel your subscription at any time. But to complete your cancellation, you need to mail the equipment back, so this extra $100 fee isn’t refundable. 

Other things we wish were better: 

• Short battery life: Medical Alert has the shortest maximum battery life on this list at two days. 
• In-home device range: The in-home Medical Alert devices top out at an 800-foot range, which is better than MobileHelp, but still not as far as Bay Alarm or Medical Guardian. 
• No call canceling on mobile devices: This issue continuously pops up when we’re testing, and we consider it a notable concern. We could cancel a call on the Smartwatch easily, though. 

Our testing experience with Medical Alert

We engage with all aspects of the buyer’s journey to test medical alert systems, and we were impressed with the team at Medical Alert’s customer service when we called to discuss device features. The person we spoke with was kind and thoroughly answered our questions. He also offered to cut the programming fees in half. 

When we received our devices, we liked the easy setup. As one of our testers for the in-home device noted, “It's very clear what part is the base station, and that needs to be plugged in. Then the guide shows what you need as far as the on/off switch. It includes a separate flyer for the fall detection device.”

And no matter which device they were testing, all of our testers noted the great audio quality. The products themselves weren’t exactly fashionable. “It’s bulky,” said a tester. “I don’t find it particularly sleek or discreet, though it is lightweight.” Another tester took a picture of the Smartwatch in comparison to their AppleWatch to show the difference in size and bulk. 

Medical Alert’s monitoring center responded promptly and remained pleasant throughout our testing calls. All of the monitoring staff are EMT/EMD Certified, and trained in medical dispatching. 

We liked that the SmartWatch and Mobile devices vibrated while connecting to monitoring staff, so even if you couldn’t visually see or hear that a call was in progress, you could feel it. We appreciate these thoughtful features that make it easier to use and set up the devices. 

Comparing Medical Alert models

The Medical Alert customer experience

• Warranty: No warranty
• Customer service:
  • Phone: 800-906-0872, Monday through Friday, from 8 a.m. to 9 p.m ET
  • Contact form
  • Chatbot on website

LifeFone: Longest Battery Life

LifeFone earned our ranking as the “Longest Battery Life” because it has far and away the longest lifespan of any device we’ve tested. At 10 full days for the At-Home and On-the-Go VIPx, LifeFone’s devices have double the next-longest battery life on the list. It’s a feature that contributed to LifeFone’s 9.4/10 score in our testing.

LifeFone

Longest Battery Life

(800) 882-2280

Visit Site

• Avg. response time: 22 seconds

• Max. in-home device range: 1,300 feet

LifeFone features

• Average response time: 22 seconds
• Max. in-home device range: 1,300 feet
• Max. battery life: 10 days
• Fall detection: Yes, $5/month extra
• GPS tracking: Yes

(800) 882-2280

Visit Site

What we like: LifeFone devices include a lot of technology features we appreciate, but we found the biggest benefit of the brand is the extended battery life. LifeFone’s At-Home and On-the-Go VIPx devices have an impressive 10-day battery life. The batteries of the VIP Flex watch and VIP Active can last five days between charges. Even LifeFone’s Safe Watch Active includes a solid 24-hour battery life. 

We also appreciate LifeFone’s range of devices. Those seeking a mobile device can choose from two necklace-style options, the VIPx or the VIP Active, or from two different wristband-style options, the simpler VIP Flex or the Safe Watch Active. 

What else we like: 

• Inexpensive fall detection: The industry standard pricing for fall detection monitoring is $10–$12 a month, but LifeFone offers its fall detection for only $5/monthly, no special sale or discount required. 
• Additional services: LifeFone offers more than just medical alert systems and monitoring. Users can add a daily check-in call at a preselected time of day, which you can customize with any reminders you like. It costs an additional $19/month. And you can add LifeFone’s Activity Assurance to your home device for an extra $6/month.
• 30-day money-back guarantee: LifeFone lets users return their devices for a full refund within 30 days. And you can cancel your subscription and return your LifeFone devices anytime and receive a prorated refund. 

Other things we wish were better:

• Caregiver app costs extra: LifeFone offers a helpful caregiver app to use with the VIPx device. The app lets caregivers view the device’s current location, track steps and the first motion of the day, and even be alerted when a user leaves geographical boundaries. But the app costs an extra $8 a month. Other devices we tested came with an app included.
• Limited warranty: While we appreciate LifeFone’s lifetime warranty, it only covers manufacturing defects. To get coverage for issues like normal wear and tear, you’ll need to add their protection plan at an extra $5/month.

Our testing experience with LifeFone

We found setting up, charging, and connecting to the network easy with all LifeFone devices. “The directions in the packet are very clear and explain how to set up the system with images included,” said a tester. 

Our testers appreciated the user manuals clearly explaining the testing process so they knew exactly what to do, and the audio on their devices was “loud, clear, and easy to understand.” Again, there is no call cancellation feature on these devices.

Our testers felt the wearable options for LifeFone devices were comfortable, and they loved that the original bands offered with the home device could be swapped for your own, allowing for more customization. One of our VIPx testers commented they could swap out the device’s lanyard for a belt clip, which was easy, even with dexterity issues. The brand also offers a “vanity pendant” for use with at-home devices, but it costs an extra $49.95 and doesn’t include fall detection. 

We were impressed with the speed at which LifeFone’s monitoring center answered our calls, averaging about 22 seconds. That was the fastest average response time of every brand we tested. Our testers consistently reported the monitoring center staff to be polite, appropriately concerned, and helpful. 

Comparing LifeFone models

The LifeFone customer experience

• Warranty: Lifetime warranty to protect against manufacturing defects. Users can purchase a protection plan for their device for $5/month.
• Trial period: 30-day risk-free trial for all devices.
• Customer service:
• Phone: 800-882-2280, Monday through Friday, 8 a.m. to 10 p.m. ET; Saturday and Sunday, 8 a.m. to 12 p.m. PT and 12:30 p.m. to 4:30 p.m PT
• Email: info@lifefone.com
• Chat: On website

Other brands to consider

When evaluating medical alert systems, we research, mystery shop, and test many devices, but not all of them make it onto our list of the best. Here are some of the brands that didn’t make the cut, and why.

Lifeline

Lifeline, formerly Philips Lifeline, was purchased by Connect America in July of 2021.² Connect America is the same brand that owns Medical Alert. Both brands are reputable, with similar offerings and prices. If Medical Alert or Lifeline offers a device and package you want, we recommend checking both brands’ sites, as they often run sales at different times. 

Aloe Care Health

Aloe Care Health’s medical alert system is designed for those seeking more comprehensive coverage. Unlike traditional medical alert systems, Aloe Care works via a button or voice activation. It also includes home temperature and air quality monitoring, motion sensors and notifications of unusual activity, a secure app where caregiver teams can collaborate, and other features designed to provide users and caregivers with peace of mind.

Since Aloe Care Health offers services and features most traditional medical alert systems don’t, it doesn’t compare equally to those devices. Some of the key differences of Aloe Care Health include:

• High equipment fees: Depending on the plan you choose, they can cost $200–$350.
• Short device range: The care button only works within a 200-foot range from Smart Hub.

GetSafe

GetSafe is another medical alert system that works differently from traditional options. Instead of the base unit and wearable device most traditional systems use, GetSafe users place standard or voice-activated wall buttons around their house. This option may be a good fit for those reluctant to use or wear a medical alert device or who may forget to wear it. Users who don’t mind a wearable device can purchase one that works with this system for an extra $25. 

Some of the key differences found with GetSafe include:

• Higher equipment fees: GetSafe equipment fees are based on the size of the area requiring coverage, and range from $79 for a 0–1 bedroom home, to $307 for a 4–5 bedroom home.
• No mobile system: GetSafe only offers in-home coverage, no mobile devices are available
• No landline option: All of GetSafe systems include AT&T 4G LTE cellular coverage.

How do medical alert systems work?

Medical alert systems work as a safety net for anyone needing emergency assistance, whether they live alone, have health problems, or just want extra security or peace of mind. Before you begin the process of buying a medical alert system, it’s important to understand how they work. 

Depending on your device, you can activate a medical alert system through a wearable button, fall detection sensors, or voice commands. When activated, a medical alert system connects you to a 24/7 monitoring center staffed by trained professionals. They then connect you with emergency services if you need help.

The monitoring center staff speaks with you directly through your wearable device or home base station. Depending on the situation, staff will decide if they should connect with your assigned contacts or emergency services. They’ll remain connected to you until help arrives. 

If you accidentally trigger the system, you can tell the staff it was an accident. If you activate the system and cannot respond, the staff will send emergency services.

Some medical alert services use landlines, while others may use Wi-Fi or cellular networks. Mobile "on-the-go" systems use cellular networks, allowing users to contact monitoring centers from anywhere with available cellular coverage. Research shows medical alert technologies can increase independence while providing reliable emergency response services for older adults.³ 

Types of medical alert systems

Medical alert systems fall into a few categories: they can be monitored or unmonitored, and they can be designed for home or on-the-go. Each device has its benefits and drawbacks. 

Monitored vs. unmonitored medical alert systems

A monitored medical alert system connects users with a professionally staffed monitoring center, which assists 24/7. When you connect with a monitoring center, the operator will talk with you to understand your emergency and make sure you receive the help you need. In some cases, that’s a wellness check from a neighbor, and in others, you may need emergency medical care. 

Unmonitored systems automatically contact 911 and/or a designated care partner when you press the help button. They may connect the user with the person answering the call at 911 or play a recorded message to the emergency dispatcher, which states there is a medical emergency at the address where the device is registered. 

While using an unmonitored system is better than nothing, we recommend users choose a monitored system. Unmonitored systems do not require a subscription fee, but they have downsides. For example:

• Unmonitored services can only be used at home, as they automatically send emergency services to the registered address. 
• Systems that contact a care partner (or list of partners) rely on those people to respond and help you. If they’re unavailable, you may not have a way to get help.
• Unmonitored devices don’t offer fall detection.
• There’s no way to cancel a call, and because a monitoring center won’t be checking in, you could end up with the police at your door frequently. 

Home vs. mobile medical alert systems

Most medical alert system brands offer devices designed for use at home and mobile devices meant to be taken on the go. 

In-home medical alert systems usually include a base unit that plugs into the wall and a help button you wear at all times. The base unit may connect to the monitoring center via landline or cellular network and has a backup battery in case of a power outage. The wearable button needs to be within a designated distance from the base station to work properly. This is the device’s range.

Mobile medical alert systems use a cellular connection to call the monitoring center from wherever you are. You can usually wear a mobile device as a necklace, with a wristband, or clip it on your belt loop. Most mobile medical alert systems have GPS tracking so the monitoring center can send emergency services to you no matter where you are.

Medical alert system costs

When you choose a monitored medical alert system, you pay a monthly subscription fee, typically costing between $20–$60 a month. The fee covers the cost of the professional monitoring center available to you 24/7 if you need to press the help button. 

Many medical alert systems also charge a one-time fee of up to $200 for equipment, activation, or processing. Depending on the medical alert system features you want, you may end up paying for extra services or accessories to fully meet your needs. 

When pricing out a medical alert system, look out for these extra costs:

• Fall detection: Adding fall detection to your system typically costs an additional $10/month, though it can range from $5–$12 a month. 
• Protection plan: Most protection plans work as an advanced warranty, insuring your device in case it’s lost, damaged, or stolen. Protection plans cost between $3–$7 monthly.
• Caregiver app: Many caregiver apps are free, but some cost extra, up to $8/month. Similarly, adding more caregiver contacts to your app, beyond the allotted number may cost a few extra dollars a month. Knowing that everyone gets important information, or receives updates in an emergency may be worth the extra costs. 
• Accessories: Adding a lockbox (a locked box on the outside of your house with extra keys) so emergency responders can enter your house, additional necklaces, or more discreet device accessories, and other product add-ons often cost extra. Many brands offer deals like a free lockbox with an annual payment plan, so it’s worth looking for those promotions when purchasing a device. 

How to save money on medical alert systems

Unfortunately, most private insurance plans and traditional Medicare Part A and Part B don’t cover medical alert systems.^{4, 5} And the initial fees to set up your device and subscription fees to monitor your system can quickly add up. 

Here are some ways you can save on a medical alert system:

• Medicare Advantage: Also known as Medicare Part C, some of these plans offer partial or full coverage for medical alert systems and their subscription fees.⁶ Check with your insurance provider directly to learn about your coverage.
• Prepaying subscription fees: Many medical alert system companies offer discounts for paying quarterly or annually. You may also receive a free lockbox or other incentives for paying your fees in advance. If you choose to save this way, double check your plan’s cancellation policy and ensure you’ll receive any money you prepaid back if you cancel. 
• Using an HSA or FSA account: A health savings account (HSA) or flexible spending account (FSA) allows you to use pre-taxed money to help pay for approved medical expenses. These accounts are often available through an employer.
• Sales and discounts: Medical alert system companies often offer discounts and sales, some seasonal, and other deals are available regularly, like a free month when you pay annually. 
• Membership discounts: Organizations like the Department of Veterans Affairs may offer discounts for those who qualify. You may also be able to find local discounts through your area agency on aging. 

What to look for when buying a medical alert system

Choosing the right medical alert system for your needs will depend on your lifestyle, living situation, budget, any medical concerns you may have, and other factors. 

When researching medical alert systems, keep these things in mind:

• Device type: If you spend most of your time at home, an at-home system may be the right fit, especially if you do most of your activities outside of the home with a caregiver. If you have an active lifestyle outside of your home and drive independently, a mobile device with GPS location tracking may be a better fit. 
• Budget: Monitoring center subscription fees and extra costs, like fall detection, can quickly add up.
• Connection type: If you live in a more rural area, with poor cellular coverage, you may want to choose a device with a landline connection. You will need an active landline connection to connect that device. If you’re unsure about the cellular coverage in your area, you can check a coverage map for AT&T or Verizon to see if a cellular device will work for you. Most brands use one of these two cellular providers for their connection. You don’t need a plan with AT&T or Verizon to use their networks. 
• Range: Those who choose an at-home medical alert system should pay close attention to the range of their device. Most home devices offer a range between 600–1,400 feet. Most devices with a cellular connection have a longer range than a landline connection. If you have a large home, or you like to spend time out in your yard or garden, it may be worth getting a device with a longer range, like a Medical Guardian.
• Fall detection: Almost 75% of those who responded to our February 2025 survey decided to purchase a medical alert system after a fall or medical emergency.¹ If you are concerned about falls, make sure your chosen device offers fall detection.
• Water resistance: According to a study about fall locations among older adults, 22.7% of falls occur in the bathroom.⁷ So most medical alert systems are designed to be worn in the shower, but they aren’t made to be submerged in a bathtub or swimming pool.
• Battery life: If you plan to use your medical alert device on the go, you don’t want one that could suddenly lose power. A device with a longer, multi-day battery life can offer increased peace of mind.
• Warranty: Examine your device’s warranty information carefully. Top systems often cover the replacement of batteries or worn or damaged equipment. You can also consider purchasing an extra protection plan to avoid unexpected expenses. 

“Try to keep clutter off the floor and remove small rugs that you can trip on. Be careful with purse straps and pet leashes. Use a cane or walker if you have strength or balance issues. Rely on handrails near steps and consider them in bathrooms/shower stalls as needed. Watch your step when walking on the street or up curbs!”

—Stephen Yeh, MD, a board-certified emergency physician in Charlotte, North Carolina

How to set up your medical alert system

Our testers found setting up medical alert devices to be quick and easy. Most devices we tested included a quick setup guide with three to five steps to set up your device. 

To set up an at-home device, you’ll need to:

• Find an outlet in a central location, not connected to a wall switch
• Plug your base station into the outlet
• If your device uses a landline, plug the phone cord into your device and the phone jack
• Make sure your device is turned on
• Follow any testing instructions provided by your system

To set up a mobile device, you’ll need to:

• Plug the device’s charging cradle into an outlet
• Fit the device into its charger and let it charge until ready to use (four hours, on average)
• Make sure your device is connected to the cellular network (most devices connect automatically)
• Once your device is fully charged and connected to cellular, follow any testing instructions your system provides.

Note: All medical alert system users need to test their devices regularly. 

Importance of medical alert systems

The biggest benefit we’ve found among users of medical alert systems is increased quality of life. In a poll by the University of Michigan’s Institute for Healthcare Policy and Innovation, 88% of adults age 50–80 felt it was important to remain in their homes for as long as possible.⁸ Yet the same study found that only 15% had given a lot of consideration to modifications their home may need to age in place safely. 

Using a medical alert system can extend how long someone can remain safely in their home. In addition to providing medical care when needed, a 2017 study showed that those who use a medical alert system feel more safe and secure and are more active around their homes.⁹ Feeling more confident completing tasks and engaging with their community can benefit both physical and mental health. 

FAQ

Questions? Email us at reviewsteam@ncoa.org 

Sources

1. NCOA Medical Alerts Survey. 300 respondents. Conducted using Pollfish. Launched February 2025.
2. Lifeline. About our business services | Lifeline. Sept 6, 2023. Found on the internet at https://www.lifeline.com/business/about/
3. McKenna A, et al. Purchasing and Using Personal Emergency Response Systems (PERS): how decisions are made by community-dwelling seniors in Canada. BMC Geriatrics. July 11, 2015. Found on the internet at https://doi.org/10.1186/s12877-015-0079-z
4. Medicare.gov. What Part A covers. Found on the internet at https://www.medicare.gov/what-medicare-covers/what-part-a-covers
5. Medicare.gov. What Part B Covers. Found on the internet at https://www.medicare.gov/what-medicare-covers/what-part-b-covers
6. Medicare.gov. How do Medicare Advantage Plans work? Found on the internet at https://www.medicare.gov/sign-up-change-plans/types-of-medicare-health-plans/medicare-advantage-plans/how-do-medicare-advantage-plans-work
7. Moreland B, et al. A descriptive analysis of location of older adult falls that resulted in emergency department visits in the United States. American Journal of Lifestyle Medicine. Aug. 7, 2020. Found on the internet at https://doi.org/10.1177/1559827620942187
8. University of Michigan Institute for Healthcare Policy and Innovation. National Poll on Healthy Aging. April 13, 2022. Found on the internet at https://www.healthyagingpoll.org/reports-more/report/older-adults-preparedness-age-place
9. De San Miguel K, et al. Personal emergency alarms: do health outcomes differ for purchasers and nonpurchasers? Home Health Care Services Quarterly. Dec. 8, 2017. Found on the internet at https://www.tandfonline.com/doi/full/10.1080/01621424.2017.1373718