Best Medical Alert Systems of 2025, Reviewed and Tested by Tech Experts
Starting at $27.95 per month, Bay Alarm Medical is our top pick because it offers value-for-money, an intuitive caregiver app, and a robust set of features.
After hours of hands-on testing and research, our medical alert experts chose the best medical alert systems for seniors.
How We Tested the Medical Alert Systems
How We Chose the Best Medical Alert Systems
Our testing process consists of several important decision-making factors:
- Pricing and value: We researched affordable medical alert systems along with more expensive models that offer great value. All providers on our list have at least one system under $35 per month. We evaluated annual and quarterly discounts, seasonal promotions, equipment fees, and ways to save.
- Purchasing process: Our team evaluated the purchasing process for every company, taking notes on the number of steps, simplicity, and the amount of time it took. The systems on our list can be purchased in less than five minutes.
- Setup: Our team set up each system in the kitchen of a two-story, four-bedroom, 1,700-square-foot home. We included systems we could easily set up and start using in under 10 minutes.
- Performance: At home, we used each system in the living room, bedroom, backyard, and kitchen. We tested mobile systems on walks and at the store. If a system was waterproof, we wore the pendant in the shower or ran it under the tap and made a test call.
- Usability: While our team is tech-savvy, the older adults we recruited to try out our systems were newer to these devices. This allowed us to test how user-friendly each system was.
- Response times: We tested each system 10 times to calculate the average response time. We only included systems that have 24/7 professional monitoring with average response times under one minute.
- Features for caregivers: Our team tried out every system’s caregiver features, like mobile apps and online portals. Most providers on this list offer one or more ways for caregivers to check on their seniors through a medical alert app or portal.
- Customer service: We talked with emergency response agents during our 10 test calls. Our team also called customer service representatives from each provider. Our list only includes providers with friendly, patient, and helpful representatives.
FYI: Read our medical alert system methodology guide to learn more about the testing process.
Why You Should Trust Us
Our senior tech team has tested dozens of medical alert systems over the past decade. Occupational therapist Linda Schlenker also lends her expertise to our content. Linda has over three decades of experience advising seniors and caregivers on how to age in place safely. We also recruit older adults to try out these systems and get their feedback.
SeniorLiving.org is supported by commissions from providers listed on our site. Read our Editorial Guidelines
- Prices start at $27.95 per month
- Mobile app for caregivers and family
- Unique features: Affordable bundles to help you save
- Prices start at $31.95 per month
- MyMedicalGuardian app for caregivers
- Unique features: High-tech, sleek systems
- Prices start at $31.99 per month
- No mobile app for caregivers
- Unique features: Lifetime warranty
- Prices start at $24.95 per month
- Automated text message alerts for caregivers
- Unique features: Systems designed for two users
- Combines mobile phone with a medical alert system
- Jitterbug phones are compatible with hearing aid
- Simple Urgent Response button for immediate connection with an operator
Contents
Key Takeaways
- Bay Alarm Medical earned the top spot as the best medical alert system thanks to their affordable pricing, excellent caregiver app, and additional savings for seniors who want to bundle.
- MobileHelp offers the most affordable medical alert plans starting at $24.95 per month.
- ADT is the only carrier on our list that doesn’t offer a mobile app or online portal for caregivers.
- We recorded the fastest average response times with Lively (10 to 15 seconds), and some of the slowest with Medical Guardian (15 to 60 seconds).
We know seniors and their caregivers don’t have time to test every medical alert system on the market. That’s why our tech experts spent 300 hours researching and testing over 20 of the best medical alert devices. We evaluated every system for a week and performed 10 test calls per device. With this information, we created a comprehensive ranking for every product.
We also consulted with Linda Schlenker, home health occupational therapist and home safety expert, on her top picks and advice. We evaluated each system based on important criteria like pricing and value, features for caregivers, response times, usability, and more.
What is the best medical alert system?: Based on our testing and research, Bay Alarm Medical’s SOS Smartwatch is the best medical alert system for seniors. While the provider has more affordable systems, the SOS smartwatch offers fast response times, health-tracking features, and accurate fall detection — all in a discreet smartwatch device.
Our Top Medical Alert System Recommendations
- Bay Alarm Medical offers the best value with high-quality systems and affordable rates starting at $27.95 per month. Bay Alarm’s mobile app also has useful features for users and caregivers, like GPS tracking and an alert history.
- Medical Guardian is always one of the first companies to launch high-tech alert systems in unique styles. From streamlined in-home systems to the MGMove smartwatch and discreet wrist-worn systems, Medical Guardian offers something for everyone.
- ADT offers excellent 24/7 monitoring from a tried-and-true brand that has built a top-notch reputation for decades. ADT’s response agents are well-trained and highly responsive in emergency situations.
- MobileHelp has low prices, multiple home and mobile systems, and convenient two-in-one systems for couples. The provider offers U.S.-based monitoring centers with professional agents who responded quickly during our tests.
- Lively is the only provider on this list to offer cell phones that can double as medical alert devices. We recorded some of the fastest response times of any provider when testing out Lively’s Jitterbug Flip2, Jitterbug Smart4, and their standalone medical alert device — Lively Mobile2.
Testing out Medical Guardian's MGHome Cellular system
The Best Medical Alert Systems Compared
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Bay Alarm Medical
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Medical Guardian
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ADT Medical Alert
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MobileHelp
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Lively
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|---|---|---|---|---|---|
| Rating | 5.0 | 4.8 | 4.4 | 4.2 | 4.2 |
| Prices starting at | $27.95 per month | $31.95 per month | $31.99 per month | $24.95 per month | $14.99 per month |
| Fall detection | $10 per month | $10 per month | $5.50-$11 per month | $11 per month | $10 per month |
| Connection type | Landline or cellular | Landline or cellular | Landline or cellular | Landline or cellular | Cellular |
| GPS equipment | SOS All-in-One 2, SOS Micro, SOS Smartwatch | MGMini, MGMini Lite, MGMove | On-the-Go Medical Alert System | Solo, Micro, Home Duo Bundle, Mobile Duo Bundle | Lively Mobile2, *Jitterbug Flip2, *Jitterbug Smart4 |
| In-home coverage range | Up to 1,000 feet | Up to 1,300 feet | Up to 600 feet | Up to 1,400 feet | No in-home systems |
| Warranty | Lifetime | Limited | Lifetime | Limited lifetime | 1 year |
| Spouse monitoring | Yes | No | No | Yes | No |
| Average Response Times | 10-20 seconds | 15-60 seconds | 10-20 seconds | 25-30 seconds | 10-15 seconds |
*Lively’s Jitterbug Flip2 and Smart4 require the Preferred or Premium plan to have GPS tracking.
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1. Bay Alarm Medical - Best Value
View Packages Links to Bay Alarm MedicalWhat we like most
- Prices start at $27.95 per month
- Mobile app for caregivers and family
- Unique features: Affordable bundles to help you save
Bay Alarm MedicalView Packages Links to Bay Alarm MedicalKey Takeaways:Why Bay Alarm Medical Is Our Top Pick
Wearing Bay Alarm Medical's SOS Micro system
Bay Alarm Medical’s prices start at $27.95 per month. That’s lower than much of the competition, such as Medical Guardian, which starts at $31.95. Bay Alarm Medical also offers many top-of-the-line features, even with its low starting price. And, if you need more than one system, the company has bundles that offer extra savings.
Current Deal: Bay Alarm Medical is offering 40 percent off, free shipping, and one free month of service on select plans. Check out our Bay Alarm Medical pricing guide to learn more about pricing and deals.
Pros & Cons:Pros About Bay Alarm Medical
- Inexpensive systems
- Excellent location tracking
- Sleek, lightweight equipment
- Price lock guarantee
- No hidden fees
- 30-day risk-free trial
- Bundling options and seasonal discounts
Cons About Bay Alarm Medical
- Equipment fees with some plans
- Home equipment is a bit clunky
- Monthly fee for warranty
- SOS Mobile is not very discreet
Our Hands-on Experience and Pricing:Testing and Response Times
Bay Alarm Medical’s SOS Smartwatch is one of our favorite systems for active seniors and one of the best medical alert devices we’ve tested. We tracked our steps, set daily goals, and connected to the 24/7 monitoring center.
You don’t need a smartphone or any internet-connected device to use it. It’s a standalone device, so seniors who don’t use a smartphone can still wear the SOS Smartwatch.
This is similar to other medical alert watches, including the Medical Guardian’s MGMove system. Placing a test call took 10 seconds, which is five seconds faster than Medical Guardian’s average response times. Even a few extra seconds can make a huge difference for seniors experiencing an emergency.
Testing out Bay Alarm Medical's SOS Smartwatch
Response times for the SOS Home, Bay Alarm Medical’s in-home system, were 20 seconds on average, which is still quick. However, we were disappointed that you can’t add automatic fall detection to the landline version of SOS Home. Most other providers, including Medical Guardian and ADT Health, offer fall detection for landline systems.
One other drawback to note is that the SOS Home base unit is an eyesore. This is typical with in-home systems, but some companies like Medical Guardian have started offering sleek equipment. Visit our Bay Alarm Medical review for a closer look at our experience.
Expert InsightsFrom Linda Schlenker, M.S., M.A., O.T.R.Fall detection is important. I have worked with people who had a medical emergency, such as a cardiac event that caused a fall, and they were unable to push the button on their medical alert system. The fall detection feature saved their lives.Features for Caregivers
Bay Alarm Medical offers a mobile app for caregivers. Using it, we tracked our devices, checked their battery life and signal strength, and ‘rang’ them when we couldn’t find them. The app also let us set up an emergency plan.
The emergency plan features everything first responders need during an emergency, including emergency contacts, home entry information, and medical history. If a fall is detected, the response agent has this information on hand to provide help quickly.
Navigating Bay Alarm Medical's companion mobile app
The ability to track your loved one’s location is excellent, especially if they have dementia and are prone to wandering. Using the mobile app, we saw the SOS Smartwatch’s exact location on a map. If there was an issue, we could easily locate the user.
» You Might Like: Best Mobile Medical Alert Systems
Pricing
- SOS Home: $27.95 to $44.95 per month
- SOS Micro: $34.95 to $59.95 per month (plus one-time $149 equipment fee)
- SOS Smartwatch: $39.95 to $64.95 per month (plus one-time $199 equipment fee)
- SOS All-In-One 2: $34.95 to $54.95 per month (plus one-time $149 to $245 equipment fee)
Some providers offer in-home systems for the same price, like MobileHelp. However, with pricing starting at $27.95 per month that includes 24/7 monitoring, free equipment, and a mobile app, Bay Alarm Medical offers the best value on the market, even when compared to other affordable providers like Medical Alert. This makes it a great choice for seniors on a budget.
Money-Saving Tip: If you want to save, consider one of the best medical alert systems without monthly fees. Just keep in mind that these systems connect users to 911, not a 24/7 monitoring center.
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2. Medical Guardian - Best High-Tech Systems
View Packages Links to Medical GuardianWhat we like most
- Prices start at $31.95 per month
- MyMedicalGuardian app for caregivers
- Unique features: High-tech, sleek systems
Medical GuardianView Packages Links to Medical GuardianKey Takeaways:Why Medical Guardian Is Our No. 2 Pick
Testing out Medical Guardian's MGHome Cellular system
Medical Guardian offers everything from discreet on-the-go systems to the MyMedicalGuardian mobile app and desktop portal. Whether you’re looking for a simple medical alert system or one with advanced features, Medical Guardian offers five packages to meet your needs. The company adds high-tech features like the Smarti Voice Assist and Social Circles app that competitors like ADT Health and MobileHelp don’t offer.
Expert InsightsFrom Linda Schlenker, M.S., M.A., O.T.R.Medical Guardian is known for its exceptional customer service. My patients have mentioned that they weren’t pressured to purchase or sign long-term contracts like they were with other companies. They also mentioned that the company was good at explaining all the options, and they received their units quickly.Pros & Cons:Pros About Medical Guardian
- High-tech mobile systems
- Customizable features
- Large in-home coverage range
- No hidden fees or contracts
- U.S.-based monitoring center
- Water-resistant technology
- Customer portal and mobile app
Cons About Medical Guardian
- Slow response time on initial MGMini test
- No free trial
- Pricier premium systems
- Cellular systems require AT&T or Verizon
Our Hands-on Experience and Pricing:Testing and Response Times
An operator answered our calls for the MGHome Cellular, MGMini, and MGMove in about 15 seconds — just five seconds slower than Bay Alarm Medical’s mobile systems.
» Want to Learn More? Check out our Medical Guardian review.
MGMini Lite, the company’s latest on-the-go system, was a little slower. It took about one minute for an operator to answer after we pressed the emergency button. This is still a reasonable amount of time, but in a real emergency, every second counts.
Similar to the other cellular systems on our list, you will need a strong cellular connection to use Medical Guardian’s mobile options.
One drawback to note is that Medical Guardian’s fall detection pendants are very sensitive. When we tested our fall detection pendant, we experienced multiple false alarms throughout the week. Luckily, we easily canceled the call by pressing the button on the mobile base unit. If you or your loved one is prone to falls, check out the best medical alert systems with fall detection.
One of our favorite systems to test was the MGMove smartwatch. Watch our video below to learn more about this system for active users.
Medical Guardian MGMove Smart Watch Review Features for Caregivers
The best feature for caregivers is the MyMedicalGuardian portal and mobile app, which has a variety of useful features. We checked the system’s location, status, connection quality, battery level, and alert history.
Similar to Bay Alarm Medical’s app, we also updated our health and safety information, including our medical history, emergency contacts, and household information. Based on our testing, these are two of the best medical alert mobile apps available. However, it’s important to note that some users have mentioned issues using the MyMedicalGuardian app and online portal, particularly when trying to add new members.
We also set reminders and calendar events in the app, which is a unique feature. We set a reminder to take our medications. The alert was audibly announced through the MGHome Cellular base unit at the time we designated.
» Learn About: Best Medical Alert Apps
Pricing
- MGClassic: $31.95 per month
- MGHome Cellular: $38.95 per month (plus one-time $149.95 equipment fee)
- MGMini: $43.95 per month (plus one-time $149.95 equipment fee)
- MGMini Lite: $46.95 per month (plus one-time $149.95 equipment fee)
- MGMove: $42.95 per month (plus one-time $199.95 equipment fee)
Medical Guardian’s starting prices are higher than most competitors, including MobileHelp and Bay Alarm Medical. However, their excellent customer service, sleek systems, and useful mobile app are worth the price.
We think seniors who don’t mind paying a bit more can justify the price with the intuitive mobile app alone. Plus, Medical Guardian is still more affordable than major competitors like Life Alert.
The company also offers fall detection for $10 per month, which is standard. Thanks to their high-tech equipment, including an advanced smartwatch, home system, and mobile app, Medical Guardian is our top pick for technology.
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3. ADT Medical Alert - Best Monitoring Center
See Pricing Links To ADTWhat we like most
- Prices start at $31.99 per month
- No mobile app for caregivers
- Unique features: Lifetime warranty
ADT Medical AlertSee Pricing Links To ADTKey Takeaways:Why ADT Health Is Our No. 3 Pick
ADT Health's Medical Alert Basic system
ADT Health doesn’t skimp on service. We were most impressed with the professionalism of ADT’s Emergency Response Monitoring Center, which is U.S.-based and company-owned. We also like that many of their best medical alert devices, including the Medical Alert Basic, have automatic home temperature monitoring.
They're also 24/7 by senior-sensitivity-trained professionals. In an emergency, older adults can rest assured they will speak with a top-trained ADT professional, just as we did during testing.
» Further Reading: ADT Health Review
Pros & Cons:Pros About ADT Medical Alert
- Senior-sensitivity-trained monitoring professionals
- Seasonal discounts
- Price lock guarantee
- Free two-day shipping
- Excellent reputation
- Home temperature monitoring
- Alerts caregivers during an emergency
Cons About ADT Medical Alert
- No companion app for caregivers
- Limited system options
- Must live in AT&T coverage area to use some systems
- No fall detection available with Medical Alert Basic
Our Hands-on Experience and Pricing:Testing and Response Times
ADT has three systems, including On-The-Go, Medical Alert Plus, and Medical Alert Basic, along with add-on features like fall detection and home temperature monitoring. Both of these features add extra layers of security in the event of a fall, fire, or similar emergency.
We tested all three systems, and the responses we got from the ADT emergency monitoring center were phenomenal. On average, an agent responded in as little as 10 seconds. They also showed compassion and professionalism with every interaction.
The devices have very powerful speakers that make it easy for those with hearing loss to hear the agent on the line. This makes Medical Alert Plus one of the best medical alert systems for seniors with hearing loss. The voice prompts of the Medical Alert Plus base unit were so loud that they startled us the first time we heard them. Luckily, it had an adjustable volume control, so we turned it down.
We also had a great experience with the On-The-Go system. It held a decent signal while we drove around town. Similar to MobileHelp, the system is dependent on AT&T coverage, so it won’t be right for those who live in areas with spotty AT&T service.
Testing out ADT Health's Medical Alert Basic system
Features for Caregivers
While ADT Health can send caregivers mobile alerts in an emergency, it doesn’t offer a companion app or portal. We wish there were more features to loop caregivers into the health and well-being of their loved ones like Medical Guardian and Bay Alarm Medical offer. We recommend ADT for those who need a medical alert system, but don’t need any caregiver benefits.
Pricing
- Medical Alert Basic: $31.99 per month
- Medical Alert Plus: $39.99 per month
- On-The-Go: $41.99 per month
ADT Medical Alert’s pricing is pretty standard for the industry, though a few providers like Bay Alarm Medical and MobileHelp have lower starting prices.
One advantage is that ADT systems come with a ForeverRate guarantee. As long as your system's offerings don’t change, the price won’t change either (excluding taxes and applicable fees). However, the company charges $11 per month for fall detection, which is $1 higher than the industry average.
Because of ADT’s highly trained, helpful operators and consistent response times, they are our top pick for monitoring.
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4. MobileHelp - Best Two-for-One Systems
See Pricing Links to MobileHelpWhat we like most
- Prices start at $24.95 per month
- Automated text message alerts for caregivers
- Unique features: Systems designed for two users
MobileHelpSee Pricing Links to MobileHelpKey Takeaways:Why MobileHelp Is Our No. 4 Pick
Testing out MobileHelp Classic
MobileHelp made this list thanks to their systems designed for two users. The company offers a versatile lineup of systems designed for at-home and on-the-go use, whether you need protection for just yourself or for a partner as well.
While many companies charge an extra fee or require you to purchase two separate systems to add a spouse, MobileHelp offers a few two-in-one systems. We found the systems were easy to test, as two of us could use the two-in-one system at the same time!
» You Might Like: Best 2-Line Cell Phone Plans for Seniors
Pros & Cons:Pros About MobileHelp
- Excellent two-in-one system for couples
- Versatile product lineup
- 24/7 U.S.-based professional monitoring center
- Large in-home coverage range
- Free shipping on all packages
- Two help buttons with most systems
Cons About MobileHelp
- Smartwatch system discontinued
- Cellular systems rely on AT&T service
- Monitoring center is not company-owned
- No free trial
Our Hands-on Experience and Pricing:Testing and Response Times
Our Editor Jeff Hoyt Testing Out MobileHelp
Setup for the Home Duo Bundle, which comes with an in-home system and on-the-go unit, was simple. For the in-home unit, we just plugged in the base station and put on the waterproof help button.
Then, we plugged the mobile unit’s charger into the wall and set the unit on the charger. It was fully charged in a few hours. We recorded response times between 25 and 30 seconds, which is slower than providers like ADT, but still fairly fast.
Expert InsightsFrom Linda Schlenker, M.S., M.A., O.T.R.Medical alert devices have really evolved with features that are critical for safety. The two most important features are waterproof equipment and fall detection. I have worked with many people who fell and either couldn’t reach their button or became unconscious. In addition, one of the highest-risk activities anyone will do in their home is exiting their shower, which is the one place they will not have their phone.We were most impressed with the system’s in-home coverage range of 1,400 feet, perfect for larger houses. This range is 100 feet and 300 feet larger than the ranges from Bay Alarm Medical and Medical Guardian, respectively. If you live in a large house or on a property that’s spread out, you’ll definitely want to pick a system with a large range or mobile GPS coverage.
We placed a test call at one end of the house using our help button, while the system’s base station was on the opposite end of the house. The system still detected the call and connected us to an emergency response agent.
We noticed that MobileHelp’s equipment could use some updating. The company’s in-home systems are both pretty bulky, similar to Bay Alarm Medical. Since you’re unlikely to move the base unit a lot after the initial setup, however, this shouldn’t be a major issue (it wasn’t for us).
Did You Know? Artificial Intelligence is helping make fall detection more accurate in advanced medical alert systems by testing common fall events that occur during activities of daily living (ADLs).1.
Features for Caregivers
MobileHelp Connect is the company’s portal for caregiver features. We tested the standard version (which is free), and we received automatic alerts whenever we pressed the system’s emergency alert button. It also provided GPS-based location detection.
» Dive Deeper: 2025 MobileHelp Review
We also uploaded important health information in the MobileVitals section. However, some features are hidden behind a paywall. Other providers like Medical Guardian and Bay Alarm Medical offer all app features at no extra cost, so we were disappointed by this.
Pricing
- Classic Cellular: $24.95 per month
- Classic Landline: $24.95 per month
- Solo: $34.95 per month
- Micro: $34.95 per month
- Home Duo Bundle: $44.95 per month
- Mobile Duo Bundle: $49.95 per month
MobileHelp’s prices are affordable compared to Medical Guardian and ADT Medical Alert. They also have very inexpensive fall detection at just $5.50 per month, which is cheaper than the other providers on our list. However, this price only applies to the fall detection pendant.
Fall detection pricing can get a little confusing with MobileHelp, as some systems allow you to purchase “Virtual Fall Detection” for an additional $5.50 per month (for a total of $11 per month), while others don’t. Essentially, the pendant itself serves as a manual button worn around the neck that can be pressed in the event of a fall, while Virtual Fall Detection enables this device to automatically detect falls and call for help.
Just keep in mind that costs can still add up quickly if you want things like a Protection Plan ($6.99 per month) for your equipment or OnGuard Alerts ($2.99) to send messages to your loved ones in case of a fall or other emergency.
Did You Know? Falls, which affect 1 in 4 seniors every year, are the leading cause of life-threatening injuries for older adults. Over 800,000 hospitalizations occur each year because of falls.2
If you don’t care about high-tech features like an advanced mobile app or sleek equipment, MobileHelp is worth considering. Their two-for-one systems, including the Mobile Duo Bundle and Home Duo Bundle, set them apart from competitors and make them our top choice for two users.
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5. Lively - Best Mobile Phone Options
See Pricing Links to LivelyWhat we like most
- Combines mobile phone with a medical alert system
- Jitterbug phones are compatible with hearing aid
- Simple Urgent Response button for immediate connection with an operator
LivelySee Pricing Links to LivelyKey Takeaways:Why Lively Is Our No. 5 Pick
Trying out the Jitterbug Smart4 smartphone
We often hear seniors say they don’t want to wear a medical alert device everywhere they go. Lively’s senior-friendly phones are a practical solution. The phones feature built-in medical alert technology, which is more discreet than wearing a pendant.
If you don’t want a phone alert system, Lively also has a stand-alone medical alert system, Lively Mobile2. There are multiple plans to choose from, with features like 24/7 monitoring, on-call nurses, and even concierge services like accessing a personal operator to call you a Lyft ride.
Did You Know? You can buy Lively products at brick-and-mortar stores, including Best Buy.
Pros & Cons:Pros About Lively
- Cell phones with built-in medical alert capabilities
- Compact, easy-to-use alternative to wearing a medical alert device
- Advanced add-on health and safety features
- Smartphone and flip phone options
- Affordable, senior-friendly cell phones
- No contracts or cancellation fees
Cons About Lively
- Only one standalone medical device option
- No traditional in-home alert systems
- Fall detection only available with certain devices
- Phones are slow and laggy
Our Hands-on Experience and Pricing:Testing and Response Times
Testing out the Jitterbug Flip2
We tested the Jitterbug Smart4, Jitterbug Flip2, and Lively Mobile2. The Jitterbug Smart4, a senior-friendly smartphone with medical alert features, was our favorite device. Its Urgent Response button was clearly displayed at the top of the screen at all times, so we easily called for help.
» Further Reading: Best Smartphones for Seniors
We also liked the Jitterbug Flip2, Lively’s senior-friendly flip phone, because it was simple to navigate. The flip phone features a large, red Urgent Response button on the keypad for easy access. For a closer look at both phones, head to our Lively phone review.
We found that the Lively Mobile2, Lively’s mobile medical alert system, was very responsive. It’s not as large and bulky as its predecessor, the Lively Mobile Plus. It is sleek and lightweight — about half the length of a pen.
After pressing the Emergency Response button, we were connected to one of Lively’s agents in about 10 seconds with the Lively Mobile2 and around 15 seconds with both Jitterbug phones. In our experience, Lively’s response times were two to three times faster than MobileHelp’s, and on par with more traditional medical alert providers like Medical Guardian and Bay Alarm Medical.
Charging the Lively Mobile2
Features for Caregivers
The Lively Link mobile app is basic, but it provides important updates and real-time location tracking. We saw exactly where the device was as well as its status. If we pressed the Emergency Response button, we got an alert from the app.
We also saw an emergency call log, the status of the device, and a summary of the week’s updates. Caregiver apps are pretty standard for medical alert systems, but they’re rare with cell phones, so this is a perk.
FYI: Mobile carriers like Lively are making it easier than ever to access medical alert systems without a dedicated, medical-alert-only device.3
Product Lineup and Pricing
- Jitterbug Smart4: $14.99 to $44.99 per month (plus $119.99 device fee)
- Jitterbug Flip2: $14.99 to $44.99 per month (plus $79.99 device fee)
- Lively Mobile2: $24.99 to $34.99 per month (plus $79.99 device fee)
Lively offers three phone plans starting at $14.99 per month with health and safety features that vary by plan. Lively’s monthly costs for the Lively Mobile2 system start at $24.99 per month. Monthly rates are fairly affordable, though they are pricier if you want a top-tier plan with all health and safety features.
Lively is the only provider on our list with medical alert phones that offer 24/7 monitoring and additional safety features like a nurse on call.
How Much Does a Medical Alert System Cost?
Many quality medical alert systems range from about $20 to $50 per month for 24/7 monitoring. Some providers also charge a one-time fee for the equipment, and this fee can vary based on the type of equipment (home systems, mobile systems, hybrid systems, smartwatches, etc) and the provider.
Depending on the system and provider you choose, you can expect equipment fees to range anywhere from $70 to $200 per system. Additional devices may cost extra, and some providers charge installation or activation fees. If you want fall detection (which we highly recommend), it will typically cost an additional $10 per month.
You can often save on costs by paying for a year of service in advance. Providers like Medical Alert, for example, cut $8 per month off their basic home landline system when you pay annually. This brings the monthly price down to just $19.99. Life Alert, on the other hand, doesn’t advertise their prices online, and charges $49.95 per month for their in-home cellular system, though you may be able to get one free month of service and no equipment fees.
Life Alert and Medical Alert didn’t make this list, but they are two of the most well-known names on the market and offer very different pricing models.
What Are the Disadvantages of Life Alert?
Most people are familiar with the “I’ve fallen and I can’t get up” commercials for Life Alert, which has made it one of the most recognizable medical alert brands. However, in our experience, Life Alert does not offer the best value for several reasons.
First, there’s the cost. Monthly fees are high, and Life Alert charges additional fees for things like lockboxes and caregiver apps. Second, Life Alert requires multi-year contracts and implements early-termination fees. These are two big red flags for us. We prefer providers like Bay Alarm Medical and Medical Guardian that offer month-to-month agreements. And third, Life Alert doesn’t have automatic fall detection, which is a huge downside for seniors with mobility issues.
During our testing, we must admit that Life Alert has great customer service, but their monitoring centers took more time to respond than many competitors. Every second counts in an emergency, so this is just one more reason we can’t recommend Life Alert as a top medical alert system.
You can learn more about our experiences in our Life Alert review.
Ways to Save on a Medical Alert System
There are several easy ways to save on a medical alert system:
- Quarterly or annual payment plans: Many companies, including Medical Guardian and MobileHelp, offer discounts when you pay for your system quarterly or annually instead of monthly. Discounts will vary by system and provider, but they typically break down to savings of around $3 to $7 per month.
- Seasonal discounts: Medical alert companies are known for running seasonal discounts, especially around holidays. If you don’t see any deals listed on the company’s website, give them a call. Sometimes these deals aren’t prominently displayed or are only available over the phone!
- Medicare Advantage: While Original Medicare doesn’t cover medical alert systems, Medicare Advantage (Part C) plans may cover the costs. This coverage varies by plan and carrier, so give your carrier a call to learn about your benefits.
- Flexible spending account (FSA) or health savings account (HSA): If you haven’t retired, you can use FSA funds to pay for a medical alert system. HSA funds can also be used for medical alert system costs, but just remember that you can’t contribute to your HSA if you’re enrolled in Medicare.
- Local discounts: Local non-profits like area agencies on aging may cover all or part of a medical alert system. This varies greatly by location, so it’s best to look up your local area agency on aging to learn more. The U.S. Department of Veterans Affairs or Tricare may also offer coverage.
» Related Reading: Best medical alert systems for veterans
How to Choose a Medical Alert System
Finding the right medical alert system for yourself or a loved one comes down to a few factors: budget, lifestyle, health, and purpose. Naturally, you’ll want to find a system that fits your family’s budget, which is why we recommend a few of the most affordable medical alert systems on the market, like MobileHelp and Lively.
Also, think about the user’s lifestyle and health. Active seniors, for instance, may want a small device that they can slip in their pocket or bag and take with them on the go. Health is also an important factor, as seniors who can’t get around much or are bedridden will likely only need an at-home system.
Finally, consider the purpose of getting a medical alert system in the first place. Have you or a loved one fallen recently? Are you living alone and worried about reaching help during an emergency? Or do you want extra protection for you and your spouse? Answering these questions can help guide you toward the right system for you.
Key Medical Alert Features to Look For
As you shop for a medical alert system, keep these key features in mind:
24/7 monitoring: All of the top medical alert systems offer 24/7 professional monitoring from a staffed response center.
Water-resistant equipment: Falls often happen in the bathroom. It’s essential that your equipment is water-resistant, so you can wear it in the shower.
In-home range: In-home systems have a coverage range, which is how far away your base unit can be from your wearable help button and still connect. Coverage typically ranges from 400 to 1,400 feet, depending on the system. In-home coverage is especially important, as many seniors report indoor mobility challenges like poor balance, reduced strength, and home environmental barriers.4
Help buttons: Most systems come with a help button necklace or bracelet. During an emergency, just press your help button to connect with a monitoring center. Some mobile systems have help buttons built-in, while others are separate from the mobile unit.
Medical alert systems come with a wearable button so users can call for help.
Battery life: Mobile systems have battery lives that typically last from one to five days before they need a recharge. Most at-home systems plug into an outlet, and the base units have backup batteries that last around 32 hours.
Automatic fall detection: Most medical alert providers offer fall detection pendants, which you wear instead of a normal help button. These pendants automatically detect the motion of a fall and call for help, even if you can’t press your button. Having the security of fall detection can help older adults feel more confident in their mobility, which can also reduce anxiety and encourage healthy aging.5
Mobile app: Many systems offer a companion mobile app that loved ones and caregivers can use to track the system’s location, battery level, and emergency-call history.
Checking our system's location in Medical Guardian's MyGuardian mobile app
Health and wellness features: Mobile systems often have health and wellness features like step tracking and daily step goals. This can help users stay active as they age. Caregivers can also monitor activity and look for any abnormal patterns that could indicate a health issue.
GPS tracking: All of the best mobile systems include GPS tracking, so first responders can quickly locate the user during an emergency. If the system has a mobile app, you can use the GPS technology to check the device’s location.
Did You Know? According to a 2025 survey by U.S. News & World Report, 49 percent of seniors feel safer while using assistive technologies like medical alert systems.6
Lockboxes: Some medical alert providers offer lockboxes for free, while others charge a one-time or monthly fee. The company’s monitoring center will send the lockbox code to first responders during an emergency. That way, they can use the key in the lockbox to easily access your home so they don’t have to break down the door.
Watch our video below to learn more about the top medical alert systems and important considerations when choosing a system.
How to Get Started With Your Medical Alert System
Getting up and running with your medical alert system shouldn’t take long, but knowing what to expect will ensure everything works the way it should — before you need it.
Before you begin
- Unpack the base unit, wearable button, charger, and any add-ons (fall detection device, lockbox, wall buttons, etc).
- Keep the quick-start card handy and jot down the monitoring center’s test number (if applicable)
- Gather your WiFi or landline info and your emergency contacts’ phone numbers.
Set up an at-home system
- Place the base unit in a central spot in your home, like a kitchen or living room. Avoid outlets controlled by wall switches.
- Plug in the power cord; wait for light or a voice prompt to confirm power.
- If your model uses a landline, connect the phone cord from the base to the wall jack (and then your phone to the base’s “phone” port, if applicable).
- Put on the help button (necklace or bracelet). Make sure it’s snug but comfortable.
- Perform a range test: walk to the far end of your home or property and press the test button or follow the unit’s test instructions.
- Add extras: mount wall buttons in high-risk areas — in the bathroom near the shower or beside your bed. Place the lockbox and record its code with the monitoring center.
Set up a mobile or on-the-go system
- Connect the charging cradle and fully charge the device.
- Power on the device; confirm GPS/cellular connection.
- Pair the wearable help button or fall detector if included.
- Step outside to confirm cellular/GPS works beyond your home, then place a test call.
Weekly or monthly upkeep
- Test your system regularly (many brands recommend once a week or month).
- Charge mobile units nightly or set a charging routine that works for your schedule.
- Rinse necklace bands and bracelets and dry thoroughly; avoid submerging non-waterproof components.
Our Final Thoughts
Bay Alarm Medical and Medical Guardian won our top two spots, as they have the best variety of tech, and both demonstrate fast response times. Bay Alarm Medical is slightly more budget-friendly, though.
ADT comes in third, as it offers a lifetime warranty on your equipment and has monitoring professionals who are specifically trained to be sensitive to the needs of older adults. We also like MobileHelp for couples or those with roommates, as they feature two-in-one systems. Finally, if you want the option to combine your phone and medical alert system, Lively is a solid choice.
Frequently Asked Questions About the Best Medical Alert Systems
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Which medical alert device is best?
The answer to this question will vary based on your needs. Bay Alarm Medical offers the best value, Medical Guardian has the most high-tech systems, and MobileHelp has the best devices for two users.
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Does Medicare pay for a medical alert device?
No, Original Medicare (Part A and Part B) doesn’t cover medical alert systems. Some Medicare Advantage plans may cover them, but this varies greatly by carrier and plan.
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Which system has the longest range?
MobileHelp offers the longest range for in-home systems — up to 1,400 feet from base unit to help button.
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What medical alert device does AARP recommend?
AARP doesn’t endorse any medical alert systems from a particular brand. However, the company does offer a 15 percent discount on Lifeline medical alert systems for AARP members.
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Do all medical alert systems have a monthly fee?
The best monitored medical alert systems have a monthly fee. There are some systems without monthly fees, but they don’t offer 24/7 monitoring, which is the most important feature of a medical alert system.
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Science Direct. (2024). A comprehensive review of elderly fall detection using wireless communication and artificial intelligence techniques.
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CDC. (2024). Facts About Falls.
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Harvard Health Publishing. (2023). The latest in medical alert systems.
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National Library of Medicine. (2025). Indoor mobility challenges among older adults: A systematic review of barriers and limitations.
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Science Direct. (2025). Revisiting independent mobility and healthy aging connection using a double machine learning.
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U.S. News & World Report. (2025). Aging in place with assistive tech survey.
