Medical Alert Systems Buying Guide

If you have loved ones in your life with mobility or medical conditions, or if you yourself need extra assistance, then having a medical alert system in place will go a long way in providing peace of mind. It is not possible for most families to be around 24/7, so having a medical alert device can be the difference between a fall being just a fall with no long term issues due to rapid response, and a fall being a life altering occurrence due to not receiving any help for hours or even days. Getting a medical alert system is a worthwhile investment, and our comparison below will help you pick the best one for your needs.

Features to Consider

With so many different types of medical alert systems on the market, it's important to familiarize yourself with the different features that one may offer. This will help you find the one that best suits your needs and lifestyle.

Monthly Cost

Medical alert systems require 24/7 monitoring in order to rapidly respond in the event of a fall or medical issue requiring assistance. This requires a monthly fee to support the staff at the call centers. Monthly costs are sometimes the only fees, however some systems require an activation fee and/or a device fee.

Monitoring Type

The lower cost systems will require a landline. With more and more homes cutting the cord, you'll want to be sure you're getting a system that'd work with a cellular system. A bit more costly, but works anywhere. If you have a landline and want to save some money, then check the landline options available.

Two-Way Talk

Two way talk can be a very useful feature. Nearly all systems will have this feature, but some are limited to just the base station. Some systems will have two way talk functionality in the pendant that you'll be wearing 24/7. If you are out and about often, then you'd definitely want to be sure the pendant you wear has two way talk capabilities rather than just an alert button.

Fall Detection

Falling down can be catastrophic, especially if you're alone when it happens. Some falls can knock a person unconscious, delaying any medical assistance even further, which could worsen any injuries. Fall detection in the pendants will immediately alert the monitoring station, and they will try to communicate with you to make sure everything is okay. If they don’t get a response fast then they'll automatically send an ambulance to check on you at the location provided by your pendant.


Several medical alert systems require a base system that is used to communicate with the monitoring agents. If you are mostly at home, then you'll want to be sure your base station has a large enough range to communicate with your pendant wherever you are in the house. Some pendants are cellular and do not have a range limit, as they'll be able to send alerts to the monitoring agency from anywhere.

Comparison of the Best Medical Alert Systems


Medical Guardian Classic Guardian

LifeFone At Home with Fall Detection

Bay Alarm Medical + GPS Medical Alert

MobileHelp Solo

Lively Mobile Medical Alert

MedicAlert Safe Return

LifeStation Medical Alert Device

















Two Way Talk

Yes - through base station

Yes - through the base station

Yes - through base station and pendant

Yes - through base station and pendant

Yes - through pendant


Yes - through base station

Fall Detection



Optional - an additional $9.95/mo

Optional - an additional $10/mo

Optional - requires $34.95/mo plan


Optional - requires $29.95/mo plan

Additional Features

Comes with necklace or wristband

Comes with waterproof pendant, 30hr battery life, temperature sensor

Can set up geofencing to know when loved ones leave a specified area. Fall detection is least likely to set off a false alarm.

Pendant or wristband. Both are waterproof. GPS tracking.

Very fast response time. Patented GPS technology that is fast and accurate. Waterproof.


Waterproof pendant. Automatic weekly test timer to ensure device is working properly.


1,300ft radius from base station

600ft radius from base station

No limit

No limit

No limit.


500ft radius from base station


Easy to install and simple to use. No long term contracts. No activation Fees. 32hr backup battery. Very long range.

Free for spouse. No activation fees. Easy installation. Cancel at any time. Over 300 view positive reviews.

Useful upgrades available. Excellent customer service and consultations. Three call centers to ensure your emergency is answered immediately.

Low monthly cost with lots of features. No long term contracts.

Lowest monthly cost. No base station required. No annual contracts required for lowest price.

A low tech way to ensure loved ones with dementia can be returned home safely if they wander off. An individual can call the number found on this pendant to get help for your loved one.

Low cost. Month to month agreement, no long term contracts.


No two way talk through the necklace or wristband.

Must sign up annually or quarterly for the lowest prices.

Costly monthly fees.

Audio quality is not the best.

Battery life is only for 1 day. Device is $49.99 additional cost.

No 24/7 monitoring, this option relies solely on a good samaritan helping your loved one return home by calling the number on the pendant.

Not so great range.


Gain peace of mind and independence with a medical alert device. You can maintain your daily activities without fear of falling or suffering from a medical condition unnoticed. Any issue that may arise is just a button press away. Our list above will help you to find a medical device for your own needs, or if you are searching for one to get for an aging loved one.