Best Medical Alert Systems Worn as Necklaces

A medical alert necklace is a simple, portable and stylish way to stay protected on-the-go. See which medical alert pendants made the top of our list.

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Bay Alarm Medical
Bay Alarm Medical
SecureScore™: 9.4/10
Bay Alarm Medical alert necklaces let you move freely through your home thanks to their generous 1,000-foot range. They’re also durable, waterproof, and backed by a five-year warranty. Married? Additional necklaces cost just $1.95 with free spousal monitoring.
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Active Guardian by Medical Guardian
Medical Guardian
SecureScore™: 9.0/10
With Medical Guardian, medical alert necklace monitoring costs less than $1 per day. Their alert necklace features a lightweight and optional cellular monitoring and/or GPS tracking for reliable use while jogging, traveling, or doing everyday activities.
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GreatCall
Lively
SecureScore™: 7.8/10
The Lively mobile button is ideal for seniors who are active and on-the-go. It is connected to one of the most reliable cellular networks in the United States — Verizon Wireless. So, it works almost anywhere in the USA.
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List of the Best Medical Alert Necklace Systems in 2021

Medical alert systems worn as necklaces can help you reach help in the event of an emergency. Anyone who is at risk of falling or has a chronic medical condition should consider such a device. All that you have to do is press a button on your wearable necklace to summon emergency help. Some systems let you contact a family member or friend for help first.

Many different types of medical alert systems can be worn as necklaces. And keep in mind there are a wide variety of features and service options available. So it can be a challenge to figure out which wearable medical alert device is best for you. Here is a look at the many choices of medical alert necklace systems available.

  • 1 Bay Alarm Medical - Best Overall Medical Alert Pendant (Editors Choice)

    Bay Alarm Medical
    SecureScore™ 9.4
    How We Review
    Customer Service
    9.2
    Value
    9.6
    Equipment
    9.2
    Features & Technology
    9.4
    Ease Of Use
    9.7
    SecureScore™
    9.4

    The Bay Alarm Medical alert system necklace is a moderately-priced, personal response system that is easy to install and use. The Bay Alarm alert necklace system includes one button with every system. The medical alert necklaces from Bay Alarm are ultra lightweight and easy to wear. They are 100 percent waterproof and offer up to 1,000 feet of range. Each medical alert necklace from Bay Alarm comes with a 5-year warranty.

    The Bay Alarm Medical necklace system also comes with a Vial of Life kit, which allows you to list any medical information including medications for first responders. This information is kept safe and secure.

    With Bay Alarm, there are no hidden fees or other costs. You can order additional medical alert necklaces for just $1.95 and Bay Alarm will monitor those necklaces for free.

    • Above-average range
    • Excellent response time with emergency response center
    • Stylish appearance of smartwatch
    • Extra features on smartwatch, like step tracker
    • Extra layer of protection with dual system
    • No activation fee

    • Lengthy wait time with customer service
    • No fall detection with smartwatch
    • Somewhat high monthly payment

    Bay Alarm Medical offers one of the most popular medical alert necklaces on the market. It is ideal for a variety of uses including in-home and on-the-go. The base station plugs into any landline, which means that you can still use your medical alert necklace when away from home without springing for GPS as long as a landline phone is available.

    Read more about it in our hands-on review of Bay Alarm Medical.

  • 2 Medical Guardian - Best Battery Life

    Active Guardian by Medical Guardian
    SecureScore™ 9.0
    How We Review
    Customer Service
    8.6
    Value
    8.7
    Equipment
    9.5
    Features & Technology
    9.3
    Ease Of Use
    8.9
    SecureScore™
    9.0

    Medical Guardian portable systems are cost-efficient personal alert systems that keep you safe at an affordable price. Monitoring costs start at less than $1 per day. One type of medical alert necklace is a help button that works in conjunction with a multi-functional base station. The necklace increases range and improves mobility. This button is available with both at-home systems, the Home Guardian and Classic Guardian, and one on-the-go system, the Mobile Guardian. The other type of necklace is an on-the-go device that can be worn on a lanyard. This is available with three of the four on-the-go systems: the Active Guardian, Mobile Guardian, and Mini Guardian.

    • Streamlined System
    • No Equipment Charge for Most Systems (The Freedom Guardian and Mini Guardian Are the Exceptions.)
    • No Activation or Installation Charge
    • Provides Full Coverage at Home and While Away
    • Lots of A La Carte Options
    • TMA Five Diamond Certified Monitoring Center
    • Option to Wear Mobile Device on Lanyard or with Belt Clip

    • Blinking Lights on Mobile Device Could Be a Deterrent
    • Extra Cost for Fall Detection
    • Fall Detection with Mobile Guardian Only Offered through a Separate Pendant
    • Response Time Could Be More Consistent

    If your goal is to maintain independence both at home and while on the go, then a necklace from Medical Guardian might be a good choice for you. After testing Medical Guardian, we found that they have a variety of options to choose from.

    Medical Guardian at-home systems both come with a help button that can be worn as a necklace. With the Classic Guardian, the help button extends the range that you can roam from the base unit to 1,300 feet, one of the best ranges on the market. This means that older adults can wander to all corners of the house, down the driveway, and to the backyard garden. With the Home Guardian, the range isn’t quite as large 一 600 feet, but still works for many older adults living in modestly sized homes. With the Home Guardian, you also have the option of purchasing a decorative jewelry pendant that encases the button.

    The Mobile Guardian, although an on-the-go system, offers a help button that can be worn as a necklace. The button, light and comfortable to wear, communicates with the mobile device, which can be carried in a pocket or purse. The maximum range is 350 feet.

    Medical Guardian also offers three unique mobile devices that can be worn as necklaces. All come with optional fall detection. The Active Guardian and Mini Guardian feature advanced location tracking, using both Wi-Fi and GPS, and have extended battery lives. In addition, the Mini Guardian is small, lightweight, and discreet. However, the Mini Guardian comes with an equipment fee of $124.99 while the Active Guardian and Mobile Guardian do not require an equipment fee. (All systems require a monthly fee of between $30 and $45.)

  • 3 Lively - Best GPS Necklace

    GreatCall
    SecureScore™ 7.8
    How We Review
    Customer Service
    7.4
    Value
    7.4
    Equipment
    7.7
    Features & Technology
    8.4
    Ease Of Use
    8.3
    SecureScore™
    7.8

    Lively’s Mobile button can be worn as a necklace. It features a magnetic lanyard. If you don’t want to wear it around the neck, you can also clip it to your belt or wear it on your wrist. This portable medical alert necklace system is reasonably priced and offers a variety of optional equipment and services.

    Lively is also great for family caregivers, as it provides a variety of apps and services to help you monitor your loved one’s health and safety. You can access nurses and doctors on-call, monitor for falls and more with the Lively medical alert portable system.  The lightweight medical alert necklace provides quick response times when the button is pushed. It comes with GPS technology so that it can be worn both at home and on-the-go.

    • Quick Response Time
    • No Equipment Costs
    • No Shipping Fee or Other Hidden Fees
    • Free App to Assist Caregivers
    • One-of-a-Kind Service that Connects With Doctors/Nurse Practitioners
    • Sleek and Contemporary Design
    • Location Detection for Both the Response Center and Caregivers

    • Two-Way Talk Not Included on Device
    • Design of Battery Case Could Be Better
    • Fall Detection Not Practical

    The Lively mobile button is ideal for seniors who are active and on-the-go. It is connected to one of the most reliable cellular networks in the United States — Verizon Wireless. So, it works almost anywhere in the USA.

    Lively offers a variety of options available for medical alert buttons devices. Since there are no contracts or cancellation fees, it is easy to change your plan and device if your needs change.  Lively is also a great option for family caregivers who want to gain insight on their loved one’s movement and activity inside and outside of the home.

    The main disadvantage of Lively’s medical alert necklace is that landline-only service is not available. So, it may not be cost-effective for customers who are mainly home-bound and don’t need the on-the-go protection.

    Read more about this popular alert system in our hands-on Lively analysis.

  • 4 LifeStation - Easiest Medical Alert Pendant

    LifeStation2
    SecureScore™ 8.1
    How We Review
    Customer Service
    7.5
    Value
    8.4
    Equipment
    7.5
    Features & Technology
    8.2
    Ease Of Use
    8.8
    SecureScore™
    8.1

    LifeStation’s necklace pendant is an affordable and versatile system that provides a choice of at-home or on-the-go-protection, or both. The system features 24/7 medical monitoring. A variety of optional add-on equipment and services are available with LifeStation’s medical alert necklaces including GPS tracking, fall detection, and a bathroom and hallway button. Additional medical alert necklaces are available. It costs just $3.99 per month for extra users. All LifeStation systems come with free equipment, activation, and shipping. Plus, LifeStation does not charge for shipping and there are no hidden fees.

    • Location Detection Available for Caregivers and Monitoring Center
    • Fall Detection Available
    • Two-Way Talk
    • 5-Day Battery Life
    • Clear Voice Prompts
    • Ability to Integrate With Alexa
    • TMA Five Diamond Certified Monitoring Center

    • Appearance Could Be More Discreet
    • Inconsistent/Incomplete Information Available on Website and Through Customer Service

    We spent several days testing and reviewing LifeStation, and we can say that their medical alert necklace is ideal for most seniors because of the versatility of the system. It is available as an on-the-go system or an in-home system only. There are no long-term contracts, equipment charges or hidden fees, which makes it easy to switch plans if your needs change. There is also a price-lock guarantee that allows you to lock in a low-price.

Features of Medical Alert Pendant Systems

If you are considering a medical alert necklace system, you might be wondering which pendant to choose. Before buying a system, you should compare the various features available. Comparing the medical alert necklaces will help you choose the right one for your particular needs.

24/7 Emergency Response

The medical alert necklaces showcased here offer 24/7 Emergency Response. However, not all services are cut from the same cloth. Look for a company that delivers premium service driven by a highly-trained and friendly staff. Do this and you’re almost guaranteed stellar response, around the clock, when you need it most.

Water Resistance

Take it off. Put it on. Take it off again... and forget where you placed it! That’s the reality with medical alert necklaces. This is precisely why a water resistant pendant is a must-have. Wear them in the shower, in the kitchen doing dishes, and even out in the garden. A water resistant or waterproof necklace alert is always a smart choice.

Cellular Monitoring

Active seniors, listen up. Most pendant alert systems now offer Cellular Monitoring. And the benefits of cellular necklaces are stacked sky-high. You can leave home and enjoy coverage pretty much anywhere. They don’t require a landline or home phone, and they’re typically more reliable than traditional landline hookups. Necklace alerts with cellular monitoring deliver the goods.

Multi-Lingual Support

150 languages and counting. Spanish, French, Italian, German, Swahili, and the list goes on — that’s the value of Multi-Lingual Support. This medical alert necklace feature is tailor-made for those who don’t speak English. Talk with emergency personnel in your native tongue, and go into the world with confidence. With Multilingual Support, your words will never fail you.

2-Way Voice

Several medical alert necklaces offer Two-Way Voice, an impressive feature that connects you directly to the monitoring center. That’s right, if you fall or experience a medical emergency, simply press the button and talk with an emergency responder via the built-in microphone and speaker. Pendant alert systems are always evolving, and this feature is a testament to their life-saving potential.

Spouse Coverage

Here’s another great feature of medical alert necklaces. Don’t be too surprised if your spouse gets that flash of envy in their eye that says “I want a stylish, life-saving pendant too!” If this happens, here’s your solution. Spouse Coverage makes it easy and affordable to add a loved one to your existing plan. Get this feature and make emergency monitoring a family affair.

GPS Location Services

Get on-the-go coverage with a GPS necklace alert. Many companies offer this advanced feature that tracks the pendant wherever it goes. In the event of a fall or emergency, GPS location services accurately pinpoints your exact location. This allows caregivers or emergency responders to find you with ease. GPS necklaces are perfect for active seniors and seniors who are easily disoriented.

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Written By
Jenny Wisniewski
Medical Alert System Expert

After earning a degree in journalism, Jenny Wisniewski spent much of her professional life in education; however, she returned to writing in earnest in the senior care space, acting as caregiver to her mother. She has hand-tested the industry’s top medical alert systems, writing nearly 50 in-depth articles that help seniors age safely in place. Jenny also covers caregiving, Medicare, assisted living, memory care, and Alzheimer’s and Parkinson’s diseases. Previously, she’s written for national publications such as Country Magazine and Sierra Magazine. Jenny holds dual bachelor’s degrees in English/Journalism and Political Science from Miami University in Oxford, OH. She currently resides in Milwaukee, WI.

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