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Medical alert systems can provide an extra measure of safety for older adults and anyone who lives alone or has a medical condition. While most medical alert companies provide both in-home units and on-the-go devices, not all of them offer medical alert necklaces. If you’re active or simply like to have your hands free while wearing your medical alert, a medical alert necklace could be just what you’re looking for.
Medical alert necklaces, also known as medical alert pendants, vary quite a bit in cost and features, so it’s important to first identify your needs and choose the best for you. We’ve researched and tested medical alert necklaces to help you make an informed decision. Read on for our Reviews Team’s top picks of the best medical alert necklaces on the market.
Want to learn more about our top picks and why we chose them? In this video, physical therapist and geriatric clinical specialist Vicki Tilley reviews the best medical alert systems available from brands like Medical Guardian, MobileHelp, and Bay Alarm Medical. She covers each device’s standout features and performance highlights, like fall detection accuracy, GPS location precision, and how easy it is to use.
| Starting monthly cost | $29.95 | $19.95 | $24.95 | $43.95 | $39.99 | $29.95 |
| Equipment fee | $2.99/month (extra in-home necklace) $149.95 (MGMini) | $0 | $25 | $0 | $0 | $79–$307 |
| Processing fee | $0 | $0 | $0 | $0 | $0 | $0 |
| Battery Life | 2 years (in-home necklace) 5 days (MGMini) | 3 days | 2–5 years | 16 days | 40 hours | 5 years |
| Response time (seconds) | 1–25 | 25–50 | 45+ | 25–50 | 50+ | 1–25 |
| Fall detection available | Yes | Yes | Yes | Yes | Yes | Yes |
| Two-way communication | Yes (MGMini) | No | No | Yes | Yes | Yes |
| GPS | Yes (MGMini) | No | No | Yes | Yes | Yes |
| Water resistance | Yes | Yes | Yes | Yes | No (yes with help button or fall detection button) | Yes |
| Device range (in feet) for in-home systems | 1,300–1,400 | 1,400 | 1,000 | 1,300 | Unlimited | 1,000 |
Medical Guardian offers three medical alert systems with necklaces, covering a wide variety of options, including a standard help button, GPS location tracking, and fall detection. With so many features offered at a competitive price, a website that’s easy to use, and great customer service, our Reviews Team chose Medical Guardian as the “Best Medical Alert Necklace for Older Adults.”
Medical Guardian offers necklaces with the following packages:
Fall detection is available for all three packages. A fall detection necklace has built-in sensors that sync with the base unit and call the monitoring center when the necklace detects a fall. While fall detection doesn’t prevent falls, a fall detection necklace can contact the monitoring center and emergency services immediately after a fall, even if you’re unconscious or can’t press the help button. Use NCOA’s Falls Free CheckUp to check your risk of falling.
The standard at-home necklace included with the MGClassic and MGHome Cellular doesn’t include fall detection-you’ll get a separate fall detection necklace when you choose that option for either of the at-home packages.
You can add built-in fall detection to the MGMini necklace for $10 per month. If you would prefer to wear a smaller device around your neck while carrying the MGMini in a handbag or clipped to your belt, you can purchase a separate fall detection pendant for an added $10 per month, or a basic help button necklace for $2.99 per month. The additional help and fall detection buttons sync with the MGMini, so you’ll still need to keep the MGMini close by.
The MGMini mobile system has four color options and includes an adjustable and nonadjustable lanyard, as well as a belt clip. The MGMini uses cellular, Wi-Fi, and GPS technology to connect to the monitoring center through a two-way speaker from wherever you are. The advanced location tracking made possible by GPS helps medical alert personnel find you in an emergency, especially if you’re away from your home.
The MGMini necklace can also be used with the MyGuardian app, which allows caregivers to stay connected with the medical alert user. During our Reviews Team’s hands-on testing, a member of the team noted the “app is very simple to use and intuitive.”
Multiple necklaces can be connected to the at-home base station (the stationary device plugged into the wall that syncs to wall buttons or wearable devices) with the in-home systems, so more than one person in your household can be protected on the same plan. Extra necklaces cost $2.99 each per month.
Medical Guardian also offers a jewelry line called Limitless Icons. The line is attractive and doesn’t look like a medical alert system, which makes it a good option for those wanting a more discreet wearable alert system.
The MG Protection Plan costs $6.99 per month. It covers unlimited battery replacement, as well as replacement of one base unit and two help buttons in any 12-month period due to the following:
Our Reviews Team found the Medical Guardian website easy to use for locating pricing information and details about each system. We also contacted customer service to find out more about the battery life of each necklace. A representative entered the chat within 20 seconds and answered all our questions.
Read our in-depth review of Medical Guardian to learn more about your medical alert system options with this company.
Bay Alarm Medical offers a fashionable medical alert option called Bella Charms that makes it stand out from other companies. Bella Charms slide over the help buttons, creating a jewelry-like look. Our Reviews Team was impressed with this unique addition to the medical alert market (we’ve seen only one other company offer this perk), which is why we named Bay Alarm Medical the “Most Stylish Medical Alert Necklace.”
The ability to customize the look of your medical alert pendant is a special perk in an industry that offers very few style options. One of the biggest challenges respondents cited in our Reviews Team’s survey of medical alert system users was that their device “doesn’t look appealing.” Customizing your medical alert necklace can make it look more pleasing, which could increase your likelihood of wearing it more often. Bay Alarm Medical offers a medical alert necklace with the option to add Bella Charms to any of the following packages:
You have four styles of Bella Charms to choose from:
Bella Charms are available to disguise any of the Bay Alarm medical alert necklaces without fall detection, but cannot be used with the SOS Mobile device with fall detection.
Bay Alarm also recently added more style options with colorful wristbands to hold your help button in place.
Bella Bands come in four colors and, like the Bella Charms, can only be used with the Bay Alarm help buttons without fall detection ($17 each or $60 for all four).
The Bay Alarm Medical warranty covers normal wear and tear for the life of the product. You can purchase the Premier Protection Plan for $2.95 per month, which covers one unit replacement per year and replacement of accessories at 50% of their replacement value.
We found the Bay Alarm Medical website easy to use and well designed. We also had a good customer service experience when our Reviews Team used the chat feature to find out if the necklace includes two-way communication.
For people who need the added protection of a medical alert device but don’t want to sacrifice style, Bay Alarm Medical Bella charms are a great choice.
Read our complete Bay Alarm Review for more information on this company.
Medical alert necklaces are one way to feel more prepared in the event of an emergency. If you have an accident or don’t feel well, you can alert a monitoring center by pushing the button on your medical alert necklace. Monitoring centers are open 24/7 and staffed with trained specialists. When you contact the monitoring center, the representative will ask you questions to help determine what kind of help you need.
Medical alert necklaces are not the same thing as medical alert jewelry.
Lynda Shrager, MSW, OTR, a certified aging-in-place specialist, explained the difference between the two. “Medical alert necklaces are for falls and acute medical events. Jewelry tells someone there is a chronic medical problem and/or the wearer is taking certain types of medications, like insulin or blood thinners, that must be taken into account should a person need medical attention and not be able to speak for themselves,” said Shrager.
Medical alert necklaces are wearable help buttons that offer convenience and a range of features as part of an in-home system or a mobile system. Let’s look at the advantages and disadvantages of each.
Medical alert necklaces range in cost, from the base cost of an in-home medical alert system, which starts at $20 per month for subscription fees, and up to about $200 in one-time equipment fees for the more advanced devices with GPS and two-way communication.
Whether to choose a medical alert necklace with or without GPS will depend on your daily activities, said Shrager. “If the person is active and leaving their home for various activities, then it is very helpful to have a [necklace with] GPS. Without GPS, the device will only cover the inside and perimeter of their home.”
It’s important to think about your needs and preferences when deciding which medical alert necklace is best for you.
For example, if you are at home most of the time and just need a help button to wear around your neck, a basic necklace, such as the MobileHelp Classic, would be a good option.
If you are active and want your necklace to have GPS tracking capabilities, take a look at ADT Health, LifeFone, or Medical Alert, all of which provide this feature.
Also think about whether you prefer a smaller necklace over a large one, and if you care about the way the necklace looks. Bay Alarm Medical is currently one of the only brands on the market offering decorative charm covers. These covers disguise the help button as jewelry so no one knows you’re wearing a medical alert help button.
Whether choosing a medical alert system for yourself or someone else, here are a few other things to consider:
Anyone with a medical condition that puts them at risk of falling, losing consciousness, or becoming short of breath could benefit from using a medical alert system necklace in their home or carrying a mobile device with them.
According to our Reviews Team’s survey of medical alert users, 51% bought a medical alert system for themselves. Statistics from the Centers for Disease Control and Prevention show 78% of Americans age 55 and older are living with a chronic health condition, making it wise to own a monitoring system in case of an emergency.2
“If a person is aging alone, a medical alert can be activated to tell people they’re close with that they have fallen or may be having a medical event,” said Shrager. “When I am working with a patient as their home care therapist, I always recommend they have one.”
People who are caring for an aging parent or other loved one may also want to consider a medical alert necklace with GPS tracking and/or a caregiver app to help them stay connected with the medical alert user. LifeFone, ADT Health, and Medical Guardian all offer medical alert necklaces with these features.
While medical alert systems don’t take the place of loved ones and caregivers regularly checking in on an older adult, they can be an important part of a comprehensive care plan.
Medical alert necklaces can be expensive, particularly if they have more features than a simple help button. You can save money on medical alert necklaces in the following ways:
Most medical alert companies offer discounted monthly rates if you pay quarterly or yearly. If you can afford to do so, this is a great way to save money on a medical alert system.
Medical alert companies often run sales around the holidays. You can find free shipping on devices, one free month of medical monitoring fees, or no equipment fees in some cases. If you’re interested in a certain brand but can wait to buy your medical alert necklace, keep an eye on the company’s website to see if it starts a sale you can take advantage of.
Because Medicare does not cover medical alert systems, the out-of-pocket costs can be a barrier to getting a medical alert system for many people. If you have a flexible savings account (FSA) or health savings account (HSA), you may be able to use those funds to pay for a medical alert system. Check with your plan provider for more details.
While none of the companies in this review offer discounts for veterans, some smaller medical alert companies in your state may provide medical alert systems at low or no cost to veterans. The Senior Veterans Service Alliance has a nationwide listing of these companies, as well as other information on veterans’ benefits.3
Despite the company’s strong marketing, our Reviews Team does not recommend the Life Alert necklace. Our main concern with the brand is its cost and contract requirements. Life Alert requires a three-year contract for its monitoring services, with a penalty fee for early cancellation. Additionally, the brand isn’t clear about pricing, so potential customers need to sit through a sales call to fully understand their fees.
Lastly, the Life Alert necklace does not include fall detection, as the company does not offer that feature. Yet its fees are higher than the competitors on this list, with a monthly fee of $49.95 to $98.95 for monitoring services and a one-time $197 activation fee. When considering all these factors, Life Alert is much more costly than many other systems. You can learn more about it in our full Life Alert review.
Medical alert pendants can be a great way to stay protected in the event of an emergency when you’re at home and away.
For people looking to purchase a basic help button necklace to use at home most of the time, our Reviews Team recommends Medical Guardian, MobileHelp, and Bay Alarm Medical.
For more active adults, GetSafe’s device is waterproof. LifeFone and ADT Health offer advanced medical alert necklaces with GPS and two-way communication for added safety anywhere you go.
Our Reviews Team does not recommend Life Alert for medical alert necklaces or any other medical alert device.
Some private insurance policies may cover part of the cost of a medical alert system that includes a necklace. Check with your insurance provider to see if your plan offers this coverage.
Based on their testing, our Reviews Team believes Medical Guardian is the best medical alert pendant for older adults.
But the best medical alert necklace for you is the one that fits your budget, personal needs, and preferences most closely. Think about why you want a medical alert necklace, how often you’re away from home, and whether you want a necklace with fall detection and/or an app that helps you stay connected to caregivers. These factors can all affect your decision of which medical alert necklace to buy.
Two of the most affordable brands recommended by our Reviews Team are Bay Alarm Medical and MobileHelp, which both offer medical alert necklaces with monitoring fees starting at $19.95 per month.
Medical alert necklaces range in price from $19.95 to about $50 per month for monitoring fees. Some companies also charge one-time equipment fees, which can be up to $150 for medical alert necklaces with more advanced features, such as GPS tracking and two-way communication.
Medical alert necklaces with GPS location tracking, such as those sold by LifeFone, Medical Guardian, and ADT Health, can be used to locate the person wearing it.
To purchase a medical alert necklace, you can buy it directly from a medical alert system company. Our Reviews Team’s top recommendations are MobileHelp, Medical Guardian, Bay Alarm Medical, LifeFone, ADT Health, and GetSafe.
A medical alert necklace is better for fall detection, while a medical alert bracelet is better for a more discreet option. But fall detection technology continues to improve and more medical alert companies are adding this feature to their smartwatch devices. Ultimately, deciding if a medical alert necklace or bracelet is better for you is based on your preferences and lifestyle.
When searching for a medical alert necklace, look for if it’s water-resistant or has special features, such as fall detection or GPS. These emergency help button necklaces also come in many different sizes, with some as small as a bottle cap and some as large as a deck of cards.
A medical alert necklace is a wearable help button you can push in the event of a fall or emergency. The button communicates with a monitoring center that can connect with emergency services to get you the help you need.
Have questions about this review? Email us at reviewsteam@ncoa.org.
