Best Speakerphone Medical Alert Systems of 2026

Bay Alarm Medical offers four different medical alert systems, including a home system, mobile options, and a medical alert smartwatch. No matter which one you choose, you’ll get a speaker you can hear loud and clear.

I bought the SOS Home, an in-home system that includes a base station and a help button. It was functional so long as I was within 1,000 feet of the base station. Much to my delight, I could hear the speakerphone even at that maximum distance. Moreover, when I faked a fall, I received a response within 16 seconds. Compared to some other systems like Life Alert, which took 120 seconds to get back to me, this is pretty good. After all, every second counts in an emergency.

Along with my physical system, I got access to the free Bay Alarm Medical app, which let me see my help button’s battery level and location. That’s helpful if you need spouse monitoring or monitoring for another loved one. Plus, you won’t have to pay any more money each month to monitor more than one person. I was able to add an automatic fall detection button as well, which meant I didn’t need to push a button to get help.

Bay Alarm Medical prices are pretty low, especially because the company doesn’t charge for the SOS Home itself. (I only paid $30 for the extra fall button.) Rather, prices start at $27.95 a month for the landline in-home system, $34.95 for the cellular in-home system, or $44.95 for the cellular in-home system with fall detection.

All contracts are monthly, there are no activation fees, and I got to try my system for 30 days. If I hadn’t liked it, I could’ve returned it and received a full refund. This is not the case for every company; for example, Medical Guardian lacks a trial period altogether.

With other systems, I didn’t have to wear a separate pendant for fall detection. With the Lively Mobile2, fall detection is built into the main system. If you don’t want to wear extra devices, then I recommend checking out Lively.

If you want a landline or cellular system and are okay with paying a bit extra for fall detection, the SOS Home will be the system for you. To learn more about Bay Alarm Medical, read my hands-on Bay Alarm Medical review.

Offering mobile protection, a voluble speakerphone, and even fall detection––all in one compact device––the Lively Mobile2 is ideal for active users seeking protection wherever their travels take them.

The first thing that impressed me about the Lively Mobile2 was its small size. When I wore it as a pendant or with the included belt clip, I found it was comfortable and hardly noticeable. The black color of this device also made it highly discreet.

I found the Lively Mobile2’s speakerphone to be particularly voluble and clear. When I pressed the urgent response button, I got a response within 13 seconds, even faster than the SOS Home.

For caregiver tracking, I used the Lively Link app, probably the most user-friendly and functional medical alert app I’ve ever tested. It lets me see the GPS location of the Mobile2 as well as changes in the user’s daily activity, the device’s system status, and its battery level. Caregivers can speak to each other through the app; their loved ones can get push notifications if the user has an emergency. This makes it easy for caregivers to stay on top of someone’s health and wellness, even if they can’t be physically present.

Expert Examined

From Cody McGonagill

Firefighter/EMT

The ability to use a single piece of technology for both medical monitoring and caregiver communication makes the investment more worthwhile. I frequently observe that caregivers face challenges in communicating with their loved ones about tasks such as taking medication. Integrating caregiver communication with a medical alert system can help alleviate some of this stress.

Lively Mobile2 prices consist of $79.99 for the device itself and either $24.99 or $34.99 for monitoring. With that higher-tier, $34.99-a-month plan, I got 24/7 access to an on-call nurse who could answer any questions I had, plus a “care advocate” to help me meet my health goals. Like Bay Alarm Medical, all of Lively’s contracts are monthly. But unlike Bay Alarm, Lively charges an activation fee: $25 for an online activation or $35 over the phone. Lively has a 30-day return policy and a one-year manufacturing warranty.

Lively currently offers no home medical alert system, meaning a user will have to remember to charge this device daily for it to function. If a home system, which plugs into a wall, sounds more useful for your loved one, then I recommend trying a system from Bay Alarm Medical or Medical Guardian.

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Lively offers a mobile system with a powerful speaker in the Mobile2. To learn more about my experience with this system, read my Lively Mobile2 review.

I’ve tested out all of Medical Guardian’s systems, three mobile and two in-home, to be exact. No matter which one I tested, response times were as little as eight seconds, the fastest I’ve ever seen.

For a loud speakerphone you can hear at the other side of the house, I recommend the MGHome Cellular, a cellular, in-home system with a long, 1,400-foot range. When I did a test fall, I got a response in less than 10 seconds.

The system consists of a hub and a pendant, which you can wear as a bracelet or a necklace. (I chose the necklace option.) While the hub connected to an outlet in my living room, if my power went off, it would have stayed on for an additional 32 hours due to its backup battery. This gave me great peace of mind.

I tracked my device through the MyMedicalGuardian app, which let me see its battery status, location, current system status, and connectivity history. If you are a caregiver, this app will give you the assurance that the device is on, connected, and charged.

Medical Guardian prices, while still reasonable, are the highest on this list. First of all, I paid $149.95 for the MGHome Cellular equipment and then $38.95 per month for monitoring. Fall detection costs an extra $10 per month, although it doesn’t require a separate device like with Bay Alarm Medical.

Now, one key difference of note is that, unlike Lively and Bay Alarm Medical, Medical Guardian does not offer a trial period. Commitment-phobes, beware; once you’ve purchased this equipment, it’s yours.

While Lively and Bay Alarm Medical’s help buttons are fully waterproof, Medical Guardian’s are only water-resistant. While it can repel water for a short time, it can’t be submerged for longer periods of time. When I was taking a bath, I had to have it nearby or pay $2.99 or $4.99 a month more for a wall-mounted help button.

For the fastest response times, arguably the most important aspect of a medical alert system, choose the MGHome Cellular. To learn more about this company, read my full review of Medical Guardian.