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Best Speakerphone Medical Alert Systems

Many cellular medical alert systems have built-in two-way speakers enabling seniors to talk directly with the monitoring center in the event of an emergency. We reviewed the top rated medical alerts with built-in speakerphones to help you choose the best fit for your loved one.

About Our Expert:

Amie Clark

Amie Clark

Editor of TheSeniorList.com

Amie has 20 years of experience in various senior care roles at skilled nursing facilities in Oregon and later as Senior Housing Advisor she helped seniors and their families find the best housing and care options.

In that role, Amie helped a client who was at risk of a fall related injury by recommending a medical alert system. From there she began hand-testing medical alert systems and writing reviews for them. Over the past 10 years as Editor of TheSeniorList, Amie’s writing has helped over 800,000 seniors and their families choose the right medical alert system.

  • 20 years experience in various senior care roles at skilled nursing facilities
  • 10 years experience hand-testing medical alert systems
  • Through her writing, she’s helped over 800,000 seniors and their families choose a medical alert system
Many cellular medical alert systems have built-in two-way speakers enabling seniors to talk directly with the monitoring center in the event of an emergency. We reviewed the top rated medical alerts with built-in speakerphones to help you choose the best fit for your loved one.
#1 Medical Guardian

Their Speakerphone Alert System:

Medical Guardian offers two speakerphone cellular medical alert options. The Mobile and Active Guardian are both cellular units with clear speakerphones, the Active Guardian has a longer battery life and built-in fall detection.

Why We Recommend Medical Guardian

  • Built-in fall detection
  • No long-term contracts
  • Location tracking with GPS
  • U.S. based monitoring center
  • 5 day battery life on Active Guardian
See Best Pricing
#2 Bay Alarm Medical

Their Speakerphone Alert System:

The most recent addition to Bay Alarm Medical’s offering is its 4G LTE cellular system. The new mobile unit has up to 72-hour battery life on a single charge and GPS tracking. Also includes optional fall detection.

Why We Recommend Bay Alarm Medical

  • 1 year warranty
  • Water resistant
  • Compact and lightweight
  • Fall detection add-on for $10/month
  • 4G LTE with GPS monitoring and tracking
See Best Pricing
#3 GreatCall Lively Mobile

Their Speakerphone Alert System:

The GreatCall Lively Mobile runs on the Verizon cellular network, is waterproof and starts at just $19.99.  Optional fall detection and urgent care services included in Preferred and Ultimate packages. Basic package starts at just $19.99 per month.

Why We Recommend GreatCall Lively Mobile

  • Starts at $19.99
  • Multiple ways to wear
  • GPS enabled for location tracking
  • Products replacement plan available
  • Month-to-month, no long-term contracts
See Best Pricing

Speakerphone Medical Alert Systems – No Base Station Needed

For seniors and their caregivers, having a medical alert gives peace of mind. It’s good to know that if a loved one falls or is having a medical emergency, they can get help.

There are so many medical alerts out there, with different features, that it can be hard to choose. Today we’re going to talk about a feature that we know some readers will find helpful – two-way speakers.

The Difference Between a Two-Way Speaker and a Traditional Medical Alert Pendant

Many medical alert systems, especially in-home systems, have a traditional base station and button setup. The wearer keeps the button on them at all times, and if they fall or feel ill, they press the button for help.

The speaker used to communicate with the medical monitoring center is in the base station itself. In most cases, it’s possible to communicate through this base station even if the wearer is in another room of the house.

Two-way speakers are a bit different. The wearer has a handheld unit with a speaker in it, through which they can communicate with the monitoring center. The unit can usually be worn on a lanyard or wristband, clipped to a belt or carried in a purse.

Although two-way speaker units are a bit bigger than the traditional button pendant, they have a clear benefit: Seniors can talk to someone no matter where they are, so long as their two-way unit is charged and has cell service. This provides extra reassurance for both users and their loved ones.

Keep Help Close At Hand

A unit with a two-way speaker is ideal for more active seniors.

Some units come with a wearable button – seniors can use the device or the button to call for help (two-way communication is still only available through the device.)

Others are all-in-one units, so rather than having a mobile device and a separate button to call for help, everything is included in one piece of kit. Alerting the monitoring center and chatting to someone there can be done from one device, at just the touch of a button.

For seniors who go out and about regularly, this is a straightforward way to stay safe and get help without having to carry a separate unit and button.

For seniors who spend most of their time at home, this can still be super helpful. Seniors who need extra peace of mind benefit from knowing that they can talk to someone by using the device, which is deeply reassuring.

These units can also work for seniors who live in big houses or have large yards and are concerned that a traditional pendant and base station won’t work for them. After all, shouting to be heard through the base station isn’t always practical.

What To Look For When Choosing a Medical Alert With a Two-Way Speaker

There are so many medical alerts on the market these days that choosing can be daunting. Here are some must-haves that will make your decision easier.

Find out which medical alert system is best for you…

1) Who are you shopping for?

Questions To Ask Before Buying a Senior Medical Alert With a Two-Way Speaker

Before buying a medical alert, we recommend asking:

How We Chose The Providers On This List

We only recommend products that offer good service and a dedicated call center, with no long term contracts. To make this list, each provider must have:

Top picks for medical alerts with a two-way speaker

#1. Medical Guardian

Two Speakerphone Options to Choose From
Medical Guardian Logo

Editor's Rating:

4.8 / 5
Medical Guardian offers two speakerphone cellular medical alert options. The Mobile and Active Guardian are both cellular units with clear speakerphones, the Active Guardian has a longer battery life and built-in fall detection. Call to hear current Medical Guardian offers and pricing.

Medical Guardian is a well known and well-liked medical alert company that offers a range of modern, powerful medical alert options for seniors at all stages of life. Everything is designed to be easy to use, whichever system you choose.

Systems with a two-way speaker: Both of Medical Guardian’s mobile units – Mobile Guardian and Active Guardian – have a two-way speaker. Mobile Guardian is a GPS unit with a two-way device and a separate help button too. Active Guardian is a combined GPS and Wi-Fi unit with everything in one device, no need for a separate button.
Cellular network: AT&T
What’s included: Mobile Guardian comes with the device, a button, a charger, and a leather carrying case with a belt clip. Active Guardian comes with the unit and a lanyard to wear it on, plus a charger.
Waterproof or water-resistant: The Mobile Guardian is neither. However, the Mobile Guardian button is waterproof, and so is the Active Guardian unit.
Add-on features: Customers can buy wall buttons, spare buttons, a car charger, a lockbox, and a protection plan.
Fall detection: Yes, for $10 monthly. For Mobile Guardian, this is a separate button. For Active Guardian, fall detection is activated within the mobile unit.
Range: The Mobile Guardian button works up to 350ft from the device.
Battery: Mobile Guardian lasts 24 hours between charges. Active Guardian lasts an impressive five days!
Long term contracts: No
Equipment / set up fee: No
Cost: $39.95 monthly for Mobile and $49.95 monthly for Active.
What customers are saying:

“Everything went smoothly. I tested out the button one time and I got a response. It’s reassuring to know I have the button. It’s a valuable asset for people who are living alone and have health problems.”
“We’re doing great with Medical Guardian. We really like it. It’s very effective, and it helps us out a lot. I wear the one around my neck, and I don’t even know it’s there. I’ve had to use it twice because I fell and I couldn’t get up. Medical Guardian’s team responded within minutes when I pressed the button.”
“I would definitely recommend Medical Guardian. I absolutely feel like there’s somebody there if I need them.”

Pros: We love that Active has such an impressive battery life and is waterproof too – truly a go-anywhere medical device.
Cons: Both options could be a little costly for some seniors, though the quality is worth the price.
The Verdict: Two excellent and high-quality mobile options that seniors can rely on. Read our full review of Medical Guardian here.

#2. Bay Alarm Medical

4G LTE Cellular Medical Alert System
Bay Alarm Medical

Editor's Rating:

4.7 / 5
The most recent addition to Bay Alarm Medical’s offering is its 4G LTE cellular system. The new mobile unit has up to 72-hour battery life on a single charge and GPS tracking. Also includes optional fall detection. Call to hear current Bay Alarm Medical offers and pricing.

Bay Alarm Medical has been around for over 70 years now, and their dedication to customer service is outstanding. We also love that they’re always innovating and looking for new ways to serve their customers.

Systems with a two-way speaker: On The Go is a mobile GPS button with a two-way speaker. Bay Alarm also offers something we haven’t seen anywhere else – a car-specific mobile device. This also has a two-way speaker and is perfect for seniors who are still active enough to drive but need a little backup. It only works in the car though, so we’d recommend purchasing it in addition to On The Go.
Cellular network: AT&T
What’s included: On The Go includes the mobile device, charging cradle, lanyard and a carrying case with belt clip. In The Car comes with the device itself, which is charged in the car.
Waterproof or water-resistant: On The Go is water-resistant enough to wear in the shower or a rainstorm. In The Car is not watertight.
Add-on features: Customers can also get wall buttons, a lockbox, or extra system protection in case of damage. Customers with On The Go can add access to a caregiver tracking portal for $4.95 monthly, too.
Fall detection: Yes, for $10 monthly
Range: Both systems are with you when you need them, as there’s no separate button.
Battery: On The Go lasts up to 72 hours on a single charge. In The Car charges when the car is on, so it’s always ready to use.
Long term contracts: No
Equipment / set up fee: No
Cost: $29.95 monthly for On The Go and $19.95 monthly for In The Car
What customers are saying:

“The Customer Service staff has been pleasant and helpful getting things set up correctly. The alarm personnel has been responsive when testing the unit to make sure it is working properly. I hope to never have an emergency, but feel like this would help.”
“Excellent response time and a knowledgeable customer service team.”
“Bay Alarm saves my mom’s life due to the speed and efficiency of their staff. The equipment was easy to connect, and worked well, even with my mom’s poor hearing.”

Pros: There’s so much to love here – integrated button, water-resistant, great customer service, affordable, and with amazing battery life.
Cons: It’s hard to find anything we don’t like about Bay Alarm Medical.
The Verdict: Bay Alarm Medical offers everything seniors need to feel safe no matter where they are, backed by amazing customer service. Read our full review of Bay Alarm Medical here.

#3. GreatCall

GreatCall offers a sleek, modern set of medical alert options designed with active seniors in mind. They put a lot of thought into making their systems easy to use wherever you are.

Systems with a two-way speaker: Lively Mobile is a mobile device that gives two-way speaker access wherever you are.
Cellular network: Verizon
What’s included: The device and charging cradle, a magnetic lanyard, and an accessory clip. A specially designed wristband also available.
Waterproof or water-resistant: Waterproof – can be submerged for up to 30 minutes.
Add-on features: Users can choose to upgrade to two different packages. Preferred gives access to GreatCall Link, an online caregiver portal that tracks activity and device usage. Users also gain access to UrgentCare, which means they can talk live to a registered nurse or doctor any time day or night. Ultimate includes GreatCall Link and UrgentCare, plus fall detection and a free replacement if the device is lost, stolen or damaged.
Fall detection: Only on the Ultimate package
Range: Goes wherever you go!
Battery: 24 hours per charge.
Long term contracts: No
Equipment / set up fee: Yes – $49.99 initial equipment fee
Cost: $19.99 monthly, or $24.99 monthly for the Preferred package and $34.99 for Ultimate.
What customers are saying:

“The call response speed is incredibly fast and the quality of GreatCall’s Lively Mobile product is unmatched.”
“I have difficulties in walking and I always have to take help for going to wherever it is needed. I have two – one for home and another one when I go out. I got Lively Mobile and I’m so happy because it has helped me at least twice in the last three months.”
“My husband has fallen twice, and before I could get to him. GreatCall was on his beeper asking if he needed medical help. It has been of great comfort to us – no need to press the button, help is right there. I recommend it to anyone, especially someone living alone.”

Pros: Sleek and easy to wear, with amazing added extras, and it works on Verizon which is great if you don’t get great AT&T coverage in your area.
Cons: We’d like to see fall detection as a separate added extra instead of bundled in with the most expensive package.
The Verdict: A great little device, easy to wear in several different ways, and so easy to use. Read our full review of GreatCall here.

A medical alert system with a two-way speaker is perfect for providing extra peace of mind. Seniors know that so long as they have the unit on them, they can talk to someone any time day or night. This is great for caregivers too – even when they can’t be with mom or dad, help is always at hand.

Best Overall Medical Alert System
Medical Guardian Logo

Editor's Rating:

4.8 / 5
Medical Guardian sets the standard in the medical alert industry for not only providing best-in-class equipment but also for offering the highest level of customer service. Call to hear current Medical Guardian offers and pricing
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