5 Best Fall Detection Devices of 2025: Our Experts Tested and Reviewed

Written by
Updated onApr. 08, 2025

Medically reviewed by Christopher Norman, NP

Key Takeaways

  • Medical Guardian is the best medical alert system with fall detection based on our testing. It’s got accurate fall detection, the longest device range in the industry, and a competitive battery life. 
  • Expect to pay between $5–$12 extra per month for automatic fall detection.
  • Devices with fall detection aren’t 100% accurate, but they can help you stay active and prevent a “long lie” (lying on the floor after a fall, unable to get up).
3,000+ Hours of Research
15 Brands Considered
65+ Data Points

The best medical alert systems with automatic fall detection can get you help fast if you fall. But that’s not all they can do. Just wearing one has been shown to make users feel safer and more secure, and be more active around the house. 

Not only that, but using a medical alert with fall detection can even reduce your fear of falling. And having a fear of falling is associated with a higher risk of actually experiencing a fall. That’s right: If you’re scared of falling, you’re more likely to fall. 

Falls are serious business—they’re the leading cause of injury for adults age 65+, and about one in four older adults falls each year. Since these devices can help play such a serious role in keeping you or your care recipient safe, we wanted to put them to the test. 

We hand-tested more than 30 devices with fall detection to test their accuracy. The bruised knees and sore arms were worth it to help find the best fall detection devices on the market. Keep reading for our top picks.

Why Trust Aging in Place

We’ve spent more than 3,000 hours conducting in-depth research on medical alert systems. Here’s what we’ve done so far:

  • Put each system through our rigorous hands-on testing process in our in-house testing lab
  • Took the systems on the go, wearing them to parks, stores, and friends’ homes
  • Interviewed and consulted with licensed professional caregivers and gerontologists
  • Mystery shopped 15 medical alert system brands
  • Surveyed medical alert system users
  • Hosted focus groups with medical alert system users
    Read more about our medical alert systems review methodology.

Best medical alert systems with fall detection for 2025

The best fall detection devices of 2025

Fall detection cost (monthly)
Medical Guardian $10
MobileHelp $11
Bay Alarm Medical $10
LifeFone $5
HandsFree Health$10
Max device range (feet)
Medical Guardian 1,400
MobileHelp 600
Bay Alarm Medical 1,000
LifeFone 1,300
HandsFree HealthN/A
Max. battery life
Medical Guardian Five days
MobileHelp 30 hours
Bay Alarm Medical 72 hours
LifeFone 10 days
HandsFree Health48 hours
Starting monthly cost
Medical Guardian $36.95
MobileHelp $24.95
Bay Alarm Medical $24.95
LifeFone $29.95
HandsFree Health$29.95

Best Fall Detection Devices

Medical Guardian: Best Overall

Medical Guardian

  • Starting monthly cost: $36.95
  • Automatic fall detection: $10/month

Pros

  • Accurate fall detection

  • Longest device range (1,400 feet)

  • Long battery life (five days)

Cons

  • Higher price

  • Most devices have one-time equipment fees ($149.95–$199.95)

Why Medical Guardian is the best overall

Medical Guardian’s got a lot going for it, which is why it’s an easy choice for our “Best Overall” medical alert system with fall detection.

It’s got the longest device range on this list at 1,400 feet. That means you can be almost four football fields away from the base unit, and if you fall while wearing a fall detection device, it should register and automatically call the monitoring center for help. It also comes in second for longest battery life at five days (LifeFone wins with 10 days). And the most important: Medical Guardian devices scored the best in our fall detection testing. Almost every fall we simulated was detected and resulted in a call to the monitoring center. 

We also love the modern design of Medical Guardian devices—the MG Move looks like a regular, sleek smartwatch. This could make it easier for you or someone you care about to wear a medical alert in public without it looking obvious.

Be aware that Medical Guardian does have the highest starting monthly cost at this list ($36.95), and automatic fall detection costs an extra $10 per month. 

But if looks and functionality are the most important features to you and you can afford to spend a little extra, we think Medical Guardian is a solid choice.

MobileHelp: Best Value

MobileHelp

  • Starting monthly cost: $24.95
  • Automatic fall detection: $11/month

Pros

  • Competitive fall detection pricing

  • Low starting monthly cost

  • Only company on this list that doesn’t charge equipment fees

Cons

  • Shorter device range (600 feet)

  • Lower battery life (30 hours)

Why MobileHelp is the best value

MobileHelp is our pick for “Best Value” because it offers a solid product with accurate fall detection and low prices. To start, MobileHelp charges no one-time equipment fees. Most medical alert systems will tack on an extra, one-time charge to cover the cost of equipment (the monthly cost is like a subscription for connecting to the monitoring center), but MobileHelp doesn’t. What you see is what you get.

MobileHelp also offers the option to bundle devices to save more money. Its Mobile Duo device, when bundled as a duo, comes out to $25 per month, which is the cheapest GPS-enabled device on this list by $15 per month. The only area where MobileHelp is pricier is in their fall detection. The company’s monthly fall detection fee is $11 per month, while the industry average is $10.

MobileHelp devices also performed well in fall detection—almost every fall we simulated was registered by each system. 

We like MobileHelp devices, but they tend to feel a bit bulky and look outdated. We’d like to see the company offer a smartwatch with fall detection for those who care about aesthetics. Also the company’s device range is shorter (600 feet) and battery life is the lowest on this list (30 hours). But if price and functionality are your most important criteria, we recommend MobileHelp as a good option.

Bay Alarm Medical: Best Device Variety

Bay Alarm Medical

  • Starting monthly cost: $24.95
  • Automatic fall detection: $10/month

Pros

  • Impressive device variety

  • Accurate fall detection

  • Multiple options in each device category

Cons

  • Lower battery life (72 hours)

  • Shorter device range (1,000 feet)

Why We Love It

Bay Alarm Medical has the most diverse selection of devices on this list, making it the clear winner of “Best Device Variety.” 

Not only does Bay Alarm Medical offer a mix of at-home and GPS devices—it also offers two different smartwatch options (one very basic (SOS Micro) and one with a touchscreen (SOS Smartwatch). Medical alert companies usually sell only one smartwatch, if they have one at all. 

The company is also unique in that it offers automatic fall detection for every device. Most medical alert companies offer it in every device but one or two. Bay Alarm Medical gives you the option for every one, which we love. You shouldn’t have to choose between the device you want and automatic fall detection. 

Bay Alarm Medical devices fared well in our fall detection testing. They only missed identifying a handful of slow falls, which are falls from a seated position at a lower speed. 

For other features, Bay Alarm is in the middle of the pack. It’s got an average battery life (72 hours) and device range (1,000 feet). 

But with accurate fall detection, and the ability to add that feature to every device, we love the variety of Bay Alarm Medical devices.

LifeFone: Longest Battery Life

LifeFone

  • Starting monthly cost: $29.95
  • Automatic fall detection: $5/month

Pros

  • Best battery life (10 days)

  • Lowest fall detection cost ($5/month)

  • Long device range (1,300 feet)

Cons

  • Devices look bulky/outdated

  • No options to improve appearance

Why We Love It

This is a simple one: LifeFone obviously wins “Longest Battery Life” for having the best battery on this list. 

A long battery life isn’t just a generic feature: For medical alert systems, battery life can be crucial. Let’s say there’s a long power outage or you’re travelling and suddenly without access to electricity for a day or two. That shouldn’t faze the LifeFone VIPx GPS device. This device, with optional fall detection, can work for up to 10 days without needing a charge. That battery life blows away the competition. The next-longest battery on this list is Medical Guardian with five days. With LifeFone, you can get a GPS-enabled device with fall detection that lasts literally twice as long as the next competitor. That’s a pretty big difference. It also charges faster than any device on this list. The VIPx charges in about two hours, while the Medical Guardian MGMini needs at least three hours.

Of course, a long battery life is nothing without accurate monitoring and fall detection. LifeFone devices detected all hard falls (falls from standing height at higher speed). But, like other companies on this list, it had a little trouble detecting slow falls from a seated position.

LifeFone is a safe option, but like MobileHelp we’d like to see its devices look more modern. They tend to look a bit outdated. And the company offers no options to improve the appearance of your device and make them more discreet, like Medical Guardian and Bay Alarm Medical. 

Still, if you couldn’t care less about aesthetics and want reliable fall detection with industry-leading battery life, LifeFone could be it.

HandsFree Health: Best Advanced Features

HandsFree Health

  • Starting monthly cost: $19.95
  • Automatic fall detection: $10/month

Pros

  • Lots of advanced features

  • Voice recognition (no need to push a button)

Cons

  • High cost

  • Only detects hard falls

Why We Love It

HandsFree Health is one of the most unique medical alerts on the market. Unlike traditional medical alert systems that pair wearable help buttons with an in-home base unit, HandsFree Health pairs help buttons with a smart speaker with two-way communication. The WellBe Smart Speaker can make calls through its speaker, answer your health questions, track your blood pressure—it can even chat with users to help them feel less isolated and lonely. These features are rarely found in a medical alert system, which is why we named HandsFree Health, “Best Advanced Features.” 

No other single device on this list offers as many advanced features as the WellBe speaker. Here are a few of our favorites: 

  • Two-way calling
  • Medication and appointment reminders
  • Family/caregiver notifications
  • Answer health questions
  • Track health metrics (blood pressure, glucose, etc.)
  • Play music and audiobooks
  • Chat with users
  • Report weather and news

We love the range of features, and the fact that the speaker is voice-activated. The speaker uses voice recognition for up to six users to identify who’s speaking. You activate the speaker by simply saying, “Ok, WellBe.” The speaker itself doesn’t have automatic fall detection—you’ll need to bundle the speaker with the fall detection pendant, which costs $39.95 per month, plus $10 per month for fall detection. And that doesn’t include the one-time equipment fee of $189.95 for the speaker and pendant. That makes it one of the most expensive devices on this list. 

Despite the higher cost, the fall detection pendant and speaker both did well in fall detection testing. Like most companies on this list, the devices struggled to identify slow falls (slower falls from a seated position). When we spoke with HandsFree Health customer support, they told us that WellBe fall detection is only designed to identify fast falls to limit the amount of false alarms. But WellBe did identify all fast falls and successfully connected us to the monitoring center.

What is fall detection?

Fall detection (also called automatic fall detection) is a feature in medical alert systems that identify when you fall and automatically contact the monitoring center for help. The idea is fall detection calls for help when you’ve been knocked unconscious from a fall. 

Fall detection devices use a mixture of sensors and algorithms to identify when you’ve fallen. Of course, these devices are fallible and not 100% accurate. Basically every company cautions that no device is 100% accurate, so many fall alert devices include a help button as well in case the device doesn’t record your fall.

How does fall detection work?

Fall detection uses a combination of different sensors to collect data as you move. Sensors record data on acceleration, changes in air pressure, and more, then feed that data into an algorithm, which determines whether a fall happened. If it determines a fall did occur, the device triggers an automatic call to the monitoring center. Some devices may also alert caregiver or emergency contacts that they registered a fall. 

Is fall detection accurate? 

Yes, fall detection is accurate, but it’s not infallible. 

Fall detection is anywhere between 81%–97% accurate, according to research, but rates can vary based on the type of device, how the device is worn (as a necklace, on the wrist, etc.), and more. 

In general, fall detection is most accurate when worn on the chest. And although many companies offer smartwatches with fall detection, research suggests that those devices are less accurate.

If you’re worried about false alarms, don’t be: Medical alert companies expect and encourage you to test fall detection regularly. Simply say, “I’m just testing” when the device calls the monitoring center. 

How much do medical alert systems with fall detection cost?

Medical alert systems with fall detection usually cost about $20–$35 per month, plus a monthly fall detection fee of $5–$10. 

Don’t forget that some companies will charge one-time equipment fees ranging from $150–$200. 

Why is fall detection important?

Fall detection is one of the most important features of a medical alert system after monitoring center response time. That’s because it addresses one of the biggest blindspots in medical alert systems: getting help when you’ve been knocked unconscious or are otherwise incapacitated. 

Standard medical alert systems require action on your part—pressing a button, saying a prompt into a speaker—to get help. Automatic fall detection requires no effort on your part. 

Fall detection can get you help quicker and prevent a “long lie.” Long lies are when someone falls and is unable to get up for an extended period of time, usually more than one hour. Long lies are linked to dehydration, pressure injuries, muscle and tissue damage, psychological harm, limited mobility, becoming dependent, and a drop in quality of life. Although researchers need more data, it’s clear that long lies come with a host of negative consequences, and there may be a link between how long you lie and how quickly you can recover. 

By using a reliable medical alert system with fall detection, you can not only get help quicker but potentially recover from your fall quicker. That means you’ll get back to being active and feeling confident faster.

Frequently Asked Questions

Yes, fall detection works, and is generally accurate. Although automatic fall detection isn’t 100% accurate, research shows it’s about 81%–97% accurate.