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Published: Sep 10, 2025, 1:56pm
Fact Checked
| Staff EditorWhile traditionalmedical alert systems typically feature a base unit (to be placed on a countertop) and accompanyingpendant or wristband that can be activated in the event of an emergency, smartwatches can also function as medical alert devices. These devices often include an emergency alert system, including a feature that rapidly dials 911, and some smartwatches even havefall detection technology.
The Forbes Health editorial team prioritizes the accuracy and integrity of the data collected. Our ranking is based on quantitative data and is free from conflicts of interest. We carefully fact check the information featured in our ranking and are committed to producing rankings and supplemental content about medical alert systems that readers can trust. You can read more about oureditorial guidelines and ourmedical alert systems methodology for the rankings below.
Note: Testing results are based on in-house testing of individual products. User results may vary.
“Medical alert watches are one type of medical alert system designed to provide users with immediate help in emergencies,” says Kara Watthanasuntorn, M.D., a geriatrician and medical director at the Center for Better Aging in Chicago. Among the older adult population, medical alert systems, including watches, may help individualsage in place safely.
To activate a medical alert watch, users can press a help button to contact emergency services, and some models also include features like fall detection and GPS tracking, as well as health monitoring tools like a heart rate sensor or medication reminders, says Dr. Watthanasuntorn.
For the purposes of this testing, we categorized smartwatches as a type of medical alert watch, given that they’re commonly worn and include features that may be useful in emergency situations. While smartwatches aren’t intended to function solely as medical alert systems, there’s a lot of overlap—which is why we included them in our lineup.
Are these popular wearable gadgets helpful when it comes to emergency situations? Here’s what Forbes Health discovered through extensive research and hands-on product testing.
Apple has leveraged the Apple Watch as a personal safety device for years: As far back as 2018, the iPhone maker has advertised the fall-detection features integrated into its companion watch. Forbes Health product testers were impressed that Apple doesn’t charge a monthly fee for its medical alert features, including initiating an emergency call and connecting to emergency contacts.
Our Experience Testing Apple Watch Series 10
The Apple Watch Series 10 functions well as a companion device to the iPhone. It’s sleek, has a long-lasting battery life and is water resistant, making it a great product for active individuals with an interest in Apple’s ecosystem. For those who don’t need to rely on fall detection, an Apple Watch can initiate an emergency call and reach out to emergency contacts. Just know that these actions must be performed manually and require dexterity.
In spite of being an Apple Watch feature for more than five years, we found its potential use case as an automatic medical alert device to be disappointing. In past experience, one tester reported having personally witnessed the Apple Watch falsely detect a fall when their father jumped down from a tall height. However, the fall detection feature failed to activate at all during Forbes Health testing for false positives, standing-position falls or seated falls. In our testing experience, the fall detection feature of the Apple Watch Series 10 isn’t reliable.
The Samsung Galaxy Watch7 is a product with the potential to work well across the wide array of Android devices. It features GPS tracking, water resistance and other safety and health-tracking elements. While one safety feature includes fall detection, the watch didn’t recognize any genuine falls or false positives for falls during our testing.
Our Experience Testing Samsung Galaxy Watch7
Forbes Health testers found similarities between the Samsung Galaxy Watch7 and Apple Watch Series 10. The Galaxy Watch7 offers many tracking features for people leading active lives, and it’s water resistant.
That said, the fall detection feature on the Samsung Galaxy Watch7 should not be trusted with any degree of certainty. In our testing, the device failed to pick up any false positive or intentional fall triggers. The watch can send SOS alerts if the user presses the Home button five times in rapid succession, and it can even reach out to programmed emergency contacts. As long as you have the dexterity to trigger or cancel an alert, this watch may still be a suitable alert device if fall detection isn’t required.
To determine the best medical alert systems of 2025, the Forbes Health editorial team evaluated 15 products from 13 noteworthy brands, with each product’s star rating determined by evaluating a variety of metrics, including its battery life, ability to detect falls automatically and cost. Medical alert systems for home use and mobile-friendly medical alert systems were evaluated slightly differently based on their distinct use cases, and smartwatches had their own evaluation criteria.
Each featured medical alert device also underwent internal testing for usability, ease of setup and fall detection capability.
Genuine fall detection was measured through intentional falls onto an exercise mat. Seated slips from a chair were also performed to simulate falls from a wheelchair or mobility scooter. The results of these tests are factored into the methodology detailed below.
Read more about our medical alert systems review methodology.
The Apple Watch Series 10 starts at $499, and the Samsung Galaxy Watch7 costs $349.99 for the 40 millimeter version and $329.99 for the 44 millimeter option.
Medical alert watches typically aren’t covered by Medicare because they don’t fall into the category of medically necessary durable medical equipment. However, other medical alert systems may be covered.
Medicare coverage depends on which program you’ve signed up for, according to the National Council on Aging (NCOA). Government-provided Original Medicare Parts A and B don’t cover the costs of medical alert systems, but some Medicare Part C or Medicare Advantage plans (provided by private insurance companies) may partly or fully cover the cost of a medical alert system.
To find out if a medical alert system is covered by private health insurance, contact your insurance provider to inquire about your specific coverage details. Of note, you may need to give a medical reason for your device in addition to a note from your health care provider, according to the NCOA.
“Both are medical alert devices, but medical alert bracelets primarily focus on emergency alerts when the help button is pressed,” says Dr. Watthanasuntorn. “They are easy to use with one-button operation and typically have a long battery life,” she adds.
Medical alert watches, on the other hand, often look like a regular smartwatch but include features like a built-in emergency call button, fall detection, GPS tracking and often two-way communication, says Jennifer Prescott, RN, co-founder of Blue Water Homecare and Hospice in Austin, Texas.
A smartwatch is similar to a medical alert watch because it often includes features that can be useful in emergency situations—like an emergency call button and GPS tracking—but it’s typically not designed to function first and foremost as a medical alert system.
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While smartwatches may be useful for overall health monitoring, such as heart rate tracking, they may not be the top choice for an emergency medical alert device. Since neither smartwatch registered any falls during Forbes Health testing, these devices aren’t suitable for individuals relying on a medical alert system for fall detection. However, these smartwatches do conveniently feature health metric monitoring, as well as other emergency response settings. Plus, they typically include GPS, which means the wearer can be located by emergency personnel.
Focus on the person’s specific needs based on their health and lifestyle, says Prescott, noting that you should think about the following:
Additional elements to consider, according to Dr. Watthanasuntorn, include:
| PRODUCT | FORBES HEALTH RATINGS | LEARN MORE |
|---|---|---|
5.0 | On Amazon | |
4.8 | On Amazon |
Information provided on Forbes Health is for educational purposes only. Your health and wellness is unique to you, and the products and services we review may not be right for your circumstances. We do not offer individual medical advice, diagnosis or treatment plans. For personal advice, please consult with a medical professional.
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Emily Phares is a staff writer at Forbes Health with over 10 years of experience covering a wide range of health topics. She holds an M.Ed in health education and specializes in translating complex information into clear, engaging stories for a wide audience. Her work has been featured by Harvard T.H. Chan School of Public Health, Boston Magazine, America's Test Kitchen, and more.
Meaghan is an editor and writer who also has experience practicing holistic medicine as an acupuncturist and herbalist. She's passionate about helping individuals live full, healthy and happy lives at every age. Outside of writing and editing for Forbes Health, Meaghan loves practicing yoga, reading and spending time with her family near the ocean in her home state of Maine.