Alert1 Medical Alert Review

Best for Easy Installation

Alert1 was founded in 1988 and has over three decades of experience serving those in need of senior care technology. It is currently based in Williamsport, Pennsylvania, and serves customers in all 50 states. The company holds an A+ rating with the Better Business Bureau and is the 2018 recipient of the Excellence in Modern Senior Yearly Awards for the best medical alert company.

Alert1 offers five different medical alert systems and makes it easy for seniors to start using them as soon as possible with its simple installation process. All devices are preprogrammed, so users need only to unbox the system and plug it in, and the device will work automatically. For those who would like assistance with installation, Alert1 does offer the option to have a professional install the device.

Who Alert1 Is Best For

Seniors Who Live in Large Homes

The voice extender device increases the range of Alert1’s in-home monitoring systems. The voice extender is ideal for seniors who live in large spaces that may be too big for their voice to carry to the base station from all areas of the home. Like the medical alert system’s base station, the voice extender has a built-in two-way speaker and can be used as a speakerphone. The device can give users peace of mind that they will be able to communicate with emergency operators from anywhere in the home. Users can purchase the device for a one-time fee of $99; there is no recurring monthly fee for use.

Bilingual or Multilingual Seniors

Alert1 operates its own U.S.-based monitoring centers, which are staffed with operators who undergo rigorous training. The company also works with an interpreter service which allows the operating centers to provide caller support in over 190 languages. Alert1 users can rest assured that even if they speak a language other than English, they will be able to get the assistance they need in a timely manner and in their preferred language.

Couples or Seniors Who Live in the Same Home

For two people who live in the same household, Alert1 can offer some significant savings. All of its devices have special “two user” pricing, which provides two Alert1 systems and monitoring plans for about 1.5 times the price of one, saving users about half the cost on the second system. For example, the On-the-Go Fall Detection device costs $55.95 a month for one user, and $75.95 a month total for two users. So, the pair essentially gets the second system for just $20, saving over $350 per year compared to paying for two separate devices.

Plans and Starting Costs

Users may pay for their Alert1 devices on a monthly, quarterly, or annual basis. A 30-month payment option is also available and includes 6 months of free service, so users who choose this option are covered for 36 months. The longer payment periods offer savings of several dollars per month, in some cases making a significant financial impact over the course of the year. Alert1 users do not need to sign a long-term contract and may cancel their service at any time without paying a penalty. The company also offers a 30-day trial period during which users can return their device for a full refund.

Starting Costs

Alert1 does not charge any device, activation, or installation fees. Additionally, free standard shipping is included with all plans, including the month-to-month option. Those who want express or overnight shipping will need to pay extra.

Device Prices and Features


Device Features

This basic in-home system uses a landline to connect users to the emergency monitoring center. There is no cellular option; a working landline is required for the Home. The base station features a 24-hour backup battery and range of 600 feet. The included wearable help button is showerproof and waterproof. Fall detection is not available with this system.


Home costs $28.95 with a monthly payment plan. Quarterly, annual, and 36-month payment plans are also available, and they all save users several dollars per month.

Home Fall Detection

Device Features

Home Fall Detection is another in-home system. It may be used with either a landline or a cellular connection with T-Mobile’s cellular network. Its base station has a range of 400 feet and a 24-hour backup battery. The system includes two wearable help buttons: a standard personal help button wristband, and a fall detection pendant. The pendant automatically sends a call to the emergency monitoring center when it senses a fall.


This system costs $39.95 a month with a monthly plan, $36.95 a month with a quarterly plan, or $30.95 a month with an annual plan. Users may also pay for 36 months upfront at a cost of just $27.95 per month. The cost includes a cellular connection with T-Mobile (though users may choose to use a landline connection if they prefer) and a pendant equipped with automatic fall detection.


Device Features

On-the-Go is an all-in-one portable device with a built-in two-way speaker and personal help button. The device may be used with either AT&T’s or T-Mobile’s cellular networks; users can choose whichever network is stronger in their area. The lightweight device is showerproof, waterproof, compatible with pacemakers, and can last up to 30 days between charges. It is designed to be worn as a pendant, but may also be placed in a belt clip. Fall detection is not available with On-the-Go.


The On-the-Go mobile device costs $45.95 when paid for on a monthly basis. The quarterly plan is slightly less expensive, at $42.95 a month. The annual plan offers even more savings at $36.95 a month, and the least expensive is the 36-month plan at $33.95 a month. All plans include the cost of cellular service with Verizon.

On-the-Go Fall Detection

Device Features

This is another all-in-one mobile device. Unlike the standard On-the-Go system, this device includes automatic fall detection. It is showerproof and waterproof and may be worn around the neck or in a belt clip. On-the-GO Fall Detection has a battery life of up to 5 days. It may only be used with AT&T’s cellular network.


On-the-Go Fall Detection costs $55.95 with a month-to-month payment plan. The quarterly and annual plans save users several dollars per month; they cost $52.95 a month and $46.95 a month, respectively. The 36-month plan is the least expensive at $43.95 a month. All plans include the cost of automatic fall detection.

On-the-Go + Home Fall Detection

Device Features

On-the-Go + Home Fall Detection is designed to provide the most comprehensive emergency protection both in and out of the home. The system includes an all-in-one mobile device that users may wear around the neck or on a belt. The mobile device is equipped with fall detection and cellular service with AT&T’s network. When users are in the home, they place the mobile device in its charging cradle, where it functions as a base station, and put on the in-home fall detection pendant. Both devices are waterproof and showerproof.


This is Alert1’s most comprehensive and most expensive system at $61.95 a month with a monthly payment plan. When paid for quarterly, the system costs $58.95 a month, and paying annually brings the cost down even further to $52.95 a month. The 36-month plan comes out to $49.95 a month.

HomeHome Fall DetectionOn-the-GoOn-the-Go Fall DetectionOn-the-Go + Home Fall Detection
Monthly Cost$28.95$39.95$45.95$55.95$61.95
One-time feesN/AN/AN/AN/AN/A
Type of DeviceIn-home systemIn-home systemMobile systemMobile systemMobile system
ConnectionLandlineLandline or cellularCellularCellularCellular
Battery Life24-hour backup24-hour backup30 days5 days24 hours
Water ResistantYesYesYesYesYes
Shower-pro ofYesYesYesYesYes
Range600 feet400 feetN/AN/AN/A
Fall DetectionNot availableIncluded in monthly costNot availableIncluded in monthly costIncluded in monthly cost

Optional Devices

Medication Reminder and Organizer

Alert1 offers an automatic medication dispenser and organizer. Users can program up to 4 reminders and dispenses per day. At the pre-set times, an alarm will sound to remind users to take their medication, and the device will dispense the dose of medication. The device can hold up to 28 doses at a time. Users may purchase this device for a one-time fee of $149.95.

Voice Extender

This device increases the range of Alert1’s in-home systems. It is designed for those who live in a large home and worry that their voice may not carry from certain areas to the in-home base station. Users can place the voice extender in an area of the home that otherwise would be too far away from the base station. The device also serves as an alternative speaker to communicate with the monitoring center. The voice extender costs $99 and is only compatible with the Home and Home Fall Detection systems.

Fall Protection Package

The Fall Protection Package provides extra assurance against injury from falls. The package includes two wall-mounted buttons that users may use to contact the monitoring center, and motion sensing nightlights, adhesive tub strips, and corner guards to prevent the risk of falling. Users may purchase the package for $200.

Monitored Smoke Detector

Alert1 customers have the option to add a monitored smoke detector to their medical alert package for an additional $10 per month. Like Alert1’s medical alert systems, these smoke detectors are connected with the company’s emergency monitoring centers. The operators will be alerted when the fire alarm goes off and send help, keeping users safe even when they can’t get to the phone. For seniors who live independently, a monitored smoke detector is a great way to round-out one’s home safety features.


Alert1 operates its own emergency monitoring centers, referred to as Command Centers. The centers are both located in the United States, are UL-listed, and TMA 5 Diamond Certified. The operators work with an interpreter service to provide assistance in over 190 languages, so seniors who do not speak English or are more comfortable speaking another language can rest assured that they still have the protection that they need.