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    Is a Smartwatch As Good As a Medical Alert System?

    Devices like the Apple Watch include fall detection and emergency calls, but there are trade-offs

    Apple Watch S8 41mm Aluminum with illustrated medical siren on screen Graphic: Consumer Reports, Apple

    Some smartwatches from Apple, Google, Samsung, and other brands can detect if you’ve had a fall and call for assistance. For a number of people, this could be an alternative to the medical alert systems that use pendants or bracelets.

    Details vary from one watch brand to the next, but let’s look at the Apple Watch as an example. If you take a hard tumble, the device will sound an alert. Then onscreen instructions will ask if you need help and if you want to send a message to one of your emergency contacts. If you don’t respond, the Apple Watch contacts 911. The smartwatch needs to be within Bluetooth range (roughly 30 feet) of your phone, which the watch uses to make the call, unless the watch has its own cellular connection. (Built-in cellular can add about $50 to a smartwatch’s price, plus $10 a month to your cell phone plan.)

    With a pendant or bracelet from a medical alert system, you typically need to press a button to call for help, but some can detect a fall on their own. A staff member will answer and assist you—whether you’ve fallen or are incapacitated for another reason.

    More on Wearables

    Prices vary. Bay Alarm Medical, CR’s highest-rated system, costs $39.95 a month ($479.40 a year) for fall detection and mobile coverage when you’re out of the house. In-home-only service (tethered to a landline) costs $24.95 a month.

    While smartwatches need frequent recharging, medical alert pendants and bracelets typically run for a long time on a replaceable battery.

    And Richard V. Milani, MD, chief clinical transformation officer for Ochsner Health in New Orleans, says either technology can work—if you use it anytime you’re alone. “You literally have to wear [the device] all the time,” he says. “You have to wear it to bed. You’ve got to wear it in the shower, in the bathroom—because that’s where the majority of falls occur.”

    Editor’s Note: This article also appeared in the August 2023 issue of Consumer Reports magazine.


    Michael Frank

    Michael Frank is a freelance writer who contributes to Consumer Reports on the intersection of cars and tech. His bias: lightweight cars with great steering over lumbering, loud muscle cars any day. You can  follow him on Twitter (@mfwords) and  Instagram (mfwords).