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Most medical alert systems feature a button to press in an emergency and two-way communication with a 24/7 monitoring center, as well as offering wearable devices that detect falls. But not all medical alert systems are created equal - some come equipped with professional call centers while others don't offer this level of monitoring service. No Monthly Fees Many medical alert systems that don't charge monthly monitoring fees have higher upfront costs than those with subscription plans, so be sure to understand all charges upfront and ongoing before purchasing o