Smart health is an essential domain within smart cities. Internet-assisted communication with medical practitioners is now widely used. This is important for elderly or disabled patients, who may not be able to travel but have inexpensive and simple Internet access they can take advantage of with video-call consultations. However, smart health based on the Internet of Things (IoT) and smart meters is not without its challenges. This article reviews the benefits and challenges of innovations in healthcare, with emphasis on IoT and smart meters. A top-level smart health with smart meter system design flowchart is given, and the component and module diagram is proposed.