Best In-Home Medical Alert Landline Systems of 2025

Between 2012 and 2022, the percentage of American adults using landline phones fell from more than 60% to just 28.7%, significantly reducing the market for landline-based medical alert systems. However, these systems are still essential in regions with poor or nonexistent cell service. Landline medical alert systems provide a crucial safety net in rural, mountainous, or sparsely populated areas during emergencies. The American College of Emergency Physicians recommends personal emergency response systems for older adults, particularly those living alone. It’s encouraging to see that many top providers still offer landline-compatible systems, delivering reliable service at affordable rates.

Our team evaluated landline-based medical alert systems from four companies: Bay Alarm Medical, Medical Guardian, Medical Alert, and Lifeline. We assessed each system based on user-friendliness, cost, reliability, customer support, and other factors to identify the best in-home landline medical alert option.

How We Tested: Hands-On Testing + In-Depth Reviews

Our team dedicated 12,000 hours to researching 16 top medical alert brands to identify the best systems. After that, we spent more than 520 hours testing them firsthand. We secret-shopped each provider, purchased each system, and carefully assessed every stage of the experience: from buying and setup to real-world scenarios, countless button pushes, and testing auto fall detection,

We paid close attention to both the technical performance of the systems and the level of customer service provided by the companies. During consultations, we noted which brands offered honest assessments versus those focused on maximizing our monthly subscription costs. We also flagged companies with aggressive sales tactics, startup costs, restocking fees, and hard-to-manage return policies. While simulating falls, we evaluated how emergency operators responded and followed up with us.

Find the Best System for Your Needs

In-Home vs mobile? Landline vs cellular? Wearable buttons vs wall buttons? Automatic fall detection and GPS tracking? These are just some of the options you have when choosing the right medical alert system. This page is dedicated to choosing the best overall brand but this website also has guides if you wish to dig a little deeper. Check them out:

• Best Medical Alert Systems with Landlines
• Best Mobile Medical Alert Systems
• Best Medical Alert Smartwatches
• Best No Fee Medical Alert Systems
• Best All-In-One Medical Alert Systems (coming soon)

Budgeting for Your Medical Alert System

Ideally, we’d all choose a medical alert system that offers all the bells and whistles regardless of how much it costs. However, we live in a world where approximately 40% of older Americans rely solely on their Social Security to get by.

We understand there isn’t much wiggle room when families are on fixed incomes so the more realistic approach is to set a budget and decide what features are most important. We’ve done a cost analysis to help you with these decisions.

Monitoring Costs

By far the most important factor when it comes to signing up for a medical alert system is the professionally monitored 24/7 live agent and call center that’s on the other end of the line. This is the backbone of the service and the bulk of what you’re paying for.

Monitoring subscription fees range from $25 per month for in-home systems to $40-$50 per month for a mobile medical alert device. The reason why mobile subscription fees cost more is similar to why your smartphone is more expensive than a landline; companies have to charge extra for cellular and gps tracking capabilities.

Most families often want to add Automatic Fall Detection features to their service which is usually adds $10 per month to the service. Our top brands will be able to work within your budget to find a pricing solution that best fits your needs.

Equipment Costs

Most In-Home Medical Alert Systems don’t require an upfront a device fee. These “boxes” often referred to as “base consoles” or “main units” spend their lives atop a counter, night stand, or living room coffee table. These units are provided free of charge upon sign up and are required to be sent back to the provider upon service cancellation.

However the buttons that are worn with these systems will sometimes need to be replaced once every few years depending on usage. These wearable buttons have pretty long battery lives though and at around $20-$30 each, are fairly inexpensive to replace.

Alternatively, mobile devices will either require a hardware fee or an activation cost. These devices are purchased outright and don’t need to be returned when service is cancelled. Price ranges from $80-$200.

Again, think of it has purchasing a mobile phone. We’ll typically recommend buying an extended warranty plan from the provider since these devices are used throughout the day and go through a bit more wear and tear versus an in-home system.

Activation Costs

Some providers will charge an “activation fee” to make up for lost product revenue during sign up. In our reserach, we found that providers will either charge an equipment fee or an activation fee for new customers during sign up. We recommend choosing the equipment for the simple fact that you’re simply buying the device as opposed to paying a fee that doesn’t yield any material advantage.

Long Term Contracts

Avoid working with providers that require any type of long-term contract. Most medical alert providers give discounts and benefits when you pre-pay for a year but even then, you want to make sure that if you need to cancel early (due to death or the need to transfer to assisted living), you’re not on the hook for unused months.

Our top provider, Bay Alarm Medical, for example, prorates any unused months regardless of which payment plan the customer chooses.

So How Much Will I Be Spending?

From the surveys we’ve done, on average, customers that opt for an in-home system spend between $30-$40 per month. Customers that prefer a mobile cellular solution spend between $40-$50 per month plus and extra $80-$150 for whatever device they like.

Here's How a Medical Alert System Works

A medical alert system is designed to provide quick and easy assistance to individuals who may need urgent medical attention. It works through a combination of wearable devices and a centralized monitoring system. Here’s a simple breakdown of how it operates:

1. Press the Button on Your Device

A medical alert system includes a wearable device, such as a pendant or bracelet, with an emergency button. This button is easily accessible and can be pressed by the user in case of an emergency. It serves as a quick and convenient way to send a distress signal for help.

2. Professionally Trained 24/7 Agent Recieves Call

When the emergency button is pressed, a distress signal is transmitted to a monitoring center staffed by trained professionals who are available around the clock. They receive the signal and promptly assess the situation. The monitoring center serves as a centralized hub for emergency response, ensuring that help is just a call away at any time of the day or night.

3. Remain Calm and Wait for Help to Arrive

Once notified, appropriate medical professionals will arrive to assess the situation and take care of your needs. If they determine that you need to go to the hospital, they will transport you there fast. Rapid response, under an hour, is important because you’ll experience faster treatment and recovery time.  Also, quickly addressing medical issues can reduce medical bills.

Life-Saving Medical Alert Add-Ons. Widen Your Safety Net!

When you select a medical alert provider, you’ll also need to decide on any additional accessories. This can mean requesting additional buttons for safety. Lock boxes and Vials of Life provide additional protection and are recommended by most providers.

Automatic Fall Detection Buttons

Automatic fall detection has become an indispensable feature of medical alert systems, offering critical benefits that ensure safety and enhance quality of life. Here’s why this technology matters more than ever.

1. Quick Emergency Assistance

Automatic fall detection is designed to recognize when a fall occurs and immediately notify caregivers or emergency services. This swift action ensures help arrives as quickly as possible, minimizing delays in medical intervention. Prompt assistance can be life-saving, reducing the risk of serious complications and promoting faster recovery.

2. Greater Security and Peace of Mind

For older adults or individuals with mobility limitations, automatic fall detection provides an added layer of safety. Knowing that help will be summoned automatically—even if they cannot manually activate an alert—brings significant reassurance. This feature allows users to maintain their independence while offering comfort and confidence to their families and caregivers.

3. Better Health Outcomes

The ability to detect falls and respond quickly contributes to improved healthcare outcomes. Early intervention not only reduces the likelihood of extended hospital stays but also supports faster healing. Furthermore, the data collected by fall detection systems can help identify patterns or recurring risks, allowing caregivers and healthcare providers to implement preventative measures effectively.

In summary, automatic fall detection is a vital component of today’s medical alert systems. By ensuring rapid response, promoting a sense of security, and contributing to improved health outcomes, this feature plays a key role in protecting individuals and supporting their well-being.

Mobile GPS Device Tracking

When choosing a mobile medical alert system, most options come equipped with location tracking technology. Whether powered by GPS, Wi-Fi Positioning Systems (WiPS), or both, this feature enables caregivers, family members, and monitoring centers to quickly locate the user during emergencies—provided the device is being carried.

Enhancing Safety for Vulnerable Individuals

Location tracking is particularly valuable for those with conditions like Alzheimer’s or dementia, where the risk of wandering and disorientation is a concern. By offering real-time location information, these devices help prevent dangerous situations and ensure that loved ones can be found quickly if they stray from familiar surroundings.

Providing Critical Location Data

While location tracking does depend on the user carrying the device, it can still deliver crucial information about their last known position. This data is invaluable in locating someone who may be lost or in distress, especially in emergencies where every moment counts.

In short, mobile GPS device tracking adds a powerful layer of safety to medical alert systems. By combining real-time location monitoring with geo-fencing and emergency support, this technology helps protect individuals, offering peace of mind to both users and their loved ones.

Wall Buttons are Useful

Wall buttons are a practical and popular addition to medical alert systems, especially for individuals who prefer not to wear a personal device or may occasionally forget to put one on. Many users choose to install multiple buttons—often 10 or more—for comprehensive home coverage.

Strategic Placement for Maximum Protection

These buttons are designed to be easily placed in key areas throughout the home, such as bathrooms, staircases, kitchens, and bedrooms. To ensure accessibility, it’s important to position them low enough to be reachable in case of a fall, enhancing safety and usability.

Affordable, Reliable, and Flexible

Wall buttons are not only budget-friendly but also easy to install, requiring no special tools or expertise. Simply stick them where they’re needed. Since they run on batteries rather than needing an outlet, they offer flexibility in placement. Most models feature batteries that last five years or longer, providing long-term reliability.

Boosting Home Safety

By installing several buttons around the home, you can significantly increase overall security and peace of mind. With their affordability, ease of use, and dependable performance, wall buttons are an excellent choice for anyone looking to enhance their medical alert system.

Look into the products at GetSafe Medical Alert Systems, particularly if you do not want to wear a medical alert button.

Importance of Lock Boxes

When an alert button is pressed, the top priority is getting help to the individual as quickly as possible. While family members or neighbors are often the first point of contact, critical emergencies may require professional responders, such as EMTs or firefighters, to intervene.

Ensuring Fast and Hassle-Free Access

In emergencies, every second counts. A lock box with a spare key allows emergency personnel to enter your home quickly and without causing damage. Without one, responders might need to force entry through a door or window, wasting valuable time and potentially resulting in costly repairs.

Convenience and Coordination with Monitoring Services

Many medical alert providers offer lock boxes as part of their service. The monitoring center keeps the combination code on file and can provide emergency personnel with the lockbox’s location and code when they arrive, ensuring smooth and rapid access.

Protect Your Home While Staying Safe

A lock box is a simple yet effective tool to enhance your medical alert system. It safeguards your property while enabling emergency responders to focus on what matters most—delivering the care you need without delay.

Vial of Life Helps You When You Can’t Speak

The Vial of Life accessory offers essential information to EMTs when you are unable to communicate. This packet, crucial in emergencies, contains all your medical details, aiding faster and more effective treatment if you’re taken to the hospital or emergency room.

Typically, it is attached to the refrigerator door. To set it up, you include information about your medications, allergies, and other health details. EMTs are trained to look for it, and the provider will also remind them to access it. You can also place these packets in other locations like your car, bedside table, or near a phone.

Most medical alert providers offer this service free of charge.

In-Home Systems vs. Mobile GPS-Enabled Devices

Depending on your mobility and lifestyle, you’ll want to know about the two types of medical alert systems available. It’s important to understand what they are before buying them. Here are a few pros and cons for each system.

In-Home Medical Alert Systems

Pros of In-Home Medical Alert Systems:

1. Dependable Home Coverage: In-home medical alert systems are specifically designed for residential use. With a base unit connected to a landline or cellular network and a wearable emergency button device, these systems provide reliable coverage within your home, ensuring peace of mind and quick access to assistance when needed.
2. Extended Battery Life: These systems often feature base units that remain plugged into a power source, offering continuous operation without frequent battery recharges. This guarantees that the system is always operational, eliminating concerns about battery depletion.
3. Simple Setup and Operation: In-home medical alert systems are easy to install and use. They usually come with clear, user-friendly instructions and can be set up quickly without professional help. Once installed, using the system is straightforward—just wear the device and press the emergency button if needed.

Cons of In-Home Medical Alert Systems:

4. Restricted Range: The coverage of in-home medical alert systems is typically limited to your home and its immediate vicinity. If you go beyond this range, such as for a walk or to run errands, the system’s effectiveness may be reduced.
5. No GPS Tracking: Unlike mobile medical alert systems, in-home systems usually lack GPS tracking. This means if you need emergency help and can’t communicate your location, the system might not provide accurate information to responders.
6. Reliance on Home Infrastructure: These systems depend on a stable landline or cellular connection. Issues like power outages or network disruptions can temporarily disable the system, compromising its reliability.

In-home medical alert systems offer dependable coverage within your home, long battery life, and ease of installation and use. However, they are limited in range, lack GPS tracking, and depend on your home’s infrastructure for connectivity.

Mobile Medical Alert Systems Including Smartwatches

Pros of Mobile Medical Alert Systems:

1. Portability and Flexibility: Mobile medical alert systems, such as portable battery-powered devices and smartwatches, offer protection wherever you go. These systems use cellular technology, allowing you to stay connected and request help even when you’re away from home. Whether traveling, visiting friends, or running errands, mobile systems provide on-the-go peace of mind.
2. GPS Location Tracking: Many mobile medical alert systems include GPS technology, enabling emergency responders or monitoring centers to accurately locate you in an emergency. This is particularly helpful if you have a medical condition that could cause confusion or disorientation.
3. Wide Coverage Range: Mobile systems operate on cellular networks, offering coverage across a wide range of areas. As long as cellular service is available, you can access the emergency response features of your mobile medical alert system, no matter where you are.

Cons of Mobile Medical Alert Systems:

4. Battery Life: Mobile medical alert systems depend on battery power. Depending on the device and usage, frequent recharging may be necessary. Ensuring the device is adequately charged is essential for maintaining its functionality when needed.
5. Dependence on Cellular Reception: While mobile systems provide broad coverage, they rely on cellular reception. If you’re in an area with weak or no cellular signal, the system’s effectiveness may be compromised. It’s crucial to verify the coverage quality in your area before selecting a mobile medical alert system.
6. Risk of Device Loss or Damage: The portability of mobile medical alert devices means there is a risk of loss or damage. Misplacing or damaging the device could hinder your ability to access emergency assistance when necessary. Taking precautions to keep the device secure and protected is important.

Mobile medical alert systems offer portability, GPS tracking, and wide coverage, enabling you to stay connected and request help even when away from home. However, they have potential drawbacks, including reliance on battery life and cellular reception, as well as the risk of device loss or damage. Additionally, they are generally more expensive and require an upfront device purchase.

Choosing Your Medical Alert

So there you have it – Five of the best medical alert providers that encompass the nation’s most popular choices for to make sure your loved ones get the quickest and most reliable assistance if and when help is needed.

This buyer’s guide was designed to help you narrow your options and select the most suitable system based on your income and unique living situation. Through mystery shopping, we acquired the top medical alert systems, set them up, and conducted thorough hands-on testing of both the equipment and its monitoring services.

Our assessment encompasses the complete customer experience, from the purchasing process with a sales representative to the evaluation of the company’s service quality after the purchase. Since most medical alert systems offer similar features, the quality of service—such as engaging with a helpful and friendly representative—often sets one company apart from another.

Many popular brands didn’t quite make our Top 5 list. For more information, scroll down to our Frequently Asked Questions portion below.