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Written by: Kat Reynolds
Medically Reviewed By: Sarah Falcone, BSN, RN
Last Updated On: Nov 26, 2024

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.

Disclosure: In order to provide this free service to our visitors, Medicalalertbuyersguide.org may receive compensation if a purchase is made through this website.

#1
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9.8/10
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MedicalAlertBuyersGuide Recommended

9.8/10

SOS Home LandlineSOS Home Cellular
Monthly Subscription$25.95 / mo$31.95 / mo
Fall Detection Cost$8/month, plus $30 equipment fee$8/month, plus $30 equipment fee
Key LockboxYes - $30.00Yes - $30.00
Shipping Cost$12.00 standard shipping$12.00 standard shipping
Bay Alarm Medical "SOS Home Landline" Overview

The Bay Alarm Medical SOS Home Landline system is a reliable, user-friendly medical alert system specifically designed for seniors who prefer a simple, home-based setup using their existing landline. This system is praised for its affordability, quick response times, and straightforward operation, making it an ideal choice for those who want a dependable emergency alert system without the need for cellular or GPS features.

Chosen as our 2024 Editor’s Choice for best home landline medical alert system, the SOS Home Landline offers a seamless experience from start to finish. The company’s website provides clear instructions, user manuals, and helpful videos, ensuring that users can easily navigate the setup process. The checkout experience is streamlined: Bay Alarm Medical pre-registers your device, so your details are already on file when you conduct your first test call, eliminating the need for lengthy activation processes.

During the checkout process, Bay Alarm Medical registers your medical alert system. This means that when you conduct your initial test, they already have your details on file, saving you the hassle of waiting on hold to activate the system by providing your personal information. After setup, testing is ready to go immediately.

The unboxing and testing process is fast and simple, taking only about five minutes. We successfully reached the base system from 1,000 feet away, and the help button had a quick response time, connecting to the monitoring center within about 40 seconds.

Setup is hassle-free and can be completed in under five minutes. During our testing, the system maintained a strong connection, with a reliable range of up to 1,000 feet from the base unit. The help button responded quickly, connecting to a monitoring agent in about 40 seconds, ensuring fast assistance in emergencies.

The optional fall detection pendant is an excellent addition for enhanced safety, especially for seniors who live alone. This feature effectively distinguishes between routine movements and actual falls, providing peace of mind without frequent false alarms. While the fall detection requires its own pendant, the primary help button can be worn as a pendant or wristband, giving users flexibility based on their comfort preferences.

The SOS Landline System from Bay Alarm Medical is quite similar to Medical Guardian’s Classic Guardian system. While Medical Guardian offers additional options for a more customized system, these add-ons can quickly increase costs, and their basic service is already pricier than Bay Alarm Medical’s.

The Bay Alarm Medical SOS Home Landline system stands out for its robust performance, ease of use, and affordability. It’s a well-rounded choice for anyone seeking a trustworthy, landline-based medical alert system backed by strong customer support.

Overall, we find Bay Alarm Medical’s combination of affordability and strong customer service to be a great choice for those needing a landline medical alert system.

Read our full, hands-on review of the SOS Home medical alert system.

#2
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9.1/10
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MedicalAlertBuyersGuide Recommended

9.1/10

Home System

Programming Fee

$99.95

Shipping

$24.95

Monthly Monitoring

$27.95 Landline / $37.95 Cellular

Optional Fall Detection

$10.00 / month

Total Cost (First Year)

$580.30
Medical Alert System Overview

MedicalAlert.com’s landline Home System is described as “basic monitoring equipment,” and it delivers on that promise. Fall detection is available as an optional feature for an additional fee. Customers who choose semi-annual or annual payment plans can take advantage of lower monitoring rates and free shipping.

However, the upfront costs for this landline system are higher than average. The $99.95 programming fee stands out as particularly expensive, especially considering that many competitors don’t charge for this service. Additionally, the $24.95 shipping fee exceeds typical charges from other providers.

For more detailed information about the Home System, it’s best to contact Medical Alert directly. While the website is user-friendly, it lacks in-depth product details. Fortunately, the company is easy to reach by phone, with short wait times and knowledgeable representatives ready to assist.

Performance-wise, the system proved reliable and responsive. During testing, emergency response times ranged from 45 seconds to one minute. Fall detection was a standout feature, demonstrating high accuracy and resisting false alarms even under challenging scenarios. Among the landline systems we reviewed, Medical Alert’s fall detection was the most effective, an important factor given research from the Journal of the American Geriatrics Society highlighting the difficulties in detecting real-world falls. If fall detection is a priority, this system is worth considering.

Despite its strong performance, the account management app was difficult to use, and the return process proved frustrating. Customers must notify the billing department when returning equipment, and refunds can take over a month to process after the system is returned. Overall, customer support fell short compared to other companies we evaluated.

For those seeking a straightforward and dependable landline medical alert system with minimal features, Medical Alert could be a suitable option. However, be sure to carefully review the return policy and deadlines to avoid unexpected fees or delays in receiving refunds if you decide not to continue with the service.

For detailed contact information to reach customer service, and learn our testing experience with the response process, see our full review. Note that MedicalAlert is connected directly to a monitored call center, and our full review describes this in detail also.

Read our full review of  the MedicalAlert.com Home System.

#3
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8.7/10
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MedicalAlertBuyersGuide Recommended

8.7/10

24/7 monitoring subscriptionAdd automatic fall detection
Medical Alert Basic Landlinefrom $31.99/mon/a
Medical Alert Plus Cellularfrom $37.99/mo+ $11/mo
On-The-Go Home + Mobilefrom $39.99/mo+ $11/mo

Exclusive Offer

Get $5 off monthly monitoring + free 2-day shipping + free lockbox. Available on all medical alert systems with annual billing.

Savings of $120 in the first year:
– $60 in monitoring per year
– $59.98 one-time savings with free shipping and lockbox

ADT Health Overview

ADT’s Medical Alert systems provide 24/7 monitoring and emergency assistance for seniors or individuals with medical conditions who might need help during a fall or other health emergencies. Users wear a device, such as a pendant or wristband, with a button that directly connects them to ADT’s monitoring center when pressed.

Among the top five systems we evaluated, ADT’s equipment was the least impressive. The in-home unit had a noticeable yellowish tint, and the mobile device felt cheaply made with its plasticky appearance. Despite this, ADT remains a trusted name when it comes to monitoring services. The monitoring center assesses the situation and dispatches emergency aid if necessary. The systems also come with additional features such as fall detection and GPS tracking for added security.

ADT offers a variety of subscription plans tailored to different needs and budgets, allowing users to choose a package that fits their preferences.

 

#4
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9.0/10
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MedicalAlertBuyersGuide Recommended

9.0/10

Lifeline HomeSafe

Activation Fee

$99.95

Shipping

$29.95

Monthly Monitoring

$29.95 Landline / $39.95 Cellular

Optional Fall Detection

$15.00 / Month

Total Cost (First Year)

$669.30
LifeLine HomeSafe Overview

Lifeline introduced the first home medical alert system nearly 50 years ago and is now part of Philips, operating under the ConnectAmerica umbrella of senior-focused services. Renowned for its exceptional customer service, Lifeline offers the HomeSafe system, which is simple to set up and activate. For those who prefer a hands-off approach, professional installation is available for $99. The HomeSafe AutoAlert system is good for users in areas without reliable cellular coverage, providing extra security but at a higher cost and with fewer features compared to some more affordable competitors.

Lifeline provides significant discounts for AARP members, with perks such as free activation and shipping. To access these discounts, have your AARP membership number ready when placing your order.

Performance-wise, Lifeline delivers quick response times, with all 10 help button tests connecting within 20 seconds. Each incident is logged in the Caregiver Portal, offering valuable tracking for caregivers. However, fall detection tests revealed occasional delays, with some responses taking over two minutes. This raised concerns, especially as operators were unable to clarify the reasons for these delays, underscoring the importance of timely intervention in emergencies.

Subscribers benefit from the Lifeline Cares app, which connects to the Caregiver Portal. The app is compatible with both Apple and Android devices, and the portal is also accessible via desktop, ensuring flexibility for users and caregivers alike.

Lifeline’s cancellation and return process is straightforward. Retain the original shipping box and the “Equipment Return” envelope, which includes a prepaid FedEx label, to simplify the return process if needed.

With standout customer support, well-designed instructional materials, a user-friendly Cares app, and a smooth returns experience, Lifeline remains a reliable choice for those seeking a premium medical alert system.

Read our full review of Lifeline HomeSafe.

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2024 Editor's Choice

We selected Bay Alarm Medical’s SOS Home Landline as the best value for its combination of affordability, outstanding customer service, and fast response times. For those who aren’t concerned about price, Medical Guardian’s Classic Guardian could be the top choice. This system offers an enhanced caregiver portal and can be perfect for users not concerned with cost but seeking a reliable landline system with extended range.

Our team is here to help you make an informed decision when choosing the right medical alert system for you or your loved one. Depending on specific needs and preferences, a home landline system might—or might not—be the best fit.

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