Written by Nicole Gleichmann, Healthy Aging Expert Writer.
Medically reviewed by Jenny Sanford,  MSN, APRN, AGNP-C and Caregiving Coach

The best medical alert systems with fall detection can greatly improve the quality of life for seniors and their family members. With automatic fall detection and emergency medical help at the press of a button, seniors can live independently for longer, remain active with less risk, and gain around-the-clock protection.

We’ve thoroughly  researched and tested medical alert systems with a fall detection feature to help find the best products for you and your family. See which brands made our list of the best medical alert systems with fall detection.

Best Medical Alert Systems With Fall Detection in 2022

Why You Can Trust Our Expert Review

Our experts independently research and recommend products we believe provide value in the lives of our readers. We’ve collectively spent more than 1,700 hours conducting in-depth research on medical alert systems. To decide on our top picks, here’s what we did:

  • Engaged in ongoing independent research
  • Consulted with geriatricians and adult caregivers
  • Mystery shopped the brands
  • Surveyed medical alert system users
  • Tested various medical alert systems
  • Interviewed experts in the field
  • Read hundreds of verified customer reviews from trusted third parties such as Better Business Bureau and Consumer Reports

Best Medical Alert Systems with Fall Detection in Detail

Best Overall

Medical Guardian
Medical Guardian
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The Best Overall Medical Alert System

Medical Guardian

Medical Guardian

Medical Guardian
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  • Monthly base cost: $29.95–$49.95 + $10/month fall detection
  • Device range: Home unit up to 500 feet (landline) or 1,300 feet (cellular)
  • Connection type: Landline or Cellular
  • Some products include an all-in-one pendant, so you don’t need to carry multiple devices
  • In-home and on-the-go plans have optional fall detection
  • Wireless device battery lasts for three or five days depending on the model
  • Extended help button range for in-home units
  • You can add your partner for $2.99 per month to the in-home plans
  • In-home device has a 32-hour backup battery in case of power outage
  • Free caregiver portal
  • Some plans have a $124.95 equipment charge
  • You must pay three months upfront, even if you select the monthly payment plan
  • No money-back guarantee
  • Equipment protection plan is $6.99 per month

Most Trusted and Highly Reviewed

Bay Alarm Medical
Bay Alarm Medical
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  • Monthly base cost: $21.95–$49.95 + $10/month fall detection
  • Device range: Home unit up to 1,000 feet
  • Connection type: Landline or cellular
  • Stylish necklace charms, smartwatch, and mobile system option
  • No additional monthly fee for adding a spouse to the in-home plan
  • Discounted rate for an additional GPS Help Button 
  • Price reduction for in-home plus on-the-go system bundle
  • Excellent third-party customer reviews
  • Free caregiver app
  • 30-day risk-free trial
  • Must bundle SOS Smartwatch and in-home coverage for fall detection with the smartwatch
  • Smartwatch battery only lasts one day
  • No medication reminders
  • Some plans require initial equipment fees

Best Device Range

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  • Monthly base cost: $24.95–$64.95 + $10/month fall detection
  • Device range: Home unit up to 600 feet (landline) or 1,400 feet (cellular)
  • Connection type: Landline or cellular
  • The Classic plan offers the longest at-home range with optional fall detection: 1,400 feet
  • The light, compact Micro on-the-go device barely weighs 1.8 ounces
  • All mobile systems have two-way speakers and optional fall detection
  • Add a partner to your in-home plan for $2 per month
  • Mobile Duo offers two mobile systems for the price of one
  • Optional medication reminders and activity tracking for $5 per month each
  • Risk-free 30-day trial
  • In-home, on-the-go, or combination packages
  • Must carry both mobile device and fall detection pendant or bracelet for fall detection outside of the home
  • In-home mobile unit isn’t waterproof, so you must wear the waterproof pendant or bracelet when showering or in the rain
  • Fall detection add-on isn’t available for landline service
  • MobileHelp Connect portal costs $60/year
  • $49.95 processing fee for the MobileHelp Classic system, but no fee on the other plans

Most Affordable

Medical Alert
Medical Alert
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  • Monthly base cost: $22.95–$42.95 + $10/month fall detection
  • Device range: Home unit up to 800 feet
  • Connection type: Landline or cellular
  • Fall detection technology uses acceleration sensors, barometric sensors, and an advanced algorithim for more accurate fall detection
  • Mobile system has a five-day battery life
  • Add your partner to the Home System at $5 for the pendant or bracelet with no additional monthly fee
  • 30-day risk-free trial
  • Free caregiver app
  • Affordable equipment protection plan for $5 per month
  • Must have main mobile device and pendant for on-the-go fall detection
  • No add-ons like medication reminders or activity tracking
  • Lockbox is $2.99/month unless you pay annually
  • 1.1 out of 5 stars on Better Business Bureau (BBB) for parent company Connect America

Best for Caregivers

Aloe Care Health
Aloe Care Health
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  • Monthly base cost: $24.99-$49.99
  • Device range: 200 feet
  • Connection type: AT&T Cellular
  • Non-wearable and wearable fall detection technology avaiable
  • Voice-activated, drawstring, and push help button options 
  • Caregivers can use the mobile app to receive messages from the monitoring center
  • Air quality and temperature monitoring
  • 30-day money-back guarantee
  • Shortest help button range on the market at 200 feet
  • No free trial
  • High equipment fees

Best for In-Home Protection

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  • Monthly base cost: $21.95–$39.95 + $10/month fall detection
  • Device range: Home Unit up to 800 feet
  • Connection type: Landline or cellular
  • Excellent 4.3/5 star rating and glowing customer reviews on Trustpilot
  • Voice-activated wall buttons
  • Optimized for in-home use
  • U.S.-based monitoring centers
  • Affordable in-home landline and cellular options
  • GPS button has fall detection capabilities, so it’s an all-in-one device
  • No wearable buttons required for in-home use without fall detection
  • Expensive for on-the-go plans with GPS buttons
  • Costs more than most plans to add fall coverage for a spouse
  • Every plan has an initial equipment fee
  • There are few add-ons or perks
  • No discounts for spousal coverage on out-of-home plans
  • $5/month for caregiver app
  • All plans are not displayed online, so you must call for complete information

Comparisons of the Best Medical Alert Systems with Fall Detection

Bay Alarm Medical Medical Guardian Aloe Care Health MobileHelp Medical Alert GetSafe
Pros Great customer reviews, Smartwatch option, on-the-go device, no monthly fee to add a spouse to in-home On-the-go devices, large at-home device coverage range Wall mounted fall detection, air quality and temperature checks, TMA Five Diamond-certified monitoring center, 30-day money-back guarantee Medication reminders, health and activity tracking, risk-free 30-day trial 30-day risk-free trial, 5-day battery life, simple options ed at-home wall button, optimized for in-home use
Cons Limited add-ons and perks, must pay for lockbox, no discounts for paying annually No money-back guarantee, some plans include an equipment charge, poor customer reviews Short help button range (and no fall detection), short Hub battery life, high equipment fees No single-piece on-the-go device, caregiver app costs $60/year, short Mobile Device battery life Only 800-foot device range, limited add-ons and perks All plans have an initial equipment fee, few add-ons and perks, expensive for on-the-go coverage
Monthly Cost (Base) $21.95–$49.95 $29.95–$44.95 $24.99-$49.99 $24.95–$64.95 $22.95–$42.95 $21.95–$39.95
Fall Detection Cost $10/month $10/month N/A $10/month $10/month $10/month
Equipment Fee $0–$179 $0–$124.95 $99–$349 $0 $0 $79–$229
Activation Fee $0 $0 $0 $0 or $49.95 $0 $0
Device Range (Home Units) 1,000 feet 500 to 1,300 feet 200 feet 600 feet (landline) or 1,400 feet (cellular) 800 feet 800 feet
Connection Type Landline or cellular Landline or cellular AT&T cellular Landline or cellular Landline or cellular Landline or cellular
Battery Life 3 days 3 or 5 days 5 days 2 days 5 days 3 days
Water-resistant? Yes Yes Yes Yes (buttons only) Yes Yes
Warranty $3–$5/month $6.99/month N/A $5/month $5/month $5/month
Contract No No No No No No
Special Features Stylish necklace charms, Smartwatch option Free caregiver portal, Smart Voice Assist, OnGuard Alerts Air quality gauge, motion sensors, temperature check, caregiver communication with monitoring center and each other Medication reminders, activity tracking, tablet service No monthly fee to add spouse Voice-activated wall buttons, all-in-one GPS device with fall detection

Nicole is a freelance writer with a passion for health, wellness, and fitness. Before entering the writing field, Nicole received her undergraduate degree in Organismal Biology from Scripps College and spent time as a nutrition coach.

”“I love helping people feel better and live their best lives.” ”

Jenny is an Adult-Gerontology Primary Care Nurse Practitioner in NYC with a passion for working with aging adults and their family members. Prior to her clinical training at Vanderbilt School of Nursing, she worked in business and medical research at Harvard Business School and Massachusetts General Hospital. As a Caregiving Coach at Givers, Jenny helps family members manage the financial, emotional, and educational stresses of caring for their loved ones who are aging in place.

”As a geriatric provider, it brings me great joy to empower older adults and caregivers by connecting them with resources that improve health outcomes and increase quality of life.”