Questions To Ask When Buying A Medical Alert System

When searching for a medical alert system, it's important to ask some key questions about the company, equipment and pricing terms before you make a decision to purchase.  In some cases, not asking the right questions could result in being locked in to a long term contract that is difficult to get out of or ending up with equipment that is outdated and useless in your home.

We receive a ton of feedback from consumers about the potential pitfalls of not asking the right questions, as well as the very positive life-saving aspects of choosing the right company.  We continue to add to the list of questions you need to ask before purchasing a medical alert system.

buying a medical alert system


10 Questions To Ask When Buying a Medical Alert System

  • Does your medical alert system require a land-line?

Today's IN-HOME medical alert systems are built with a land-line in mind. They connect directly to the phone jack, and they make a phone call on your behalf (if the emergency button is pressed).  If you don't have a land-line to connect your base station, many companies now have a cellular-enabled base station.  This provides connectivity from the base station to the call center.  Your pendant button will still have a tethered range of 600-1200 feet (radius) from the base station.

  • What is the range of the IN-HOME medical alert system?

If you have a typical IN-HOME medical alert system, your emergency pendant button will be wirelessly connected to the base station (in order to alert the call center in case of emergency). The maximum distance between your pendant button and the base station is what we refer to as “range”.  This range is usually discussed in terms of radius around the base station unit.  The typical distances start at 600 feet (from the base unit) and some of the more robust units can accommodate up to 1,200 feet for larger homes or apartments.

Related: Best Medical Alert Systems on the Market Today

  • What about cellular medical alert systems, are those an option?

Yes they are a great option for the more mobile and/or able bodied.  Typically, cellular enabled medical alert systems have no range issues (as long as you have cellular service). The cellular medical alert systems are available from most providers, but understand that they do cost a bit more per month.  You can take these devices with you to the mall, the gym, or anywhere you wish.

  • Who installs the medical alert system?

This is pretty self-explanatory, but let me impart a few pieces of wisdom.  Generally these are pretty easy to set-up.  We've set up a dozen or so units that we've tried/reviewed over the years, so they're not too complex.  IF you're buying from a local dealer (Philips Lifeline has local dealers in markets around the country) they will set these units up for you.  Usually however, the consumer will set the unit up and test it prior to using.

  • Where is the call center located, and what are typical response times?

There are a few companies that have US based call centers, and we think that's great if you can get it. However, some companies do outsource these types of services.  What it really comes down to is the training of the call center staff.  If the provider is worth their salt, they will have invested heavily in both customer service employees and call center staff. (More reason NOT to sign long-term contracts with medical alert system providers. IF you get a bad one, you'll want to leave… asap!)

  • Is the medical alert system waterproof?

Most of  the medical alert systems on the market are not waterproof, they are water resistant.  This has been one of our major complaints about these little devices (pendant buttons).  Bathrooms are a major source of emergencies/falls for older adults, and they should be worn while getting in and out of the tub/shower.  Unfortunately, many are not meant to be submerged, so you'll want to verify whether you can wear it while showering and/or bathing.

  • Do you sell a device with “fall detection”?

Fall detection notifies the call center automatically if it detects that the user has fallen.  These pendant buttons contain an accelerometer just like your smartphone does.  They send a signal based on a programmed algorithm that indicates whether a fall has occurred or not.  It sounds great, and certainly has some benefits, but it's not perfect.  You can read all sorts of stories about fall detection devices that don't detect falls consistently OR those that signal false positives (falls) too often.  It's up to you whether you or your loved one require this feature, but just know it will be more expensive, and won't be perfect.

  • What if I no longer require a medical alert system? What is the return policy?

Here's where it gets tricky… The “less reputable” medical alert companies will lock you into a long-term (binding) agreement that forces you to pay through the end of your “term”.  The companies that we most often recommend all encourage the consumer to opt for monthly or quarterly terms. This reduces the likelihood of being denied a big refund.  Most of the reputable companies allow you to return the equipment and discontinue the service without hassle.  (IF they don't, we intervene and/or will drop them from our recommended list).

Most of the complaints you'll see on The Senior List or on other sites concern the PRODUCT RETURN ISSUE.  No matter who you decide to do business with, make sure you're not getting locked into a long-term-agreement and make sure you can terminate at the time of your choosing.  Ask to review the provider's Terms & Conditions document BEFORE you purchase your medical alert system… It's always best to read the “fine print” no matter how painful it is.

  • How much does the medical alert system cost?

Finally, you'll want to know what your medical alert system is going to cost you.  Most of the better companies out there wrap their costs into a monthly package.  For example, Bay Alarm Medical (a company we recommend often) offers 3 packages for their basic in-home medical alert system.

At Bay Alarm Medical, IF you pay up front you can save a few bucks. If you pay for a 6 month package, your average monthly cost is $25.  If you buy a quarterly package, your average monthly cost is $27. And if you opt for a month-to-month, you'll pay $29 per month.  Should you need to cancel, Bay Alarm Medical will cancel your service and provide directions on how to return your equipment. They will not however, prorate your balance and send you a refund. Make sure you understand your options ahead of time so there are no surprises should you need to cancel.

I hope that helps you ask the right questions prior to buying a medical alert system. If we left any out, let us know in the comments below!


  1. I would like to see more information on the websites. Most want you to call to learn pricing and other issues. I prefer to see it in writing and be sure I’m not misunderstanding. If I have questions, I’ll do the calling. Once you type in your phone number some, like Medical Guardian, will call you back until you tell them to quit. Unfortunately, when I see that a phone number is requested, I pass on by that website. I may be missing a good deal somewhere.

  2. Your focused on medical alerts which is fine they have been a great help over the years but sometimes found wanting where users don’t wear them all the time. eg. when they sleep, go to the toilet at nite., when they fall and are too disoriented to press the button or it’s lodge where they can’t access it
    This leaves these people vulnerable and some sort daily care call system
    [url redacted-admin] I believe would help complete the care of these people

  3. My grandmother insists on living in her own home and we are concerned that something might happen to here and no one will be there to help. I think we need to get her an alarm system. I like your tip to ask about the range of the system. She likes to be outside in her garden a lot, so we will make sure that that area is covered.

  4. Great questions to ask, and general guide, nice work. Another consideration you might want to discuss is GPS to locate users in an emergency.


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