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Now living alone and want extra "protection" in case of a fall.

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After some research, I went with a service provided by a local company (now in more states) that initially provided home security services.   It was the best of all I interviewed.   The ones that advertise in AARP literature were eliminated; they wanted to send a brochure.  I wanted answers, not paperwork.

Companies that took a few days to respond were eliminated as well.

The company I chose was excellent, better than I anticipated.   The device Dad wore detected movement, which could indicate a fall.   If he bent over to put on his socks, it would call him to determine if he had fallen.

There was a tiered list of contacts:  me first, then EMS if I wasn't available.  I don't remember if we had a third person, but it probably was one of his friends.

If I get to the stage that I need this kind of service, I'll go with this company.

To avoid "advertising", I'm P'M'ing you the name of this company.  You'll have to check though to determine if they serve your state.
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I would look at reviews and look at the individual features you want or need.
A friend had a monitor that went so far as to send an alert if it detected no movement for a specific period of time. (she had a brain tumor that would cause her to collapse so she would be unable to press a button to summon help)
Look at cost
See if there is a contract that you have to abide by. (1 year contract if 3 months in you find it does not cover you if you go for a hike in the mountains is it really what you want. Can you cancel that contract or are you stuck for another 9 months?)
You could even check with your local Fire Department 911 dispatcher and ask if they are aware if one service is better than another. They may no t be able to give you specific names but you can ask what services are best at reporting.

Lastly I can not imagine that Consumer Reports has not done a comparison of these. It might be worth a trip to the library (remember that place? Big building with lots of books and printed materials) and search for the report.
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We preferred a device that didn't require a service for my SIL with mobility problems. It called a list of people when she fell or pushed a button. So if my brother was napping in the living room or sitting on the porch he got called first, but if he didn't answer, the device went on to call the neighbors and then other family members, the final call was to 911 (if no one answered). SIL felt better having a way to call for help that didn't call 911 every time.
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I'm sorry you have not gotten any responses to your question but I know this topic has been discussed on the forum before, if you click/tap the Personal Alert Devices bubble below your question you can read some of those articles and comments.
The world of alert pendants has come a long way in the last decade or so and there are so many options, my mom had Philips Lifeline and although it was one of the pricier options I liked that it was a monitored system and that they had her check in monthly because it got us all used to actually using the button and speaking to the people monitoring the calls.
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