Many pilots wonder if they can pass the Federal Aviation Administration (FAA) medical exam before starting training. This video explains who needs an FAA medical exam, how the process works, and what happens if issues arise. Understanding the FAA medical exam early helps pilots avoid delays and unexpected barriers.
Who Needs an FAA Medical Exam
A FAA medical exam is required for student pilots, private pilots, commercial pilots, airline transport pilots, and instructors acting as PIC. Students technically need a medical only before solo flight. Getting the medical exam early is recommended in case issues appear. Some pilots do not need a medical exam. These include remote pilots, drone pilots, glider pilots, sport pilots, balloon pilots, ground instructors, simulator instructors, and pilots operating under BasicMed.
FAA Medical Certificate Classes
There are three classes of FAA medical exams. Third class applies to private, non-commercial flying. Second class applies to commercial operations. First class applies to airline transport pilots. Each higher class involves more rigorous standards. Pilots considering aviation as a career may want to confirm first-class eligibility early.
How to Apply for the FAA Medical Exam
The medical exam application starts online through MedXPress. Applicants enter personal and medical history before scheduling an appointment. This step must be completed before visiting an Aviation Medical Examiner. Applicants should print the MedXPress confirmation page and bring it to the appointment. Honesty is required when reporting medical history.
Choosing an Aviation Medical Examiner
Aviation Medical Examiners conduct the medical exam using MedXPress information. A list of examiners is available on the FAA website. Some pilots seek recommendations from local flight schools or airport pilots. The exam typically costs between $100 and $150.
Possible FAA Medical Exam Outcomes
There are four possible outcomes from an FAA medical exam. A certificate may be issued, denied, disqualified, or withdrawn. Some cases require additional testing or FAA review. Conditions such as heart disease, diabetes, epilepsy, mental health diagnoses, or substance abuse may trigger further evaluation. Further review does not automatically mean denial.
Statement of Demonstrated Ability
Some medical conditions require a Statement of Demonstrated Ability. A SODA involves additional testing and continued evaluation. Conditions may include color vision issues, heart disease, or hearing limitations. The process can take time but may result in medical certification after review.
BasicMed as an Alternative
BasicMed allows some pilots to fly without holding a current FAA medical exam. Eligibility requires holding an FAA medical certificate at least once after July 14, 2006. Pilots must hold a valid U.S. driver’s license, complete a medical exam with a state-licensed physician, and finish an approved online course. BasicMed has operational limits but allows many third-class privileges.
Medical Fitness and Go or No-Go Decisions
Holding a medical exam or BasicMed does not guarantee daily fitness to fly. Pilots must evaluate health before each flight. Over-the-counter medications may restrict flying. The FAA recommends waiting five dosage intervals after the last dose before operating from the flight deck.
Using Official FAA Resources
The FAA provides official guidance on medical certification, BasicMed, and Aviation Medical Examiners. Pilots should reference current regulations directly from the source. Official FAA medical information is available on their website.
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