AOPA worked hard for years on behalf of its members to bring about third class medical reform that the FAA refers to as BasicMed. AOPA has developed a suite of online resources for pilots and physicians to help you make the most of the reforms and enjoy your freedom to fly.
Nearly 80,000 pilots have qualified to fly safely under BasicMed since its inception in 2017. The following countries authorize BasicMed privileges: United States, Mexico, The Bahamas, The Dominican Republic, Puerto Rico, the U.S. Virgin Islands, American Samoa, Commonwealth of the Northern Mariana Islands, Federated States of Micronesia, Guam, Republic of the Marshall Islands, and the Republic of Palau.Here's how you can join them.
Check your BasicMed eligibility and get the next steps—whether new or renewingReview if you're eligible for BasicMed and download the BasicMed FAA Comprehensive Medical Examination Checklist (CMEC). Complete the self-assessment portion of the form.
See if you are Eligible Download the formTake your Comprehensive Medical Examination Checklist (from Step 1) and get a BasicMed specific exam by a state-licensed physician. Have your doctor fill out the rest of the exam checklist. You will need this to complete step 3 and will need it again for your 24-month renewal.
Find a DoctorOnce you have completed your FAA CMEC from a state licensed physician, take this online course and pass the quiz. You must complete the post-course form to submit your exam information (from Step 2) to the FAA to earn your BasicMed completion certificate.
Launch the CourseDownload your course completion certificate and keep it with your completed CMEC in your logbook or electronically. You need to have it available upon request from FAA. Make sure you have a valid flight review, and you are ready to fly!
The process of renewing BasicMed depends on when you had your last BasicMed physical and when you last took the BasicMed course. Please fill out the form below so we can help steer you in the right direction on what you should prepare to do next in order to keep your BasicMed certificate.
This is just like apply to BasicMed for the first time. It is resetting your renewal clock. Review if you're still eligible for BasicMed and download a new BasicMed FAA Comprehensive Medical Examination Checklist (CMEC). Complete the self-assessment portion of the form. Remember you must have a current and valid state issued driver’s license.
See if you are Eligible Download the formTake your Comprehensive Medical Examination Checklist (from Step 1) and get a BasicMed specific exam by a state-licensed physician. Have your doctor fill out the rest of the exam checklist. You will need this to complete step 3 and will need it again for your next 24-month renewal.
Find a DoctorOnce you have completed your FAA CMEC from a state licensed physician, take this online course and pass the quiz. You must complete the post-course form to submit your exam information (from Step 2) to the FAA to earn your BasicMed completion certificate.
Launch the CourseDownload your course completion certificate and keep it with your completed CMEC in your logbook or electronically. You need to have it available upon request from FAA. Make sure you have a valid flight review, and you are ready to fly!
With this renewal, you will need your most recent FAA Comprehensive Medical Examination Checklist (CMEC). This will most likely be from your previous BasicMed exam 24 months ago. You will submit the exam information electronically again via post-course form to the FAA for your renewal.
Complete the BasicMed online course and pass the quiz. Then, fill out the online form at the end of the course with your FAA pilot information and the physician’s information from the completed CMEC. Finally, submit the online form and print your course completion certificate.
Launch the CourseDownload your course completion certificate and keep it with your completed CMEC in your logbook or electronically. You need to have it available upon request from FAA. Make sure you have a valid flight review, and you are ready to fly!
If you’ve never held a FAA medical certificate, you'll need to obtain one from an aviation medical examiner (AME), but you will just have to do that one time. If your regular or special issuance medical certificate lapsed before July 15, 2006, you will also need to get a medical certificate from an AME one time only.
And if you develop certain cardiac, neurological, or mental health conditions, you need a one-time-only special issuance for each condition.
Pilots whose most recent medical certificate has been revoked, suspended, or withdrawn, had his or her most recent application denied, or authorization for special issuance withdrawn, will need to obtain a new medical certificate before they can operate under BasicMed. AOPA’s interactive tool will help you see if you qualify.
Once you qualify to fly under BasicMed, at least once every four years (48 months), you’ll need to visit a state-licensed physician. At the visit, you’ll need to provide your physician with an FAA-generated checklist, and your physician will need to affirm that he or she has performed an examination and discussed all the items on the checklist, including medications, with you. Your physician will have to affirm that he or she is unaware of any medical conditions that, as presently treated, could interfere with your ability to safely operate an aircraft. You will then need to retain the completed checklist with your logbook or in an accurate and legible electronic format. You would only provide it to the FAA if requested, such as during a routine ramp check, an investigation, or enforcement action.
Every two years (24 calendar months), you’ll also need to take the free Medical Self-Assessment Course. You’ll need to provide the FAA with some of the same certifications as you have in the past, such as an authorization for the National Driver Register to provide your driving record to the FAA, and a statement that you understand that you cannot act as a pilot in command, or any other capacity as a required flight crew member, if you know or have reason to know of any medical condition that would make you unable to operate the aircraft in a safe manner.
The FAA’s Comprehensive Medical Examination Checklist, which is included in AOPA’s Pilot & Physician’s Guide, and the AOPA Medical Self-Assessment Course are available online, and eligible pilots can complete the steps to be qualified under the new rules.
Pilots flying under BasicMed are allowed to operate “covered aircraft” defined as having a maximum certificated takeoff weight of not more than 6,000 pounds and are not authorized to carry more than six occupants (up to five passengers plus the pilot in command), at altitudes up to 18,000 feet MSL and at an indicated airspeed of up to 250 knots. Pilots, if appropriately rated, can fly VFR or IFR in “covered aircraft.” Pilots flying under the exemption cannot operate for compensation or hire, and must operate within the United States, unless authorized by the country in which the flight will be conducted.
If you have held a special issuance medical certificate anytime on or after July 15, 2006 and your medical status is unchanged, you should be able to fly under BasicMed provided you meet all the other qualifications, including being under the treatment of a physician for your medical condition. However, if you develop certain cardiac, neurological, or mental health conditions, you will need a one-time-only special issuance for each condition. Read more about health conditions here.
AOPA has developed a Pilot & Physician’s Guide which includes the FAA’s Comprehensive Medical Examination Checklist (CMEC). The CMEC includes two forms, one for the airman and one for the physician. The physician's form should be used as a guide for the medical exam.
Airmen should bring their completed portion of the CMEC - an aeromedical self-assessment checklist developed by the FAA - to their scheduled doctor's appointment. The physician will review and discuss it, then complete a physical examination and affirm the absence of any medical condition that could interfere with the safe operation of an aircraft. Physicians are instructed to exercise their discretion to address any medical conditions identified and to determine if any tests are needed.
AOPA believes that BasicMed encourages pilots to have regular and frank conversations with their doctors, allowing both physician and flyer to arrive at an informed medical assessment and treatment plan if needed.
The FAA’s MedXPress system is only for completing an application for an FAA First, Second, or Third Class medical certificate. If you are pursuing BasicMed qualifications, you must download and print the FAA’s Comprehensive Medical Examination Checklist.
Your patient is asking you to perform a medical exam following a simple checklist that the FAA has specifically created to be completed by any state-licensed physician. If this is the first time a pilot has ever asked you to complete this checklist, that’s because it’s part of the FAA’s new medical rules that allow a private pilot flying certain small aircraft for non-commercial purposes to obtain a medical examination from any state-licensed physician. Learn more about giving BasicMed exams.
The examination needed to complete this checklist is just like a wellness exam, much like those conducted for high school athletics, scuba diving certification, or for a U.S. Department of Transportation commercial driver’s license. The examination is intended to determine if an individual can safely operate a motor vehicle or watercraft.
All state-licensed physicians are qualified to perform a BasicMed exam. Advanced practice providers, such as a CRNP (nurse practitioners) or Physician Assistant (PA), may assist with the exam but only a state-licensed physician may make the final signature affirmation on the checklist.
The exam should include a review of each of the items on the checklist, a discussion with the patient about the reported past medical history, and any medications he or she is taking that could interfere with his or her ability to safely operate a motor vehicle or aircraft. Based upon this discussion and exam findings, you as the physician then determine if, in your clinical opinion, you are aware of any medical condition that, as presently treated, could interfere with the individual’s ability to safely operate an aircraft.
It is the responsibility of the pilots to understand the regulations and determine if they are eligible to fly under BasicMed.
Persons who have a medical history of, or are diagnosed with, the conditions described below as identified by the FAA, may not use BasicMed until they have been seen by an FAA Aviation Medical Examiner (AME) and have been granted a special issuance medical certificate by the FAA. If they previously held a special issuance medical certificate for any condition below, it must have been valid on or after July 15, 2006 for the pilot to be eligible for BasicMed. If the patient has any of the conditions below and has not previously been granted a special issuance medical certificate for that condition by the FAA on or after July 15, 2006, they should contact AOPA’s Pilot Information Center for further information about qualifying for a special issuance.
Furthermore, an individual with a clinically diagnosed neurological condition is prohibited from exercising BasicMed privileges if, in the judgment of the individual’s state-licensed physician, the condition:
Pilots requiring a special issuance medical certificate should contact the Aircraft Owners and Pilots Association for more information about obtaining a special issuance authorization for any of the above conditions.
The FAA’s MedXPress system is only for completing an application for an FAA First, Second, or Third Class medical certificate. If you are pursuing BasicMed qualifications, you must download and print the FAA’s Comprehensive Medical Examination Checklist.
When a pilot visits his or her physician for the BasicMed examination, the pilot information and medical history portion of medical exam checklist completed by the pilot will list any prescription or non-prescription medication that the pilot currently uses, as well as information such as dosage and dosing interval. The physician should address, as medically appropriate, any medications the individual is taking and discuss the medication’s potential to interfere with the safe operation of an aircraft or motor vehicle.
While there is no list of specific medications that are prohibited for pilots flying under BasicMed rules, certain medications are not safe to be used at all while flying and others require a reasonable waiting period after use. Physicians should be mindful of prescription and over-the-counter drugs that may impact the safe operation of a motor vehicle, in this case a private recreational aircraft. This can include, but is not necessarily limited to, the use of sedatives, psychotropic drugs, antihistamines, narcotics or any other medication that can impair cognition if used while the pilot is operating an aircraft.
Pilots and the physician should consult available aeromedical resources to understand potential flight hazards associated with any medications being taken, such as whether the underlying condition the medication is being taken for makes flight unsafe, or to understand side-effects that may be unnoticeable before flight but could impair the ability of a pilot to make sound decisions in flight. In addition to the BasicMed rules, pilots taking medication must also comply with existing Federal Aviation Regulations, such as the self-grounding requirements of FAR 61.53 and FAR 91.17’s prohibition on operations while using any drug that has affects the person’s faculties in any way contrary to safety. AOPA’s online medical education course will include medication considerations when evaluating fitness to fly. The final go/no-go decision is the pilot’s responsibility.