Your Aviation Career Doesn’t Have to End With Medical Concerns
The Ison Law Firm is based in Florida and represents pilots nationwide.
Picture this: You’ve been flying for years, but now a new medical diagnosis threatens to ground you permanently. Or perhaps you’re a private pilot who dreads the medical renewal process, wondering if there’s an easier way to stay in the cockpit. If you’re questioning whether BasicMed could be your solution to keep flying without the traditional FAA medical certificate, you’re not alone. Thousands of pilots across the country have successfully transitioned to BasicMed since its introduction, but understanding whether it’s right for your specific situation requires careful consideration of the regulations and your individual circumstances.
The recent expansion of BasicMed privileges in 2024 has opened new doors for pilots who previously couldn’t qualify. With increased weight limits, passenger capacity, and expanded privileges for pilot examiners (flight instructors have been able to provide flight instruction under BasicMed since the program’s inception in 2017), BasicMed has become a viable alternative for many aviators who once thought their flying days were numbered. However, this alternative pathway isn’t a one-size-fits-all solution, and knowing when to consult an FAA medical lawyer can make the difference between a smooth transition and unexpected complications.
๐ก Pro Tip: Before making any decisions about BasicMed, gather all your medical records and previous FAA medical certificates. Having this documentation ready will help you (and your attorney if needed) determine the best path forward for your specific situation.
Reach out to the Ison Law Firm today for dedicated support. Give us a call at (855) 598 7338 or contact us online to take the first step.
The Ison Law Firm is based in Florida and represents pilots nationwide.

Understanding Your Rights Under BasicMed Regulations
BasicMed represents a significant shift in how private pilots can maintain their flying privileges. Under 14 CFR ยง 61.113 Private pilot privileges and limitations, eligible pilots can operate certain aircraft without holding a traditional FAA medical certificate, provided they meet specific requirements. This alternative pathway recognizes that many medical conditions that might disqualify you from a standard medical certificate don’t necessarily prevent you from flying safely. When navigating these regulations, working with an FAA medical lawyer ensures you understand exactly what privileges you maintain and what limitations apply to your specific medical situation.
The foundation of BasicMed rests on three primary requirements: possessing a valid U.S. driver’s license, having held an FAA medical certificate on or after July 14, 2006, and completing both a physical examination with a state-licensed physician and an approved online medical education course. These requirements might seem straightforward, but complications often arise when pilots have complex medical histories or previous certificate denials. An experienced FAA medical lawyer can help determine whether your medical history requires additional steps, such as obtaining a one-time Special Issuance for certain conditions before transitioning to BasicMed.
Recent legislative changes through the FAA Reauthorization Act of 2024 have expanded BasicMed privileges significantly. Aircraft weight limits increased from 6,000 to 12,500 pounds, and the allowable number of occupants grew to seven. These changes mean pilots can now operate larger, more capable aircraft under BasicMed, including many popular six-seat aircraft that were previously excluded. Understanding these expanded rights and how they apply to your flying goals is crucial for making informed decisions about your medical certification path.
๐ก Pro Tip: If you’ve been diagnosed with certain mental health conditions, neurological disorders, or specific cardiovascular issues like myocardial infarction or cardiac valve replacement, you’ll need a one-time Special Issuance before operating under BasicMed. Document these conditions thoroughly with your treating physicians.
The BasicMed Process: From Start to First Flight
Transitioning to BasicMed follows a specific timeline that pilots must understand to maintain continuous flying privileges. Unlike the traditional medical certificate process that can take weeks or months if complications arise, BasicMed can often be completed in a matter of days if you’re properly prepared. However, rushing through the process without proper preparation can lead to complications that might require assistance from an FAA medical lawyer to resolve.
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Complete FAA Form 8700-2 (CMEC) with your state-licensed physician – this comprehensive checklist covers all body systems and must be thoroughly completed
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Schedule and pass your physical examination – unlike AME exams, any state-licensed physician can perform this, giving you more flexibility in choosing a doctor familiar with your medical history
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Register for and complete an approved online medical education course (either AOPA’s or Mayo Clinic’s free courses satisfy this requirement)
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Print your course completion certificate and maintain it with your CMEC in your logbook – both documents must be available during any flight
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Begin flying under BasicMed immediately upon completion – there’s no waiting period or FAA approval needed once all requirements are met
The beauty of BasicMed lies in its predictability. Once you’ve established eligibility, renewals follow a simple pattern: physical examinations every 48 months and online course completion every 24 months. This timeline provides pilots with greater control over their medical certification destiny, eliminating the anxiety many feel about traditional FAA medical renewals.
๐ก Pro Tip: Schedule your BasicMed physical exam at least 30 days before your current medical expires to ensure continuity of flying privileges. Many pilots make the mistake of waiting until the last minute, only to discover their physician has questions about completing the CMEC.
Making BasicMed Work for Your Aviation Future
Successfully transitioning to BasicMed requires careful planning and thorough understanding of both its benefits and limitations. Many pilots find that BasicMed perfectly suits their flying needs, especially those who fly recreationally or conduct flight instruction in smaller aircraft. However, if you have aspirations for commercial flying, international operations, or flying high-performance jets, BasicMed won’t meet your needs. The Ison Law Firm helps pilots nationwide evaluate their options and navigate complex medical certification challenges, ensuring you choose the path that best aligns with your aviation goals while protecting your flying privileges.
The most successful BasicMed transitions occur when pilots proactively address potential issues before they become problems. This means being completely honest about your medical history, understanding which conditions require special consideration, and knowing when professional legal guidance is necessary. Pilots who try to hide medical conditions or misunderstand the regulations often find themselves facing enforcement actions that could have been avoided with proper counsel from an FAA medical lawyer who understands the nuances of aeromedical certification.
For pilots with complex medical histories or those who’ve experienced previous medical certificate denials or deferrals, the path to BasicMed might require additional steps. The requirement for a one-time Special Issuance for certain conditions means some pilots must first obtain a traditional medical certificate before transitioning. This process can be daunting, but with proper legal guidance and medical documentation, many pilots successfully navigate these requirements and enjoy years of flying under BasicMed.
๐ก Pro Tip: Keep detailed records of all medical treatments and consultations, even for conditions you think might not affect your flying. Complete documentation makes the BasicMed examination process smoother and helps avoid potential complications down the road.
Operating Limitations and Real-World Implications
Understanding BasicMed’s operating limitations is crucial for safe and legal flying. The restrictions include flights at or below 18,000 feet MSL, speeds not exceeding 250 knots indicated airspeed, and operations within the United States unless specifically authorized by other countries. While these limitations might seem restrictive to some pilots, they actually encompass the vast majority of general aviation operations. In fact, most piston-powered aircraft can’t reach these altitude or speed limits anyway, making BasicMed a practical solution for recreational and personal flying.
International Operations Under BasicMed
One frequently misunderstood aspect of BasicMed involves international flying. While BasicMed is primarily limited to U.S. operations, several countries including the Bahamas and Mexico have authorized BasicMed operations within their airspace. This evolving international acceptance means pilots should verify current regulations before planning international flights. Consulting with an FAA medical lawyer becomes particularly important when planning operations that might push the boundaries of BasicMed privileges, as violations could jeopardize your ability to fly under any medical certification.
๐ก Pro Tip: Always verify BasicMed acceptance with your destination country’s aviation authority before international flights. Requirements can change, and some countries that accept BasicMed may have additional restrictions or documentation requirements.
Medical Conditions and Special Considerations
Certain medical conditions require special attention when considering BasicMed. The FAA BasicMed regulations specifically identify mental health disorders, neurological conditions like epilepsy or disturbances of consciousness, and cardiovascular conditions including myocardial infarction and cardiac valve replacement as requiring a one-time Special Issuance. This requirement means pilots with these conditions must first obtain a traditional medical certificate through the special issuance process before transitioning to BasicMed. Understanding these requirements prevents surprises during the transition process.
Working With Your Physician
The success of your BasicMed examination often depends on your physician’s comfort level with aviation medical requirements. Unlike Aviation Medical Examiners (AMEs) who receive specific FAA training, your personal physician might be unfamiliar with pilot medical standards. Providing your doctor with FAA resources about BasicMed and being prepared to explain the program can smooth the examination process. Some physicians may be hesitant to sign the CMEC if they’re unsure about the implications, which is why choosing a physician familiar with your medical history and willing to learn about BasicMed requirements is crucial.
๐ก Pro Tip: Bring FAA BasicMed guidance materials to your physician appointment and consider scheduling a longer appointment to allow time for questions. Many physicians appreciate having the official FAA BasicMed physician guide to reference during the examination.
Frequently Asked Questions
Common BasicMed Concerns
Pilots considering BasicMed often have similar questions about eligibility, limitations, and the transition process. Understanding these common concerns helps you make informed decisions about your medical certification path.
๐ก Pro Tip: Keep a copy of your BasicMed CMEC and course completion certificate in multiple locations – your flight bag, aircraft, and digital copies on your phone or tablet ensure you’re never without required documentation.
Next Steps in Your BasicMed Journey
Whether you’re ready to transition to BasicMed or need guidance on complex medical issues, understanding your options and the legal requirements is essential for maintaining your flying privileges while protecting your certificate.
๐ก Pro Tip: Start gathering your medical records and documentation now, even if you’re not ready to transition to BasicMed. Having a complete medical history readily available saves time and helps identify potential issues early.
1. Can I use BasicMed if I’ve never held an FAA medical certificate before?
No, BasicMed requires that you’ve held at least one FAA medical certificate (any class) on or after July 14, 2006. If you’ve never held an FAA medical, you must first obtain a traditional medical certificate before transitioning to BasicMed. This requirement ensures pilots have undergone at least one comprehensive FAA medical evaluation.
2. What happens if my physician refuses to complete the BasicMed CMEC?
If your physician is uncomfortable completing the CMEC, you have several options. You can find another state-licensed physician willing to perform the examination, provide additional educational materials about BasicMed to your current physician, or consider working with a physician who has experience with pilot medical examinations. Some pilots find success with physicians who treat other pilots or have aviation interests themselves.
3. Can I flight instruct under BasicMed with the new regulations?
Yes, the 2024 FAA Reauthorization Act expanded BasicMed privileges to include pilot examiners, allowing them to administer practical tests and proficiency checks. Flight instructors have been able to provide flight instruction under BasicMed since the program’s inception in 2017. You can provide flight instruction and even administer practical tests under BasicMed, as long as the operation occurs in a covered aircraft meeting BasicMed limitations (7 occupants or fewer, 12,500 pounds or less maximum certificated takeoff weight).
4. How much does transitioning to BasicMed typically cost?
BasicMed costs vary but are generally lower than traditional FAA medical certificates. You’ll pay your physician’s standard examination fee (typically $100-300), and both approved online courses are free. The main costs are the physical examination and any additional tests your physician might require. Unlike FAA medical certificates, there are no FAA fees or mandatory specialist consultations unless you have specific medical conditions requiring Special Issuance.
5. What should I do if I develop a new medical condition while flying under BasicMed?
If you develop a new medical condition, you must determine whether it affects your ability to safely operate an aircraft or maintain a valid driver’s license. Unlike traditional medical certificates, BasicMed doesn’t require reporting new conditions to the FAA unless they affect your driver’s license eligibility or are one of the limited disqualifying conditions identified in 14 CFR Part 68. However, you must self-ground if the condition affects flight safety, and discuss the condition with your physician at your next BasicMed examination. For complex situations, consulting an aviation medical attorney helps ensure compliance while protecting your flying privileges.
Work with a Trusted Aeromedical Lawyer
When medical issues threaten your flying career, having experienced legal representation can make the difference between staying in the cockpit and permanent grounding. The Ison Law Firm advocates on behalf of pilots nationwide who face aeromedical challenges, including those considering BasicMed as an alternative to traditional medical certification. Whether you’re dealing with a deferred medical application, need to report past DUI arrests to the FAA, or face questions about your eligibility for BasicMed due to complex medical history, understanding your options and rights under FAA regulations is crucial. Remember, the Ison Law Firm represents pilots across the United States, providing guidance on aeromedical matters regardless of where you’re based, helping you maintain your flying privileges while ensuring full compliance with FAA requirements.
Considering a switch to BasicMed? Let the Ison Law Firm be your guiding light through the process. For assistance tailored to your unique situation, dial (855) 598-7338 or contact us today.