BasicMed vs an FAA medical certificate
BasicMed lets many private pilots fly without a traditional FAA medical certificate, using a visit to their own doctor instead. Here is who qualifies and what the limits are after the 2024 expansion.
Updated October 2026
What BasicMed requires
- A valid US driver's license.
- An FAA medical certificate (any class) held at some point after July 14, 2006, that was not later revoked, suspended or denied.
- An exam with any state licensed physician every 48 months, using the FAA Comprehensive Medical Examination Checklist.
- A free online medical education course every 24 calendar months.
- A one time special issuance for certain cardiac, neurological and mental health conditions.
What you can fly under BasicMed
Since November 18, 2024, BasicMed covers aircraft certificated for up to 7 occupants with a maximum takeoff weight up to 12,500 pounds (it was 6 occupants and 6,000 pounds before). You may carry up to 6 passengers, fly below 18,000 feet MSL at no more than 250 knots, and you may not fly for compensation or hire.
BasicMed vs a third class medical
| BasicMed | Third class medical | |
|---|---|---|
| Who examines you | Any state licensed physician | An FAA Aviation Medical Examiner (AME) |
| How often | Doctor every 48 months, online course every 24 months | Every 60 months under age 40, every 24 months at 40 and over |
| Aircraft | Up to 7 occupants and 12,500 pounds | No BasicMed aircraft limits |
| Altitude and speed | Below 18,000 feet MSL, 250 knots or less | No BasicMed limits |
| Paid flying | Not allowed | Not allowed (commercial flying needs a second or first class medical) |
| Flight instruction | Allowed (CFIs can instruct; FAA guidance applies) | Allowed |
Who should still get a traditional medical?
Anyone planning a flying career. Commercial and airline flying require a second or first class medical, and new student pilots must have held an FAA medical at least once before BasicMed is an option. If you are just starting out, see how to become a pilot.
Flying abroad? Some countries accept BasicMed and others do not, so check before an international flight.