So, is BasicMed right for you? That depends on several factors. If you’re young and healthy, you might be better off obtaining a third-class medical once every five years and shifting to BasicMed later in life. If you think you might want to fly outside the United States, perhaps on a vacation to the Caribbean, Mexico or Canada, or if you want to fly higher and faster than BasicMed allows, a third-class medical is the answer. But if you fit in the sweet spot where BasicMed makes sense — that is, you’re over 40, don’t fly for hire or outside the country, and fly below 18,000 feet and 250 kias in airplanes weighing less than 6,000 pounds and with six or fewer seats — it’s a great option. And if you require a special-issuance medical, it might be your only realistic choice.