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New Medical Deferral Process Beginning 2025

Requests for more information will soon become initial denials.

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Gemini Sparkle

Key Takeaways:

  • Effective January 1, 2025, the FAA will change its medical deferral process: AMEs deferring a medical will automatically issue an "initial deferral letter" (a denial) rather than requesting additional information from the applicant.
  • This new process impacts all pilot types, including those flying under BasicMed and Sport Pilot privileges, and may render them ineligible while requiring the denial to be reported on future applications.
  • While the FAA states this provides immediate answers and reduces wait times, aviation groups express concerns about pilots being grounded and losing proficiency.
  • Pilots are advised to mitigate deferrals by arriving at medical exams with all required documentation and discussing medical changes with their AME beforehand.
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Aviation medical exams are stressful enough without any additional complications. But the FAA has just upped the ante, as a result of 2024’s reauthorization act. These complications could impact pilots with conventional medicals, those flying under BasicMed, as well as sport pilots

As it stands now, when an AME defers a medical to the FAA for further review, the FAA will send a request for additional information back to the applicant. The applicant then has 30-90 days to submit the required medical reports and evaluations. Throughout this time, the airman’s pre-existing medical is still valid until the date of expiration.  

Cayla McLeod

Cayla McLeod is an instrument-rated pilot with a love for all things tailwheel and grass strips. She has been actively involved in general aviation for the last decade, and can’t imagine life without flying and the people that go with it.

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