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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 issue an initial deferral letter (functioning as a denial) instead of an informational request for medical applications requiring further review, impacting all pilot types.
  • This new process means deferred pilots must report the denial on future medical applications and may be considered ineligible for BasicMed and Sport Pilot privileges.
  • The FAA states the change aims to provide immediate answers and reduce wait times, but organizations like the EAA express concern that it could ground many airmen.
  • Pilots are strongly advised to bring all required medical documentation and discuss any medical changes with their AME *before* applying to establish eligibility with their doctor rather than facing an FAA deferral.
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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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