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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:

  • Starting January 1, 2025, FAA medical exam deferrals will result in an "initial deferral letter" (a denial) rather than a request for additional information, based on the 2024 Reauthorization Act.
  • This new process means pilots must report an initial denial on all future medical applications and raises concerns that it could immediately prevent eligibility for BasicMed and Sport Pilot privileges.
  • The FAA states this change provides immediate answers and reduces backlog, but pilot advocacy groups express concerns about airmen being grounded for extended periods.
  • Pilots are strongly advised to arrive at their medical exams with all required documentation and to discuss medical changes thoroughly with their AME beforehand to avoid 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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