PA.I.A.K5· K
BasicMed privileges
BasicMed privileges
BasicMed is an alternative regulatory pathway that lets many private pilots fly without renewing a traditional FAA medical certificate. Created by Congress in 2017, expanded by the 2024 FAA Reauthorization Act, and now used by hundreds of thousands of pilots — but with specific eligibility gates and operational limits.
Eligibility
Four conditions, all required :
- A valid US driver's license
- An FAA medical certificate held at some point after July 14, 2006 — even a long-lapsed one counts
- A Comprehensive Medical Examination (CMEC) signed by any state-licensed physician within the last 48months
- The BasicMed online medical course completed within the last 24months
The most-recent FAA medical must not have been denied, suspended, revoked, or had its Special Issuance withdrawn. A medical that simply lapsed is fine; a denied application is not. Student pilots can't start on BasicMed — you have to have held a real medical at some point first.
What you can fly
The operational limits live in :
- Aircraft with maximum certificated takeoff weight up to 12,500lbs
- Up to 6passengers on board (7 occupants total, including the pilot)
- At or below 18,000ft MSL
- At or below 250KIAS
- VFR or IFR — both allowed with the appropriate rating and currency
- Day or night
Not for compensation or hire. Within the US only, unless the destination country specifically authorizes BasicMed — most don't.
Two clocks, two intervals
Two clocks, never synced — 48-month physical, 24-month course.
The 48-month physician exam and the 24-month online course are independent. They don't sync to each other, and neither resets the other. To act as PIC under BasicMed, both must currently be valid .
The practical effect: if you do your CMEC on the same day as your course, the course will expire two years before your next CMEC is due. Plan to take the course again in the middle of every CMEC interval.
Special conditions
Some medical conditions require a one-time FAA Special Issuance before you can use BasicMed. The list lives in 14 CFR 68.9 and covers three categories:
- Cardiac — myocardial infarction, valve replacement, certain rhythm disorders
- Neurological — epilepsy, certain disturbances of consciousness, transient loss of control
- Mental health — psychosis, bipolar disorder, certain personality disorders
Once you have the one-time Special Issuance, you stay on BasicMed unless the condition changes — you don't renew the SI every year the way Part 67 special issuances often work.
Common DPE questions
BasicMed (14 CFR Part 68) is best described as:
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