What happens if my FAA medical is denied?

If a request for special issuance certification is denied by the FAA, the only recourse available to the applicant is to later make another request for special issuance status to the FAA, supported by evidence showing sustained medical stability or improvement.



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Yes. Section 67.409 under 14 CFR sets forth the appeal process within the FAA for applicants who are denied medical certification.

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If you have been denied a medical because of a disqualifying medical condition and are caught flying, the penalty will probably be revocation of all your airman certificates and ratings.

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Unless otherwise directed by the FAA, the Examiner must deny or defer if the applicant has a history of: (1) Diabetes mellitus requiring hypoglycemic medication; (2) Angina pectoris; (3) Coronary heart disease that has been treated or, if untreated, that has been symptomatic or clinically significant; (4) Myocardial ...

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You must contact an AME of your choosing, schedule an appointment, complete an official FAA application form via MedXPress, and undergo a physical examination by an AME. If you meet the appropriate medical standards, the AME will issue you a medical certificate.

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Who should not travel by air? Diseases that prevent you from boarding a plane
  • Chronic obstructive pulmonary disease (COPD)
  • A recent stroke.
  • Infectious diseases, such as chickenpox, influenza or even COVID-19.
  • A recent surgery.
  • A pregnancy of over 28 weeks.
  • Angina (chest pain at rest)


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Myth: I will lose my FAA medical if I seek help for any mental health situation. Truth: The FAA will be concerned if you are clinically diagnosed with a psychiatric condition (depressive disorders, psychosis, personality disorders, anxiety disorder or bipolar disorder) or a substance abuse disorder.

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Sleep apnea has significant safety implications due to cognitive impairment secondary to the lack of restorative sleep and is disqualifying for airman medical certification. The condition is part of a group of sleep disorders with varied etiologies.

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Seeking a prescription to sedative medication and having them available in-flight can help you relax, even if you don't end up taking it. You should not try to cope alone with a panic disorder and related fear of flying. Even a couple sessions with a therapist can give you tools to make flying more comfortable.

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If your blood pressure is higher than 120 over 80, seek medical advice before you travel.

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