What to do if 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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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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If the AMCD or the RFS deny an applicant based on a medical condition that is not specifically disqualifying then the applicant may appeal to the Federal Air Surgeon (FAS). An unfavorable decision by the FAS may be appealed to the NTSB.

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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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The air pressure while flying increases the risk of blood clots forming, which is not ideal. Heart complications: If you've suffered a heart attack, stroke, cardiac failure or chest pain while at rest, flying should wait. The lower oxygen levels, increased air pressure, high altitude and more could affect your health.

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What the AME May Look at During Your FAA Medical Exam: Eyesight – Your near, intermediate, peripheral, far, and color vision will be tested. Hearing – According to FAA regulations, you must be able to acceptably understand speech and be able to hear a conversational voice in a quiet room at a distance of 6 feet away.

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If you fail, your test report will have deficiency codes on it. Your flight instructor must cover those subjects with you and attest that you've received training. They are required to give you another endorsement stating your readiness for retesting before you can take the written again.

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