Aviation Medical Certificate - Basic Med vs Third Class

BasicMed vs. Third Class Medical:
Choosing the Right Option in 2025

Original post published April 13, 2023 – Revised and updated on June 6, 2025 for clarity and current FAA guidelines.

Flying isn't just about freedom—it's also about navigating the nuances of regulations designed to keep you safe. One of those crucial regulations involves medical certification. Since 2017, the FAA’s BasicMed option has provided an alternative to the traditional Third Class medical certificate. But as pilots get older, especially those over 60, choosing the right certification becomes even more critical. Let's break down the differences and see how each stacks up today.

BasicMed at a Glance

BasicMed was introduced to make medical certification simpler and more accessible, especially for pilots flying recreationally within the United States. Here's a quick refresher on the eligibility criteria:

• Valid U.S. driver’s license

• Held an FAA medical certificate (regular or special issuance) at any time after July 15, 2006

• Physical exam by any state-licensed physician every 48 months

• FAA-approved online medical course every 24 months

Traditional Third Class Medical Overview

The Third Class medical certificate is the traditional FAA requirement for most general aviation pilots. Obtaining this certification involves a thorough medical exam conducted by an FAA-designated Aviation Medical Examiner (AME), assessing:

• Vision and hearing

• Cardiovascular and neurological health

• Overall medical fitness, including medication usage

Validity periods are age-dependent:

• Under age 40: Valid for 60 months (5 years)

• Age 40 and over: Valid for 24 months (2 years)

Key Differences: BasicMed vs. Third Class (Special Focus: Pilots Over 60)

Choosing the right option can significantly impact your flying experience, particularly as age brings its own considerations. Here’s a straightforward comparison, especially useful for pilots over 60:

Feature	BasicMed	Third Class Medical
Age Limitations	None	None
Exam Requirement	Physician exam every 4 years	FAA AME exam every 2 years
Renewal Frequency	Online course every 2 years	Exam renewal every 2 years (60+)
Aircraft Weight Limit	Up to 6,000 lbs	No specific limit
Passengers Allowed	Up to 5	No specific limit
Flight Altitude Limit	18,000 feet MSL	No altitude limit
Airspeed Limit	Up to 250 knots	No speed limit
Type of Operations	Non-commercial only	Commercial & non-commercial
Acceptance in Canada/Abroad	Not accepted	Accepted by many countries
Special Issuance Conditions	Managed by personal physician	Managed by FAA AME
Flexibility for Health Issues	Greater flexibility, physician-managed	Rigorous FAA oversight

Less Stress, More Flexibility: The BasicMed Advantage

The greatest appeal of BasicMed—especially for older pilots—is its flexibility. Instead of a stringent FAA medical review, BasicMed allows you and your personal physician to manage your health proactively. This can be particularly beneficial if you're dealing with well-controlled chronic conditions or prefer more frequent check-ins with your own healthcare provider.

Moreover, BasicMed greatly simplifies paperwork and reduces FAA bureaucracy. If you primarily fly within U.S. airspace, carrying fewer than five passengers, it offers a straightforward path to continued flying.

The Third Class Medical: A Gold Standard for Versatility

On the other hand, if your flying goals include venturing beyond U.S. borders (like trips to Canada), flying higher-performance aircraft, or engaging in instructional flying where you are compensated, the Third Class medical certificate remains the gold standard. Its broader acceptance and fewer operational restrictions give you increased versatility.

Deciding What's Right for You

Choosing between BasicMed and the Third Class medical hinges on:

• How and where you fly

• Your medical history and current health status

• Future aviation goals and ambitions

Pilots over age 60 typically weigh the convenience and flexibility of BasicMed against the operational freedom and broader acceptance of the Third Class certificate. Consulting with your physician and an AME can provide personalized insights tailored specifically to your situation.

Final Thoughts: Enjoy the Skies, Your Way

Regardless of your choice, remember that both BasicMed and the Third Class medical certificate share a common purpose: ensuring pilots can safely enjoy the privilege of flight. Stay informed, stay safe, and keep soaring with confidence.

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Author: Leland R. Johnson, Private Pilot since 1993, Multiengine and Remote Pilot Rated. Passionate about safety, learning, and the joy of aviation.