Pilots and student pilots often have questions about FAA medical requirements, especially when deciding between BasicMed and an FAA medical certificate. The terminology can be confusing because BasicMed is not a medical certificate, while Class 2 and Class 3 are specific FAA medical certificate categories. The appropriate option depends largely on the type of flying you plan to do and the privileges you intend to exercise.
The FAA establishes the requirements for these options, including the types of flying permitted under each pathway. Your medical history and the type of pilot privileges you plan to exercise are also important considerations. Crabapple Medical Center can help patients understand the medical examination process and provide appropriate general medical evaluation, while FAA certification requirements should always be confirmed through current FAA guidance.
What Is BasicMed?
BasicMed is an alternative pathway that allows eligible pilots to fly without holding an FAA medical certificate. It was created for certain pilots who meet specific eligibility, examination, education, aircraft, and operating requirements.
Under current FAA rules, a pilot using BasicMed must meet the applicable requirements, including having held an FAA medical certificate after July 14, 2006, completing the required Comprehensive Medical Examination Checklist with a state licensed physician, completing an approved BasicMed medical education course, and maintaining the required documentation.
BasicMed is intended for certain operations rather than every type of flying. Pilots using BasicMed must comply with limitations involving the aircraft, number of occupants, altitude, airspeed, location, and compensation.
Under the current expanded rules, a qualifying BasicMed pilot can operate an aircraft authorized to carry no more than seven occupants and with a maximum certificated takeoff weight of no more than 12,500 pounds. The pilot may carry no more than six passengers and must operate within the other BasicMed limitations.
What Is an FAA Class 2 Medical Certificate?

A Class 2 medical certificate is an FAA medical certificate generally associated with commercial pilot privileges. The FAA identifies Class 2 certification as applicable to commercial pilots and certain other aviation roles. A pilot who intends to exercise commercial pilot privileges generally needs the appropriate medical certification for those duties.
A Class 2 medical examination is performed by an FAA authorized Aviation Medical Examiner, commonly called an AME. Before the examination, applicants complete the FAA medical application through MedXPress. The AME then performs the examination and evaluates the applicant according to FAA medical standards.
What Is an FAA Class 3 Medical Certificate?
A Class 3 medical certificate is generally associated with private, recreational, and student pilot privileges. The FAA states that a student pilot generally needs at least a Class 3 medical certificate before the first solo flight in an airplane, helicopter, gyroplane, or airship, although there are exceptions for glider and balloon operations.
Class 3 certification is commonly relevant to people who plan to fly for personal purposes rather than exercise commercial pilot privileges. However, some eligible private pilots may choose BasicMed instead of maintaining a Class 3 medical certificate if their planned operations meet all BasicMed requirements.
BasicMed vs Class 2 vs Class 3
The main distinction is the type of flying each pathway supports. BasicMed is an alternative to holding an FAA medical certificate for qualifying operations. Class 2 is generally associated with commercial pilot privileges. Class 3 is generally associated with private, recreational, and student pilot privileges.
The choice should therefore be based on your intended aviation activities rather than simply selecting the option that sounds easier. A pilot who expects to exercise commercial privileges cannot generally substitute BasicMed for the medical certification required for those privileges. Similarly, a student beginning flight training should understand the medical requirement that applies before solo flight.
Who May Be Eligible for BasicMed?
BasicMed is available only to pilots who meet the FAA's specific eligibility requirements. Among other requirements, the pilot must have held a medical certificate after July 14, 2006. The pilot must also meet the applicable requirements regarding the status of their most recent FAA medical certificate.
The pilot must complete the FAA Comprehensive Medical Examination Checklist with a state licensed physician and complete a qualifying BasicMed medical education course. The completed documentation must be retained according to FAA requirements. Because eligibility involves several conditions, pilots should review the current FAA requirements before scheduling a BasicMed examination.
What Happens During a BasicMed Examination?

A BasicMed examination uses the FAA Comprehensive Medical Examination Checklist. The pilot completes the required portion of the checklist before providing it to the physician. The state licensed physician performs the examination and completes the appropriate physician section.
The examination addresses various aspects of the pilot's health and physical condition. The physician must determine whether they are aware of a medical condition that, as presently treated, could interfere with the person's ability to safely operate an aircraft.
The completed checklist is retained by the pilot in the required manner. A BasicMed examination is different from an FAA medical certificate examination because the physician is completing the BasicMed checklist rather than issuing a Class 2 or Class 3 FAA medical certificate.
What Happens During a Class 2 or Class 3 FAA Medical Examination?
For an FAA medical certificate, the applicant first completes the required FAA medical application through MedXPress. The application includes questions about medical history and other information required by the FAA.
The applicant then visits an FAA authorized Aviation Medical Examiner. The AME conducts the examination and reviews the information provided.
The FAA explains that applicants with current or previous medical conditions or medication use should review the applicable FAA guidance and gather relevant medical documentation before the examination. Having the necessary records available can help prevent unnecessary delays.
How Long Is a Class 2 Medical Certificate Valid?
The duration of an FAA medical certificate depends on the class and the type of privileges being exercised.
According to FAA guidance, a Class 2 medical certificate is valid for Class 2 operations for 12 calendar months following the month of examination. After that period, the same certificate may continue to provide certain Class 3 privileges for a longer period, depending on the pilot's age.
Because FAA rules and individual circumstances can affect how a certificate is used, pilots should check the current FAA requirements rather than relying on a previous certificate's expiration pattern.
How Long Is a Class 3 Medical Certificate Valid?
For Class 3 operations, the FAA generally provides a longer validity period than Class 2 certification.
A Class 3 medical certificate is generally valid for 60 calendar months for pilots under age 40 and 24 calendar months for pilots age 40 or older, calculated according to FAA rules.
The certificate's validity for other types of pilot privileges can depend on the class of operation being exercised.
Does BasicMed Have an Expiration Date?
BasicMed has continuing requirements rather than functioning like a traditional medical certificate with one expiration date. A BasicMed medical examination must be completed within the applicable period, and the pilot must also complete the required online medical education course at the intervals established by the FAA.
The FAA currently states that a pilot must receive the comprehensive medical examination within the previous 48 months to act as pilot in command under BasicMed. The education course has its own completion interval, so pilots should track both requirements.
Need a BasicMed Examination?
If you are an eligible pilot considering BasicMed, contact Crabapple Medical Center to ask about the medical examination process and whether the office provides the required BasicMed examination.
What If You Are a Student Pilot?
Student pilots should pay close attention to the medical requirements that apply before solo flight. The FAA states that student pilots generally need at least a Class 3 medical certificate before their first solo flight in an airplane, helicopter, gyroplane, or airship. Glider and balloon operations are exceptions.
A student who is planning to continue toward private pilot privileges should discuss medical certification with their flight instructor and an appropriate FAA medical professional early in the training process.
What Medical Information Should You Bring?
Whether you are completing a BasicMed examination or preparing for an FAA medical examination, having accurate medical information available can be helpful. Bring a current list of medications, information about significant medical conditions, previous surgeries, relevant specialist reports, and other documentation requested by the physician or FAA.
For FAA medical certification, the FAA specifically recommends that applicants with current or previous medical conditions research the applicable requirements and gather appropriate documentation before the AME appointment. Complete and accurate information is important because the FAA medical application requires disclosure of relevant medical history.
What If You Have a Medical Condition?

Having a medical condition does not automatically mean that you cannot participate in aviation. The FAA has specific standards and processes for evaluating many medical conditions. Depending on the condition, the circumstances, and the documentation available, certification may involve additional information, testing, FAA review, or special issuance procedures.
Do not stop prescribed medication or change treatment simply because you are preparing for an aviation medical examination. Discuss medical treatment with your treating healthcare professional.
What Should You Do Before Scheduling Your Aviation Medical Exam?
First, identify the type of flying you plan to do. Next, determine whether you need an FAA medical certificate or may qualify for BasicMed. If an FAA medical certificate is required, confirm which class applies to the privileges you intend to exercise.
Gather your medical history and supporting documentation before the appointment. This is particularly important if you have previous or current medical conditions. For an FAA medical certificate, use the FAA's MedXPress process and schedule an appointment with an FAA authorized AME.
Understand Your Aviation Medical Requirements
BasicMed, Class 2, and Class 3 medical requirements serve different purposes, so identifying the privileges you intend to exercise is an important first step. BasicMed may be available to eligible pilots operating within its specific requirements, while Class 2 and Class 3 certificates apply to different categories of aviation privileges.
Before scheduling an examination, review the current FAA requirements and make sure you understand which pathway applies to your planned flying. Crabapple Medical Center in Alpharetta can help with appropriate physician examinations and general medical evaluation, while FAA certification decisions and requirements remain governed by the Federal Aviation Administration. Contact the office to discuss your examination needs and learn what documentation to bring.
Preparing for Aviation Medical Requirements?
Understanding the medical requirements before your appointment can help you bring the appropriate documentation and information. Contact Crabapple Medical Center in Alpharetta to discuss your general medical examination needs.
Frequently Asked Questions
What is the difference between BasicMed and an FAA medical certificate?
BasicMed is an alternative pathway that allows eligible pilots to operate certain aircraft without holding an FAA medical certificate. Class 2 and Class 3 are FAA medical certificate categories used for specific pilot privileges.
Is BasicMed the same as a Class 3 medical?
No. BasicMed is not an FAA medical certificate. It is an alternative qualification for certain pilots who meet the applicable requirements and operate within BasicMed limitations.
Who generally needs a Class 2 medical?
A Class 2 medical certificate is generally associated with exercising commercial pilot privileges. The FAA also specifies certain other aviation roles that require Class 2 certification.
Who generally needs a Class 3 medical?
Class 3 medical certification is generally associated with private, recreational, and student pilot privileges. Student pilots generally need at least a Class 3 certificate before solo flight in an airplane, helicopter, gyroplane, or airship.
Can I use BasicMed instead of a Class 3 medical?
Eligible pilots may use BasicMed instead of holding an FAA medical certificate for qualifying private pilot operations. The pilot must satisfy all BasicMed requirements and limitations.
