FAA Medical Examination - Class 1: Employer's Quick Guide
Everything employers need to know about FAA Class 1 Medical — who needs it, what's included, and how to find a provider through BlueHive.
What Is FAA Class 1 Medical?
First-class FAA medical certificates are required for airline transport pilots and are the most comprehensive aviation medical examination.
The FAA First-Class Medical Certificate is the highest level of aviation medical certification, required for airline transport pilots (ATP) who serve as pilot-in-command or second-in-command of scheduled air carrier operations. This comprehensive examination is conducted by FAA-designated Aviation Medical Examiners (AMEs).
Who Needs This Service?
- Airline transport pilots (ATP)
- Commercial airline pilots
- Cargo airline pilots
- Pilots seeking ATP certification
- Airlines and aviation companies
What's Included
A typical FAA Class 1 Medical appointment includes:
- FAA-designated Aviation Medical Examiners
- Comprehensive vision and hearing testing
- Cardiovascular evaluation with EKG for pilots over 35
- Electronic submission to FAA MedXPress
- Nationwide AME network
Turnaround time: Same-day issuance for most; may be deferred if medical issues require FAA review
Typical cost: $100–$175
How It Works
- Complete FAA MedXPress — Before your appointment, complete the FAA MedXPress application online and obtain your confirmation number.
- Schedule with an AME — Use BlueHive to find an FAA-designated Aviation Medical Examiner and schedule your examination.
- Complete Examination — The comprehensive exam typically takes 60-90 minutes and includes all required testing.
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