How long is a first-class medical certificate valid?

For ATP privileges, first-class certificates are valid for 12 months if under age 40, or 6 months if age 40 or over. The certificate then defaults to second-class privileges for additional months.

What are the vision requirements for first-class medical?

Pilots must have distant vision of 20/20 or better in each eye separately, with or without correction, and near vision of 20/40 or better in each eye. Color vision sufficient to safely perform pilot duties is also required.

Do I need an EKG for a first-class medical?

An EKG is required at the first examination after age 35, and annually after age 40.

What medications disqualify you from a first-class medical?

Many medications can affect certification, including most psychiatric medications, narcotics, and sedatives. However, the FAA has approved some medications through special issuance. Consult with an AME before your exam.

FAA Medical Examination - Class 1: Employer's Quick Guide

At a glance

Turnaround: Same-day issuance for most; may be deferred if medical issues require FAA review
Typical cost: $100–$175
Certification: FAA Aviation Medical Examiner
CPT code: 99455

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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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How FAA Class 1 Medical works, step by step

1
Complete FAA MedXPress
Before your appointment, complete the FAA MedXPress application online and obtain your confirmation number.
2
Schedule with an AME
Use BlueHive to find an FAA-designated Aviation Medical Examiner and schedule your examination.
3
Complete Examination
The comprehensive exam typically takes 60-90 minutes and includes all required testing.
4
Receive Certificate
Upon passing, receive your First-Class Medical Certificate directly from the AME.

Regulatory snapshot

FAA regulation 14 CFR Part 67; Required for ATP certification; valid for 6–12 months depending on age

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FAA Medical Examination - Class 1: Employer's Quick Guide