Sickness Management Services 2017-10-18T18:04:52+00:00

Project Description

SICKNESS MANAGEMENT SERVICES

Medical Casework – Helping Pilots and ATCOs Regain Their Medical Fitness


Medical Casework can be described as the work involved, administrative or otherwise, to produce the evidence required to make a decision about aeromedical fitness. It most commonly applies in the following circumstances:

  • At the time of the medical, the applicant is found to not meet EASA requirements for certification and additional medical information and/or investigations and/or treatment is required in order to decide on aeromedical fitness.

  • The applicant is Temporarily Unfit (their medical certificate has been temporarily suspended) and additional medical information and/or investigations and/or treatment is required in order to make a decision about aeromedical fitness.


Medical Casework is a significant undertaking that was previously performed exclusively by the CAA. This is no longer the case. The AME is now expected to undertake casework, consulting the CAA where applicable. mediciELITE applies the following charges, inclusive of VAT, for casework:

  • Re-issue of medical certificate e.g. misplaced original – £24.

  • Referral Letter (Short) – £60.

  • Referral Letter (Intermediate) – £90.

  • Referral Letter (Long) – £120.

  • Review Report Received (Simple) – £60.

  • Review Report Received (Intermediate) – £114

  • Review Report Received (Complex) – £150.

  • Pilot/ATCO consultation to issue Fit Letter – £150.


FEES DO NOT APPLY when pilots/ATCOs seek aeromedical advice e.g. about new medication or potential treatments; when pilots/ATCOs declare a decrease in medical fitness leading to the issue of an Unfit Letter; and for referrals (at the time of the medical) to the GP for abnormal blood pressure, haemoglobin or cholesterol.


At our discretion, the fee for review of reports received may be waived if the report is available at the time of the medical, no further data is required and certificatory decision is made at the time of the medical.

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