Key Takeaways
- AeMC vs AME: AeMCs issue all certificates, AMEs only Class 2 and LAPL
- Cost Range: €80-€920 depending on class and center location
- Geographic Freedom: Choose any EASA center across 31+ countries
- Booking: Most centers offer online appointments 2-4 weeks advance
- Strategic Selection: Balance cost, location, service quality, and specialization
Understanding AeMC vs AME
The European Aviation Safety Agency (EASA) authorizes two types of medical entities to conduct pilot medical examinations: Aeromedical Centres (AeMC) and Aeromedical Examiners (AME). Understanding the distinction between these entities is crucial for selecting the appropriate provider for your medical certification needs.
Aeromedical Centre (AeMC)
Full medical facility
Key Characteristics
Aeromedical Examiner (AME)
Individual doctor
Key Characteristics
Important Note
If you are pursuing commercial pilot licenses (CPL, ATPL) or plan to fly for airlines, you must obtain a Class 1 medical certificate, which requires examination at an AeMC. Private pilots (PPL) and light aircraft pilots (LAPL) can use either AeMC or AME for their Class 2 or LAPL medical certificates.
Medical Certificate Classes Explained
Class 1 Medical Certificate
Required for: Commercial pilots (CPL, ATPL), airline pilots, professional aviation careers
Validity: 12 months (under 40 years), 6 months (40-60 years), 6 months (over 60)
Examination: Comprehensive medical assessment including ECG, audiometry, vision tests, blood work, urine analysis
Must use: EASA-certified Aeromedical Centre (AeMC) only
Class 2 Medical Certificate
Required for: Private pilots (PPL), non-commercial flying
Validity: 60 months (under 40 years), 24 months (40-50 years), 12 months (over 50)
Examination: Standard medical assessment, less comprehensive than Class 1
Can use: Either AeMC or individual AME
LAPL Medical Certificate
Required for: Light Aircraft Pilot License holders only
Validity: 60 months (under 40 years), 24 months (over 40 years)
Examination: Basic medical assessment, least stringent requirements
Can use: Either AeMC or individual AME
Medical Examination Cost Comparison
| Certificate Type | Initial Exam | Renewal | Typical Range |
|---|---|---|---|
| Class 1 (AeMC) | €350-€920 | €250-€600 | Western Europe higher |
| Class 2 (AeMC) | €150-€400 | €100-€250 | Full facility premium |
| Class 2 (AME) | €100-€300 | €80-€200 | Lower overhead costs |
| LAPL | €80-€150 | €60-€120 | Basic examination |
Lower Cost Countries
- Eastern Europe (Poland, Czech Republic, Hungary)
- Southern Europe (Portugal, Spain, Greece)
- Baltic states (Estonia, Latvia, Lithuania)
- Typical savings: 30-50% vs Western Europe
Higher Cost Countries
- Switzerland, Norway, United Kingdom
- Germany, Netherlands, Scandinavia
- Major city centers within any country
- Often more convenient locations and availability
How to Find EASA Aeromedical Centers
Official Resources
- EASA Website: Official list of authorized AeMCs and AMEs by country
- National Aviation Authorities: Each country maintains updated lists of local examiners
- Flight School Recommendations: Training organizations maintain relationships with medical providers
- Pilot Forums: Aviation communities share experiences and recommendations
- Airmappr Directory: Comprehensive searchable database of European aeromedical centers
Search Strategy
Start by identifying 3-5 centers within reasonable travel distance. Compare their costs, services, availability, and reviews. Consider centers in neighboring countries if costs are significantly lower and you can combine the trip with other activities.
For Class 1 examinations, prioritize centers with good reputation for professional pilots as they understand airline requirements and provide detailed reports needed for employment applications.
Selection Criteria for Aeromedical Centers
Cost Factors
- Examination fees
- Travel expenses
- Accommodation if needed
- Additional tests costs
- Total value comparison
Quality Indicators
- Years in operation
- Pilot reviews
- Professional reputation
- Modern equipment
- Airline acceptance
Convenience
- Location accessibility
- Appointment availability
- English spoken
- Online booking
- Fast report turnaround
Booking and Appointment Process
Initial Contact
Email or call center with your details, certificate class needed, and preferred dates. Most respond within 24-48 hours.
Appointment Confirmation
Receive confirmation with date, time, required documents, cost breakdown, and preparation instructions.
Document Preparation
Gather passport, previous medical certificates, prescription medication list, and any specialist reports if applicable.
Examination Day
Arrive 15 minutes early, bring all documents, be well-rested. Examination takes 1-3 hours depending on class.
Results and Certificate
Immediate results in most cases. Certificate issued same day or within 1-2 weeks if additional review needed.
Booking Tips
- Book 2-4 weeks in advance for better availability, especially in busy periods
- Request morning appointments for blood tests requiring fasting
- Avoid scheduling immediately before important training milestones
- Confirm language availability if your local language skills are limited
- Ask about payment methods accepted (cash, card, bank transfer)
Preparing for Your Medical Examination
Do Before Examination
- Get adequate sleep (8+ hours)
- Stay well hydrated
- Fast 8-12 hours for blood tests
- Bring current eyeglasses/contacts
- List all medications taken
- Gather previous medical records
- Review medical history details
Avoid Before Examination
- Alcohol 24-48 hours before
- Excessive caffeine on exam day
- Strenuous exercise 24 hours prior
- New medications without disclosure
- Late nights or sleep deprivation
- Heavy meals before blood work
- Smoking before lung tests
Required Documents
- Valid passport or national ID card
- Previous medical certificates (if applicable)
- Current prescription glasses or contact lenses
- List of current medications with dosages
- Specialist reports for any ongoing conditions
- Surgical history documentation if relevant
- Payment method (cash, card, or transfer confirmation)
Expert Tips for AeMC Selection
For Student Pilots
Choose local AME for Class 2 or LAPL to minimize costs during training. Consider switching to reputable AeMC for Class 1 when approaching commercial license completion. Build relationship with one examiner for continuity.
For Commercial Pilots
Select AeMC with strong airline reputation and quick turnaround times. Verify they provide detailed English-language reports accepted by international carriers. Consider centers near major airports for convenience during airline applications.
For International Students
Choose centers in your training country or home country based on convenience and cost. Verify center accepts international patients and provides services in English. Consider timing medical with visa renewals or training breaks for efficiency.
For Pilots with Medical Conditions
Select AeMC experienced with your specific condition who can guide the certification process. Larger centers typically have more experience with complex cases and specialist consultations. Request initial consultation before full examination if uncertain about certification eligibility.
Choosing Your Aeromedical Provider
Selecting the right EASA aeromedical center requires balancing cost, convenience, and quality. Whether choosing an AeMC for comprehensive Class 1 examinations or an AME for Class 2 and LAPL certificates, prioritize centers with good reputation, reasonable costs, and convenient locations. Research thoroughly, read pilot reviews, and consider the total cost including travel expenses. Remember that medical certificates are valid across all EASA member states, giving you flexibility to choose providers offering the best value for your specific needs. Maintain good relationships with your chosen medical examiner for smooth renewals throughout your aviation career.