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Fitness to Fly

You need to be satisfied that you are medically fit to travel by air, and/or that all precautions recommended by your doctor are taken before, during, and after your flight. If you have any doubts, please contact our Special Assistance Team before making any bookings to talk about your requirements. Please note that we do reserve the right to refuse travel should we believe that you are not fit to fly.

Travel insurance and European Health Insurance Cards/Global Health Insurance Cards
We strongly recommend that you take out sufficient travel insurance for your journey that covers situations such as unscheduled flight diversions or changes to your travel plans due to illness. We also recommend that your travel insurance is valid from the point of booking, as changes to travel plans due to illness may occur before you travel.

If you already have a European Health Insurance Card (EHIC), it entitles you to state healthcare in countries which belong to the European Union. A new UK equivalent, Global Health Insurance Card (GHIC), will be issued for new applications from 1 January 2021 instead of an EHIC. You can find further information and apply for an GHIC here. You don’t need to apply for a GHIC if you already have an EHIC, as it’s valid in the EU until it expires.

Please be aware EHICs and GHICs aren’t valid in Iceland or Switzerland from 1 January 2021.

Please note, an EHIC or GHIC isn’t a replacement for travel insurance. It also doesn’t cover private medical healthcare (which may be the only option available to you in certain countries), repatriation costs, lost baggage and documents or holiday cancellations. More information can be found here.

You can add our 5* Defaqto-rated travel insurance to your existing booking or you can arrange your own insurance elsewhere. offers travel insurance at

The facts
  • We strongly recommend you take out travel insurance.
  • An EHIC or GHIC provides state healthcare in European Union countries, excluding Iceland and Switzerland.
  • Your EHIC will be valid until its expiry, but there are limitations to this so make sure you have travel insurance that includes private healthcare and repatriation costs, as well as any pre-existing conditions.

Fit to Fly Certificates
A Fit to Fly Certificate may be needed for certain medical conditions. You can find more about such conditions in the below sections of these FAQs, or by contacting our Special Assistance Team directly.

If you need a Fit to Fly certificate, it must be provided by a Doctor (or Midwife for pregnancy cases) on Surgery/Hospital headed paper and be dated within 30 days of departure. Alternatively you may prefer to download a Fit to Fly certificate for completion by your medical professional.

Medical Information Forms (MEDIF)
For more complex medical cases, you may need a MEDIF and pre-approval to travel by air. Please call our Special Assistance Team to talk about your requirements.

If you need a MEDIF, you can download the required form. Please make sure that your doctor has completed the form in full, and included all of the information below:

  • Doctor’s signature
  • Dated within 30 days of travel
  • Stamp from the doctor, doctor’s surgery, hospital, or clinic - in the event they do not have a stamp, the doctor must sign the MEDIF and also attach an additional document, such as a business card or sheet of headed notepaper, with their signature
  • Confirmation of fitness to fly - please ensure that your doctor includes a clear prognosis for the flight under section 06 of the MEDIF, as without this we are not able to grant medical clearance

Please return the completed form to and then someone from our Special Assistance Team will get in touch with you.

Our Special Assistance Team will contact you after they receive the form.

Any costs for a medical professional to complete a Medical Information Form, or provide a Fitness to Fly certificate, lie solely with the customer and cannot be reimbursed by us.

Travelling Unaccompanied
We require you to travel accompanied if you are unable to carry out the basic safety requirements unaided, such as fastening a seat belt, fitting an oxygen mask in an emergency situation, or reaching an emergency exit unaided. We also require you to travel accompanied if you need personal care – for example, assistance in using the toilet or eating during the flight.

In such situations your travel companion will need to purchase a full ticket for the flight(s) in questions, but please contact our Special Assistance Team in advance so that we can discuss your requirements and endeavour to seat you together.