How BasicMed Suspension Works
If your driver's license was suspended because you failed to report a medical condition or failed a medical examination, the BasicMed program may allow you to drive again before your suspension ends — but only under specific conditions and only in certain states.
BasicMed is a Federal Aviation Administration (FAA) program that lets pilots operate small aircraft without a traditional medical certificate. Some states have adopted a parallel system for drivers: if you hold a valid BasicMed medical certificate issued by an FAA-approved physician, your state may recognize it as proof that you are medically fit to drive, even while your regular license suspension is still active. This is not automatic. Your state's Department of Motor Vehicles (DMV) must have adopted this policy, and you must meet the specific requirements your state has set.
The suspension itself does not disappear. What changes is your legal status to operate a vehicle during the suspension period. You are not reinstated; you are operating under a separate medical authorization that your state has chosen to recognize.
Key Takeaways
- BasicMed suspension relief is only available in states that have adopted it into their driver's license rules — not all states offer this option.
- You must obtain a BasicMed medical certificate from an FAA-approved physician, which requires passing a medical examination and meeting FAA health standards.
- BasicMed does not remove or shorten your suspension; it allows you to drive during the suspension period if your state recognizes it.
- Your state's DMV determines whether BasicMed certificates count toward license suspension relief and what additional steps you must take.
- If your suspension was for a serious violation (DUI, reckless driving, or criminal offense), BasicMed will not override it in any state.
Which States Recognize BasicMed for Driver's License Suspension
As of now, only a handful of states have formally incorporated BasicMed into their driver's license suspension policies. These include Montana, North Dakota, and South Dakota, though this list has changed and may continue to change. Other states periodically consider adopting it but have not yet done so.
Before pursuing a BasicMed certificate, contact your state's DMV directly and ask whether BasicMed medical certificates are recognized for suspension relief. Ask specifically: "Does my state allow a BasicMed certificate to authorize driving during a medical suspension?" The answer will determine whether the process is worth your time and cost. If your state does not recognize BasicMed for this purpose, obtaining the certificate will not help your suspension.
Your state may also distinguish between types of suspensions. A suspension for failing a medical examination may be treated differently from a suspension for failing to report a condition. Ask your DMV which suspensions, if any, can be addressed through BasicMed.
The BasicMed Medical Examination and Certificate
A BasicMed certificate is issued by a physician who has completed FAA training and is on the FAA's list of approved examiners. This is not your regular doctor; you must find an FAA-approved physician in your area. The FAA maintains a searchable database of approved physicians on its website.
The examination covers your medical history, current medications, and physical health. The physician will review your vision, hearing, cardiovascular system, and mental health history. If you have a condition that led to your suspension — such as untreated sleep apnea, uncontrolled diabetes, or a seizure disorder — the physician will assess whether it is now managed well enough to meet FAA standards.
If the physician determines you meet the standards, they issue a BasicMed certificate valid for 24 calendar months. The cost varies by physician but typically ranges from $100 to $300. If the physician finds you do not meet the standards, they will not issue the certificate, and you cannot appeal that decision to your state DMV.
Steps to Use BasicMed for Suspension Relief
First, confirm with your state's DMV that BasicMed suspension relief is available in your state and that your type of suspension qualifies. This step is essential and will save you money if the answer is no.
Second, locate an FAA-approved physician using the FAA's online directory. Schedule an examination and bring documentation of your medical history, current medications, and any medical records related to the condition that caused your suspension.
Third, if the physician issues a BasicMed certificate, contact your state's DMV with the certificate in hand. Ask what form you must submit and whether there are additional fees. Some states require you to file a specific form; others may ask you to appear in person. Your DMV will tell you the exact process.
Fourth, once your state processes your request, you will receive written confirmation of your driving status. This confirmation is not a new license; it is authorization to drive during your suspension period while holding a valid BasicMed certificate. You must carry both your suspended license and your BasicMed certificate when driving.
What BasicMed Does Not Cover
BasicMed will not help if your suspension was imposed for a traffic violation, criminal offense, or safety-based reason unrelated to medical fitness. Suspensions for DUI, reckless driving, driving with a suspended license, or criminal convictions cannot be addressed through BasicMed in any state.
BasicMed also does not explore if your suspension is a mandatory revocation rather than a suspension. Some states revoke licenses permanently or for a set period after certain violations; revocation is a different legal status than suspension and cannot be overridden by a medical certificate.
If your suspension includes a requirement to install an ignition interlock device, BasicMed does not remove that requirement. You would still need to comply with all other conditions of your suspension.
Costs and Timeline
The BasicMed medical examination typically costs $100 to $300, depending on the physician and your location. Some physicians charge more if your medical history is complex or requires additional review.
The examination itself usually takes 30 to 60 minutes. If the physician issues a certificate on the same day, you can submit it to your DMV when ready. Processing time at your DMV varies; some states respond within one to two weeks, while others may take longer. Contact your DMV to ask about their typical processing time for BasicMed requests.
If the physician does not issue a certificate, you have no recourse through that physician. You could seek a second opinion from another FAA-approved physician, but that would mean paying for another examination.
Alternatives If BasicMed Is Not Available in Your State
If your state does not recognize BasicMed for suspension relief, you have other options depending on your suspension type and state law.
Many states allow you to request an early hearing or review with the DMV if you can demonstrate that the medical condition causing your suspension has been treated or resolved. You would need medical documentation from your own physician showing that the condition is now managed. This is not the same as BasicMed but may achieve the same result.
Some states offer a hardship license or restricted license during a suspension period, allowing you to drive to work, school, or medical appointments. This is separate from BasicMed and is determined by your state's DMV based on your circumstances and the reason for your suspension.
If your suspension will end on a specific date, you may straightforward wait out the suspension period rather than pursue alternatives. Check your suspension notice for the end date and any conditions you must meet to have your license reinstated automatically.
Frequently Asked Questions
Can I drive with just a BasicMed certificate if my license is suspended?
Only if your state has adopted BasicMed for suspension relief and your specific suspension qualifies. You must carry both your suspended license and your BasicMed certificate. Driving without the suspended license in your possession is illegal, even with BasicMed.
What if I fail the BasicMed medical examination?
The physician will not issue a certificate. You cannot appeal this decision to your state or to the FAA. You could seek a second opinion from another FAA-approved physician, but you would pay for another examination. Your suspension remains in effect.
How long does a BasicMed certificate last?
A BasicMed certificate is valid for 24 calendar months from the date of issue. If your suspension lasts longer than 24 months, your certificate will expire before your suspension ends, and you would need to obtain a new certificate to continue driving under BasicMed authorization.
Will BasicMed help if my suspension is for a DUI?
No. BasicMed applies only to medical suspensions — suspensions imposed because you failed a medical examination or did not report a medical condition. Suspensions for DUI, traffic violations, or criminal offenses cannot be addressed through BasicMed in any state.
Do I need to tell my insurance company about BasicMed?
Yes. Contact your auto insurance company and inform them that you are driving under BasicMed authorization during a suspension. Failure to disclose this may void your coverage if you are in an accident. Your insurer may charge a higher premium or decline to renew your policy.