If your aviation medical examiner denies your application due to coronary artery disease, do you have a right to an aviation medical certificate?

The correct answer is based on the regulatory framework governing aviation medical certifications. Individuals seeking an aviation medical certificate must meet specific health standards as defined by the Federal Aviation Administration (FAA). If an aviation medical examiner denies an application due to a significant medical condition like coronary artery disease, it indicates that the individual does not meet the required health criteria essential for safe operation of an aircraft.

The denial is not just a simple obstacle; it reflects a serious concern regarding the applicant's ability to manage their health condition in a high-stress environment typical of aviation operations. In such cases, the law typically does not provide an automatic right to an aviation medical certificate when there is a substantial health risk. Therefore, the underlying medical condition can lead to disqualification, irrespective of an appeal, improvements in health, or second opinions, unless substantial evidence is presented later to support a change in status.

While options such as appealing the decision or showing improvement can sometimes play a role in the process following a denial, they do not guarantee a right to the certificate, as the foundational basis for denial remains—the presence of a serious health risk. Hence, the medical history and potential ongoing impairment from coronary artery disease serve as disqualifying factors in this context.