Air Ambulance and Medical Jet Charter Flights

The required type of medical transport must be determined by the treating physician before any charter is arranged. The two classifications utilize entirely different aircraft configurations, crew types, and cost structures.

Under IRS regulations, flights operated by fixed-wing aircraft equipped for and exclusively dedicated to acute care emergency medical services are completely exempt from the standard 7.5% Federal Excise Tax (FET) on air transportation. This exemption applies to both the air transportation percentage tax and the domestic segment fees. 

However, non-emergency medical flights utilizing standard corporate charter aircraft are not classified as acute emergency transport by the IRS. 

These flights remain fully subject to the 7.5% FET if operating domestically within the US or within the 225-mile zone (including Canadian and Mexican border destinations).

Hogani Jets manages the complete aviation supply chain, ensuring the medical team can focus exclusively on the patient.

Within Our Scope:

• Sourcing appropriately equipped aircraft from the vetted operator network based on physician requirements.
• Verifying the direct air carrier holds an FAA Part 135 certificate and reviewing their safety credentials via our Operator Confidence Mark protocol. 
• Confirming specific aircraft configurations, including flat-floor access, stretcher mounts, and specific cabin pressure capabilities.
• Synchronizing departure and arrival slots directly with ground ambulance schedules at both FBO terminals.
• Securing all international overflight permits, landing slots, and customs clearances for cross-border medical repatriation.

Outside Our Scope (Requires Medical Professionals):

• Determining patient flight fitness or survivability.
• Selecting the required level of medical care or intervention during transit.
• Prescribing specific medical equipment or medications for the flight.
• Supervising or employing the onboard flight nurses, paramedics, or physicians.

Hogani Jets aligns the aircraft category with the route length and the physician's equipment requirements.

• Light Jets (Citation CJ series, Learjet 55): Utilized for domestic transfers under 1,500 nm where the patient is stable. Cabin heights are limited (4.5 to 5.5 ft), meaning they are only suitable for patients who can remain seated or lie flat on a configured stretcher.
• Midsize Jets (Falcon 2000 series, Challenger 300): Provide increased cabin height (5.5 to 6.0 ft) and space for portable ICU monitors and medical crews. Ideal for ongoing monitoring over longer domestic routes.
• Heavy Jets (Challenger 650, Falcon 900): The global standard for international air ambulances. These feature walk-around cabins (over 6.0 ft) providing ample space for full ICU equipment, a dedicated medical team, and accompanying family members.
• Ultra-Long-Range Jets (Global 7500): Required for intercontinental medical repatriation to eliminate the need for fuel stops, which inherently increase patient handling risks.
• Wheelchair Accessible Aircraft (Challenger 604): For patients with severe mobility limitations, we source specific Challenger 604 airframes equipped with hydraulic wheelchair lifts, enabling safe, level boarding without stairs.

Hogani Jets utilizes a proprietary Operator Confidence Mark to evaluate every FAA Part 135 operator before placement. For medical charters, we assess the operator's operational history, specialized medical fleet size, and third-party audit ratings (ARGUS, IS-BAO, Wyvern where needed). 

Medical charter requires prompt, precise action. Contact Hogani Jets immediately to initiate the aviation coordination process.

Call +1-855-660-0573 or email charter@hoganijets.com. Available 24 hours a day.

What is an air ambulance charter?

An air ambulance is a private aircraft equipped with ICU-level technology and staffed by medical professionals. It transports patients requiring continuous acute care. Treating physicians must authorize the transport, and Hogani Jets coordinates the complete aviation logistics.

What is a non-emergency medical charter?

This charter transports medically stable patients who do not require in-flight intervention but need cabin privacy, a flat-floor layout, or stretcher access. Personal caregivers may accompany the patient, but the aircraft is not equipped as an ICU.

Does the treating physician need to approve a medical flight?

Yes. All medical charters require treating physician authorization. The physician determines flight fitness and required in-flight care levels. Hogani Jets strictly handles aviation logistics and aircraft sourcing, leaving all clinical decisions exclusively to the medical professionals.

Are air ambulance flights exempt from Federal Excise Tax? 

Yes. Fixed-wing aircraft exclusively dedicated and equipped for acute care emergency medical services are exempt from the 7.5% FET. Non-emergency medical charters on standard aircraft remain subject to standard domestic taxes. 

How quickly can a medical charter be arranged?

Domestic medical charters can typically launch within 4 to 24 hours depending on aircraft positioning. International medical repatriations require additional time, usually 24 to 48 hours, to secure necessary overflight permits and coordinate cross-border customs facilitation.

Can a patient fly in a wheelchair on a private jet?

Yes. Specific aircraft, such as specialized Challenger 604 models, feature hydraulic wheelchair lifts for level boarding without stairs. We explicitly confirm lift availability and cabin accessibility for any charter where the patient has severe mobility limitations.

Is Hogani Jets a medical provider?

No. Hogani Jets is an air charter broker, not a medical provider or direct air carrier. We do not employ medical staff or make clinical decisions. We exclusively coordinate aviation logistics with vetted FAA Part 135 operators.