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Medical cases
Updated on 06 May 2024

As a general rule, a medical case exists when a passenger has a medical condition in which they are dependent on others and/or personalized assistance. For air travel, this condition must be communicated to TAP.

  • Pregnancy with complications or after 36 weeks or 32 weeks when the pregnancy is multiple; 
  • Baby under the age of 7 days. 
  • The passenger looks sick, feverish, with persistent cough or vomiting;
  • Presentation of shortness of breath when walking or climbing stairs;
  • Presentation of spots on the skin that may be compatible with the contagious disease;
  • Mental confusion, strange or inappropriate behaviour, particularly suggestive of alcohol or drugs intoxication;
  • Presentation of any  disease not controlled or likely to be aggravated by travelling;
  • Presentation of physical or behavioural conditions that may be dangerous or create discomfort to the other passengers, particularly in terms of flight safety, operation punctuality and liability to enhance flight diversion.

Or in any of the following situations:

  • Immobilization plasters or splints.
  • Chronic heart disease (angina pectoris, heart failure).
  • Chronic respiratory disease (bronchitis, emphysema).
  • Recent acute myocardial infarction.
  • Recent stroke.
  • Untreated active or contagious infectious disease.
  • Uncontrolled psychiatric illness.
  • Diabetes or epilepsy, with recent complications and/or when there are other pathologies with which flying may interfere;
  • Shortness of breath when walking and climbing stairs.
  • Skin spots that may be related to a contagious disease.
  • Recent hospital admission.
  • Recent surgery, in particular thoracic, abdominal, cranial or ocular.
  • Need to be transported on a stretcher.
  • Need for medical, nursing or paramedical care.
  • Need for extra oxygen or other medical equipment on board.


To request special assistance, a MEDIF (Medical Information for Fitness to Travel) must be completed by the attending physician, signed and stamped (sticker or stamp), where the diagnosis will be described. It will then be analyzed by the company's medical services, which will confirm if the passenger is fit to travel and under what conditions.

It is very important that the documents are sent to TAP in due time:

By e-mail to *: [email protected]
or alternatively,
by fax to (+351) 21 841 5880.

* This email address is only for MEDIF-related matters; any other issues will be disregarded.

Reservations for this service must be made up to 48 hours before travel, otherwise, TAP cannot guarantee the transportation.


Pregnant women can travel on board TAP's flights until 36 weeks of pregnancy or up to 4 weeks before the expected date of delivery for a pregnancy without complications, or 32 weeks when pregnant with twins or triplets, for a pregnancy without complications.

Before planning any air travel, pregnant women should get information regarding their destination country for possible restrictions or hazards to their health.

  • After the 28th week and up to the 36th week, a certificate from the attending doctor is necessary. 
  • Prior permission from the TAP's medical team is required in the following situations:
    • medium- or high-risk pregnancy;
    • pregnancy with complications;
    • no complications but over 36 weeks pregnant;
    • no complications but over 32 weeks pregnant with twins and triplets;
    • doubts as to gestation time and expected date of delivery;
    • expected complications during delivery;
    • risk of
    • miscarriage or recent miscarriage.

The Medical Information for Fitness to Travel - MEDIF (PDF, 0.1MB, EN) form must be filled in by the passenger's doctor and sent to TAP for approval by the medical team, who will decide whether she can travel safely and under what conditions.


Useful recommendations

Before the flight:

  • Arrive at the airport with plenty of time so that all the boarding procedures and travel inside the airport can be done calmly;
  •  Request an aisle seat for easier access to the toilet;
  • Take short walks, particularly on longer flights.

During the flight:

  • Wearing a seatbelt is compulsory. It should be placed under the belly in the pelvic region to avoid putting pressure on the womb;
  • We do not recommend the ingestion of fizzy drinks or certain vegetables before or during the flight as they cause gas to expand in the intestines, which may cause discomfort during the flight;
  • The air in the cabin is drier than on the ground; drinking water frequently during the flight is recommended;
  • To reduce the risk of deep-vein thrombosis, particularly on flights of over three hours, pregnant women are encouraged to do leg exercises in their seat;
  • It is not advisable to travel less than 7 days after giving birth. The same applies to newborn babies.

After the flight:

  • In case of crossing more than three time zones during the flight, pregnant women must adapt their internal clock to the local time, by having their meals according to local time, going out in the sunlight and moderately exercising, such as going for short walks. This will help the  body clock to adjust faster;
  • Medication for jet lag is not recommended during pregnancy!


The cabin environment of commercial aircraft corresponds to a lower atmospheric pressure than at the surface, which does not significantly affect the generality of passengers.

 In the case of passengers with certain health conditions, there may be a relevant impact. Thus, for a passenger who has recently suffered an orthopaedic injury from a lower limb (e.g. fracture) requiring a plaster immobilization, medical authorization for boarding must be requested before the airline, by presenting a MEDIF form filled out by the attending physician. Otherwise, fractures are not considered medical cases.

To prevent circulatory problems and discomfort, the plaster should be opened if travel is within 48 hours of its placement; passengers may still need a wheelchair to travel to the aeroplane and more legroom during the flight, so it is advisable to book and pay for an extra -EXST for comfort.

TAP does not provide leg rests – LEGR/LEGL/LEGB.

A319, A320 and A321 Aircrafts

Passengers with immobilized leg below the knee

  • Flights up to 3 hours long - Book one extra seat: the immobilized leg is placed under the extra seat beside the passenger.
  • Flights of over 3 hours long - Book two extra seats: the passenger takes the seat next to the window and places his/her leg over the other seats. If the left-hand limb is injured, the passenger is placed on the right-hand side of the aircraft. If the right-hand limb is injured, the passenger is placed on the left-hand side of the aircraft.

Passengers with a fully immobilized leg, including knee

  • Flight of any duration - Book two extra seats: the passenger leans against the window and places the immobilized leg on the other two seats. If the right-hand limb is injured, the passenger is placed on the left-hand side of the aircraft, and vice-versa.

A330 and A340 Aircrafts

Passengers with an immobilized leg below the knee

  • Flights up to 3 hours long - Book one extra seat in a side row of two seats: the immobilized leg is placed under the extra seat beside the passenger.
  • Flight over 3 hours long - Book a seat in business class, therefore an extra seat is not necessary.

Passengers with a fully immobilized leg, including knee

  • Flights of any duration - Book a seat in business class, therefore an extra seat is not necessary.
Stretchers on board TAP's aircraft are always subject to approval and depend on aircraft type and configuration.
  • It will be done in Economy Class.
  •  If the configuration allows, the stretcher installation will be done in the Economy class cabin.

On TAP's recently retrofitted planes, the number of stretchers allowed is limited, so all medical cases involving STCR have to be coordinated well in advance.

  • Stretchers must be ordered at least 72 hours in advance. However, in the case of exceptional last-minute requests, TAP will make every effort to accommodate them.
  • Waiting list not allowed.
  • Every time a passenger travels as a medical case with a stretcher, it is mandatory that the passenger is accompanied by a doctor or paramedic.
  • The final confirmation to the passenger cannot be given without a positive response from the TAP medical team after the MEDIF analysis.
  • The confirmation of the stretcher will be reflected on the PNR with an SSR STCR to be inserted by our Medical Cases Team.
  • Codeshare flights are subject to special conditions, so please contact the operating airlines before starting the reservation process. This service may need to be booked directly with the operating carrier.

Information on the PNR:

  • Details regarding the ambulance at departure and arrival (corporations/hospital at origin and destination).  A telephone number must be added on the PNR as OSI CTC.
  • Passenger's contact or accompanying person's contact at the point of departure.
  • Any additional equipment required by TAP to be provided is at passenger’s responsibility.

Service fees

Service fees apply according to the type of aircraft:

  • Narrow Body (A319/A320/A321) - 6 x Full Normal Adult "Y" Class OW Fare
  • Wide Body (A330/A340) - 5 x Full Normal Adult "Y" Class OW Fare
  • Y_PLU or Y_PUI (except to/from Cape Verde, Guine Bissau, Sao Tome, Mozambique and Angola);
  • B_PUI to/from Cape Verde, Guine Bissau, Sao Tome, Mozambique and Angola;

The amount must be collected and added to the passenger's ticket  as a “Q surcharge” on the fare calculation;

  • No Airport Taxes are to be collected (except for passengers' own).
  • No Cancelation or No-show Fees will be charged;
  • At some airports, it may be necessary to use a jumbo lift but no extra charges will be due by the passenger;
  • For the passenger and his accompanying person, any available applicable economy class fare can be used (avoid using Discount Brand due to its non-changeable condition).
Whenever there is a need for an ambulance to effect transportation to the aircraft or transfer of a passenger from one aircraft to another, this service will have to be arranged by the agency/passenger and it will be necessary to insert as much information as possible in the PNR, considering: 
  • hospital or health centre of destination and contact
  • the body responsible for ambulance and contacts, for example
    • fire brigade or private company
  • insert an AMBU SSR, for example
    • SSR AMBU- RED CROSS TEL +351 222 333 444
  • indicate the person or entity responsible for requesting the ambulance, payment and contact details, which must include the full address and telephone number
  • ensure the reconfirmation of ambulance transport.

NOTE - LIS Airport: Since 01 March 2021 TAP no longer provides ambulance service for passenger transfers from one flight to another. This service will have to be arranged by the agency/passenger, and the agency must provide detailed and accurate information in the PNR, as described above. 

EXCEPTION - LHR Airport: Whenever there is a medical case involving Heathrow Airport (LHR) in London and the airport ambulance is requested, the STCR booking will be confirmed only after TAP has received confirmation of payment of the EMD. This rule will apply for departures or arrivals at LHR airport.
The following fee applies to Ambulance Service: 450 GBP (new value since June 2021). Payment will be made by EMD-A AMBU 


  • There is always oxygen on board for emergencies. 
  • The final confirmation to the passengers cannot be given without a positive response from TAP's medical team after analysis of the MEDIF.
  • TAP's medical services will indicate which flow and type of bottle is suitable and should be accompanied; passengers may be allowed to travel unaccompanied if they can administer oxygen themselves;
  • Oxygen is supplied with a one-size-fits-all mask; there are no masks for children;
  • Transportation of own oxygen units by the passenger is not authorized (except for POC and CPAP equipment, not considered as medical cases);
  • Tents of oxygen are not accepted on board;
  • The crew is not authorized to supply oxygen to passengers.

TAP has two types of tanks:

  • Large: 3 litres/min / 7 litres/min;
  • Small: 2 litres/min / 4 litres/min.

Flat rates per one way:



Oxygen Continuous Flow

Oxygen Non-Continuous Flow

Domestic Flights

150 EUR

185 USD

235 CAD

80 EUR

100 USD

127 CAD

Israel and ACC-TMS/vv

170 EUR

211 USD

254 CAD

170 EUR

211 USD

254 CAD

Intercontinental Flights

300 EUR

367 USD

466 CAD

300 EUR

367 USD

466 CAD

Flat Rate to be collected on EMD-A AOXY.


Transportation of passengers' wheelchairs and personal portable oxygen equipment is not considered a medical case. 



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