Flight nurses and a coordinator reviewing a checklist beside a medical jet at golden hour
Specialist operators · 24/7 desk

Medical repatriation

Medical Repatriation Flights

When a patient needs to come home, our 24/7 desk arranges the flight with specialist air-ambulance operators — medical crew, equipment and clearances included.

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Call +33 7 66 61 37 42ARGUS · Wyvern · IS-BAO certified operators

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Flyius SAS is an air charter broker registered in France. Flyius is not a direct or indirect air carrier. All flights are operated by certified Part 135 / AOC operators vetted for safety and compliance.

Safety standards required of partner operators

24/7

Repatriation desk — nights, weekends, holidays

5,000+

Airports worldwide, close to the receiving hospital

150+

Vetted operators, incl. specialist air-ambulance carriers

Bringing a patient home

A medical flight is a logistics problem — we handle it end to end

A medical repatriation moves a patient from a hospital abroad back to a hospital, rehabilitation centre or home near their family. It combines an aircraft, a medical crew, ground ambulances at both ends and the paperwork in between — usually at short notice, in a stressful moment.

Flyius is an air charter broker: we arrange the flight through specialist air-ambulance operators (Part 135 / AOC) whose dedicated medical teams equip the aircraft for the patient's condition — stretcher, oxygen, intensive-care equipment or an incubator where required. Whether the patient is fit to fly is always assessed and decided by the operator's medical team, based on the medical reports.

One desk coordinates the whole chain: aircraft and medical configuration, overflight and landing clearances, ground ambulances, and communication with the hospitals and, where involved, your insurer or assistance company.

The desk answers 24/7 — call with the patient's location and a contact at the treating hospital, and we take it from there.

How we vet every operatorSee how charter worksWhat an air ambulance costs: cited benchmarks

The process

From first call to arrival, step by step

Four steps, one desk — the flight process is logistical; every medical decision stays with the operator's medical team.

  1. 01

    1. Call the 24/7 desk

    Tell us where the patient is, the destination and a contact at the treating hospital. You get a named coordinator and a quote — typically within 2 hours for standard cases.

  2. 02

    2. Medical file & fit-to-fly

    The treating doctors' reports go to the operator's medical team, which confirms the patient is fit to fly and defines the configuration: stretcher, oxygen, medication, escort doctor or nurse.

  3. 03

    3. Aircraft, crew and clearances

    We contract the specialist operator, and the operator prepares the aircraft and files the permits: overflight and landing clearances, airport slots and handling at both ends.

  4. 04

    4. Bed-to-bed coordination

    Ground ambulances are scheduled at departure and arrival, the receiving hospital is briefed, and a family member can usually accompany the patient on board.

Timing depends on the medical file, permits and aircraft availability — your coordinator gives you a realistic schedule before anything is committed.

Equipped air-ambulance cabin with installed stretcher bed and monitoring, no patient aboard
On board

A cabin built around the patient

Dedicated air ambulances fly with an installed stretcher unit, oxygen, ventilation and monitoring, plus seating for an accompanying relative. The configuration is set by the operator’s medical team after the fit-to-fly review — never by the budget.

On lighter cases, a medically escorted seat on a private jet or scheduled flight replaces the full configuration — one of the options compared below.

Your options

Air ambulance, medical escort or stretcher — what fits

The right solution depends on the patient's condition, the distance and the budget — the operator's medical team recommends, you decide.

OptionWhat's includedBest forWatch out
Dedicated air ambulanceMedically configured aircraft, dedicated medical crew, direct routingIntensive care, time-critical or unstable conditionsThe most expensive option — sized by distance and medical needs
Medically escorted private jetCharter aircraft with medical escort and portable equipmentStable patients who cannot travel on airlinesNot equipped for intensive care en route
Commercial stretcher (airline)Stretcher installed in a scheduled aircraft, with escortStable long-haul cases on a budgetLimited routes and airlines; several days of lead time
Medical escort on a scheduled flightDoctor or nurse accompanying a seated patientMobile patients needing supervision onlyDepends on airline approval of the medical file

Your coordinator prices the options that match the medical file — never pay for an air ambulance where an escorted flight is medically appropriate.

Insurance & who pays

Who pays for a medical repatriation

Three common set-ups — we work with whichever applies.

  1. 01

    Travel insurance or assistance

    Many travel and health policies cover repatriation ordered by their medical team. The assistance company can mandate and pay the operator directly — we coordinate with them.

  2. 02

    Private / family funded

    When there is no cover, or the insurer declines, the family contracts the flight directly. You get a firm written quote before committing — no surprises after the flight.

  3. 03

    Corporate & employer cases

    Employers repatriate posted staff through duty-of-care programmes. We invoice the company and keep HR and the assistance provider in one loop.

  4. 04

    What the quote includes

    Aircraft, medical crew and equipment, clearances and handling, ground ambulances where requested — itemised in writing. Hospital costs remain between you and the hospitals.

We don't assess insurance cover — check with your insurer or assistance company; we coordinate with them from the first call.

Questions

Medical repatriation — what families ask

What is a medical repatriation flight?

It brings a patient from a hospital abroad back to a hospital or care facility near home, on an aircraft configured and staffed for their condition. Flyius arranges it end to end with specialist air-ambulance operators.

What is the difference between an air ambulance and a medical escort?

A dedicated air ambulance is a medically equipped aircraft with a dedicated medical crew — for serious or unstable conditions. A medical escort accompanies a stable patient on a charter or scheduled flight with portable equipment. The operator's medical team recommends the right level from the medical reports.

What medical crew and equipment are on board?

It is defined case by case by the operator's medical team: flight doctor and/or flight nurse, stretcher, oxygen, monitoring, intensive-care equipment or an incubator where required. Everything is specified in the quote.

How quickly can a repatriation flight depart?

It depends on the medical file, permits and aircraft availability. The desk answers 24/7 and starts immediately; your coordinator gives you a realistic timeline for your specific case rather than a generic promise.

Does travel insurance cover medical repatriation?

Often, when the insurer's medical team orders it — many assistance companies then mandate and pay the operator directly. If there is no cover, the family can contract the flight directly with a firm written quote. We coordinate with insurers and assistance companies daily.

Can a family member fly with the patient?

Usually yes — most configurations keep at least one seat for a relative, at the discretion of the operator's medical team and depending on the aircraft. Tell your coordinator from the first call.

Who actually operates the flight?

A specialist air-ambulance operator holding an AOC / Part 135 certificate, with its own medical team. Flyius is a charter broker: we select the operator, contract the flight and coordinate the chain — the flight and the medical decisions are the operator’s.

How much does a medical repatriation cost?

It is priced per mission: distance, aircraft, medical configuration and ground transfers drive the total. You receive a firm, itemised quote before committing — typically within 2 hours for standard cases.

One call starts everything

Tell the desk where the patient is and where they need to go — a named coordinator handles the rest, with your insurer if involved.

Repatriation desk — 24/7, response typically within 2 hours