SERVICES · MEDEVAC

Medevac charter & air ambulance.

ICU-equipped private jets, board-certified flight physicians, and a 24/7 medical operations desk. From a same-day cardiac transfer in Europe to an ECMO repatriation from Asia — one number, one accountable team, bed to bed.

WHAT IS AIR AMBULANCE

A flying ICU, not a passenger jet with a doctor.

A dedicated air ambulance charter is a private jet stripped of executive seating and fitted with the same monitoring, ventilation and life-support equipment you'd find in a hospital intensive-care unit. The aircraft is crewed by two pilots plus a medical team — typically a board-certified flight physician and an ICU nurse — who manage the patient from bed to bed.

Medevac flights are used for emergency evacuations after accidents or strokes abroad, planned international repatriations covered by travel insurance, and critical-care transfers between hospitals when ground or rotary transport is impractical. Limitless Sky coordinates the aircraft, medical crew, ground ambulances, hospital handover and the international paperwork through a single senior coordinator.

FLEET

The right aircraft for the mission.

CONTINENTAL MEDEVAC · 1,800 nm

Learjet 35 / 36 — ICU configuration

The workhorse of the global air ambulance fleet. Single-stretcher, full ICU loadout, fast climb to FL410 to clear weather and keep transit times short on European and North-American missions.

LONG-LEG MEDEVAC · 3,000 nm

Citation Sovereign / Latitude — medevac fit

Stand-up cabin for the medical team, room for two stretchers if needed, and the range to cross the Atlantic with a single fuel stop. Quiet enough for sedated cardiac and stroke transfers.

INTERCONTINENTAL REPATRIATION · 4,000–6,000 nm

Challenger 605 / Global 6000 — long-range ICU

Wide-cabin platforms for transoceanic transfers from Asia or Australia to Europe and North America. Stable pressurisation at FL450 for ventilated and ECMO-supported patients.

Explore the full private jet fleet or compare cabin sizes and ranges in the aircraft comparison guide.

CAPABILITIES

Hospital-grade care at FL450.

Board-certified flight physicians & critical-care nurses

Every mission is staffed with a physician and ICU nurse credentialled in aeromedical transport (CAMTS, EURAMI or equivalent).

Full ICU loadout

Stretcher, multiparameter monitor, ventilator, syringe drivers, defibrillator, oxygen, suction, IABP and ECMO on configured aircraft.

Bed-to-bed coordination

Sending and receiving hospitals briefed and connected by our medical ops desk. Ground ambulance, immigration and customs aligned at both ends.

Insurance & direct-billing support

Guarantees of payment issued to international insurers and assistance companies. We file the paperwork — you focus on the patient.

FROM CALL TO WHEELS-UP

Four hours, typically.

Primary medevac jets are kept on 2-hour standby in Europe, North America and the Middle East. Long-range repatriations launch the same day from the nearest hub.

00:00

Call the medical desk

A senior coordinator answers in under two minutes, day or night. Patient summary, location and receiving facility are captured on the same call.

00:30

Quote & medical brief

Aircraft, crew and medical team confirmed; written quote and clinical handover sheet issued for the requesting physician.

02:00

Crew & jet activated

Slots, overflight permits and landing clearances filed in parallel with team mobilisation.

04:00

Wheels-up

Most domestic and regional missions launch within four hours. Long-range repatriations launch the same day from primary medevac bases.

GLOBAL COVERAGE

Where we operate.

Primary medevac bases in Zurich, London, Frankfurt, Dubai, Singapore, Miami and Los Angeles, with partner stations in Johannesburg, São Paulo, Sydney and Tokyo. We routinely fly into 190+ countries — including hard-permit destinations across West Africa, Central Asia and the South Pacific.

Frequent corridors: intra-European repatriations (Ibiza, Greek islands, Turkey), Mediterranean to home country, Middle East to Europe, Asia to Europe and North America, Caribbean to US East Coast, and long-range South America to Europe.

FREE DOWNLOAD

Medical document checklist.

One printable page covering everything our medical operations desk needs to launch your air ambulance flight — patient identity, clinical handover, receiving hospital, logistics and how to send it all in one email. Fill it in on screen or print and hand to the treating physician.

DOWNLOAD CHECKLIST (PDF)

PDF · 1 page · prints on US Letter and A4

  • Patient identity & travel documents
  • Clinical summary from sending hospital
  • Vitals, labs, imaging & ECG
  • Fit-to-fly assessment
  • Medication list & allergies
  • Infection-status screening
  • Ventilator / vasoactive / ECMO settings
  • Receiving hospital coordination
  • Ground transport & companion seats
  • Insurance / assistance case reference

FAQ

Medevac questions, answered.

How much does a medevac charter cost?

Indicative pricing: $25,000–$60,000 for a continental Learjet 35 mission, $60,000–$120,000 for a transatlantic Challenger transfer, and $150,000+ for an intercontinental Global with full ICU team. Final pricing depends on aircraft, medical complexity and routing — confirmed in writing within 30 minutes.

What does an air ambulance flight include?

ICU-configured aircraft, board-certified flight physician and ICU nurse, all medical equipment and consumables, bed-to-bed ground ambulance at both ends, hospital coordination, fuel, crew, handling and overflight permits — fully all-in.

How fast can you launch a medevac flight?

From confirmed quote, primary medevac jets typically launch within 2–4 hours regionally and within 6–8 hours intercontinentally. The medical desk runs 24/7/365.

Can you fly ventilated, ECMO or IABP patients?

Yes. ECMO and IABP missions are flown on configured Challenger and Global aircraft with our partner ECMO specialist teams. Ventilator, multiparameter monitor, syringe drivers and defibrillator are standard on every flight.

Do you work with travel insurance and assistance companies?

Yes. We hold direct-billing arrangements with major international insurers and assistance companies, and issue guarantees of payment to receiving hospitals so the patient is admitted without delay.

Do you fly commercial medical escorts as well?

Yes. Where clinically appropriate, we arrange medical escort on scheduled airlines (business or first class with a flight nurse or physician) as a lower-cost alternative to a dedicated air ambulance.

What's the difference between a medevac flight and a regular private jet charter?

A medevac jet is configured as a flying ICU — executive seats are removed and replaced with a stretcher, ventilator, monitor, oxygen system, suction and drug bay. A medical crew (physician plus ICU nurse) flies with the patient. A regular private jet charter carries no medical equipment and no clinical staff and is not certified to transport stretcher patients.

Will a family member or companion be able to fly with the patient?

Yes. On almost every air ambulance configuration there is a dedicated companion seat next to the stretcher. On larger Challenger and Global aircraft two or three family members can travel. Companions are confirmed at booking and included on the trip sheet for immigration.

How far can an air ambulance fly without refuelling?

A Learjet 35 covers about 1,800 nautical miles (London–Cairo, Miami–Bogotá). A Citation Sovereign reaches roughly 3,000 nm (London–New York with one stop). A Challenger 605 manages 4,000 nm non-stop and a Global 6000 covers 6,000 nm — enough for Dubai–London or Singapore–Frankfurt non-stop with a full medical loadout.

Can you arrange medical repatriation from a cruise ship or remote location?

Yes. We coordinate ship-to-shore disembarkation with the cruise line's medical office, position the air ambulance to the nearest suitable airport, and arrange ground transfer from the port. Remote-location pickups (resorts, expedition sites, smaller islands) are handled the same way, including helicopter relay when needed.

Is the air ambulance pressurised for cardiac and stroke patients?

Yes. All jet-class air ambulances we operate maintain a sea-level or near-sea-level cabin altitude when clinically required, which is critical for acute coronary syndrome, recent stroke, pneumothorax and severe anaemia patients. Cabin altitude is set by the flight physician before departure.

Do you fly neonatal and paediatric ICU patients?

Yes. Neonatal and paediatric transports are flown with specialist NICU/PICU teams and incubators (Babypod, Air Bornova or equivalent). These missions are usually flown on Citation, Challenger or Global airframes for cabin space and stable pressurisation.

Can you transport COVID-positive or other infectious patients?

Yes. Infectious transports — COVID-19, tuberculosis, viral haemorrhagic fevers — are flown under isolation protocols using EpiShuttle or equivalent transport isolators. Crew use full PPE and the aircraft is decontaminated to ICAO standards after landing.

What documents are needed to organise an air ambulance flight?

A short medical summary from the sending hospital (vitals, diagnosis, current treatment, fit-to-fly assessment), patient passport scan, receiving hospital details, and — if covered by insurance — the assistance company case reference. We handle the rest, including overflight permits and customs clearances.

Where are your primary medevac bases?

Primary bases in Zurich, London, Frankfurt, Dubai, Singapore, Miami and Los Angeles, with partner stations in Johannesburg, São Paulo, Sydney and Tokyo. Aircraft are kept on 2-hour standby at primary bases and can self-position to any major airport in under 6 hours.

Are your medical teams certified for international aeromedical transport?

Yes. All flight physicians and nurses hold critical-care credentials and are trained in aeromedical transport to CAMTS, EURAMI or equivalent standards. Operators flown are ARGUS Platinum, Wyvern Wingman or IS-BAO Stage 3.