Traveling with an oxygen tank is essential for some passengers, and safety is always a top priority at MidAmerica St. Louis Airport (BLV). Medical oxygen is permitted for air travel when approved devices are used and all federal and airline regulations are followed. Whether you’re an experienced traveler or flying with oxygen for the first time, taking time to research requirements, review helpful resources and notify your airline in advance can help make your journey smoother. In this guide, we’ve compiled important tips and information so you can feel confident, comfortable and prepared for your next adventure.
Medical Eligibility for Air Travel
If you plan to travel with an oxygen tank or portable oxygen concentrator, speak with your healthcare provider before booking your flight. A physician can conduct a health assessment to determine whether you are medically eligible for air travel and whether any adjustments to your oxygen prescription or oxygen flow rate may be necessary during your trip. Depending on your medical needs and airline requirements, you may also need physician approval, medical documentation, a fitness-to-fly form or other paperwork before departure. Taking these steps in advance can help ensure a safe, comfortable travel experience and minimize unexpected delays on the day of travel.
Portable Oxygen Concentrator (POC) Approval
A Portable Oxygen Concentrator (POC) is a medical device that draws in surrounding air, concentrates oxygen and delivers it directly to the user. Most POCs operate using rechargeable batteries, though some can also connect to an approved power source.
Before traveling, confirm that your portable oxygen concentrator has received FAA approval and is authorized for use by your airline. Allegiant currently accepts more than 20 approved POC models (see the full list here). Travelers should review the airline’s approved devices before their trip and confirm any applicable airline authorization requirements before departure.
In addition to POCs, certain ventilators, respirators and CPAP machines may be permitted if they meet FAA requirements and display a manufacturer label indicating compliance with federal standards for medical portable electronic devices. These devices are typically subject to a device inspection during the screening process and may be brought onboard as carry-on items if they fit safely beneath the aircraft seat.
Please note that liquid oxygen and compressed medical oxygen are prohibited on Allegiant flights.
Airline Requirements and Compliance
Before your trip, review your airline’s policies and carrier guidelines for traveling with a portable oxygen concentrator. Some airlines require advance notice, medical information or accommodation requests, so be sure to verify any applicable deadlines before departure.
Allegiant recommends the following:
- Submit a Special Service Request (SSR) when booking your flight or add an SSR to an existing reservation through Manage Travel.
- Upon arrival at the airport, visit the ticket counter, gate area or special assistance desk and inform an employee that you are traveling with a POC.
- Sit in a non-emergency exit window seat where your equipment will not obstruct the aisle or other passengers. Pre-boarding is recommended to make seating easier.
- Ensure your oxygen equipment has sufficient battery power for the flight duration plus an additional 50%. For example, a 2-hour flight requires at least 3 hours of battery life when boarding.
Depending on the airline, you may also need to meet an oxygen notification deadline or complete medical form submission requirements before departure. After notifying airport staff that you are traveling with oxygen equipment, an employee may verify that your device displays the appropriate FAA-approved label or appears on the airline’s approved device list.
Pre-Flight Preparation
Preparing ahead of time can help make traveling with a portable oxygen concentrator easier and more comfortable. As part of your pre-flight checklist, verify that your device is fully charged, confirm you have sufficient battery life for your itinerary and pack any necessary power adapters or charging equipment.
For longer trips, consider flight schedules and layovers that may provide opportunities to recharge your device. It is also a good idea to bring fully charged extra batteries in case of delays or unexpected changes to your travel plans.
While not required, we strongly recommend pre-boarding for passengers who use medical oxygen. Pre-boarding can provide extra time to get settled and secure a window seat, helping ensure your equipment does not obstruct the aisle or other passengers. During TSA screening and the airport security check, be prepared to present your oxygen equipment for inspection and answer any questions from security personnel.
Managing Oxygen Use During the Flight
Passengers using oxygen equipment must operate their devices in battery-powered mode while onboard. To support safe in-flight oxygen use, ensure your device has sufficient battery life for the duration of the flight plus an additional 50%. Proper battery management onboard is essential in case of delays, extended taxi times or other unexpected circumstances.
Passengers should also be aware of airline seating restrictions. Oxygen equipment users are typically required to sit in a window seat to avoid aisle placement that could interfere with crew members or other travelers. If you have not already done so, it is a good idea to provide flight crew notification when boarding so they are aware that you are traveling with medical oxygen.
Keep in mind that changes in cabin altitude can affect oxygen needs for some passengers. Follow your physician’s recommendations and use your equipment as directed throughout the flight. Passengers may move about the cabin with their oxygen equipment only when the “Fasten Seat Belt” sign is turned off.
Traveling Abroad with Oxygen
Before your international trip, research your destination’s entry requirements, foreign carrier rules and any restrictions on medical devices. Some countries may require additional documentation or customs clearance for oxygen-related equipment.
If you’ll need oxygen during your stay, make arrangements for a destination oxygen supply before you depart. It’s also important to confirm that your equipment is compatible with local electrical systems. Depending on your device, you may need voltage converters or power plug adapters to safely charge and operate it abroad.
If you’re unsure whether your equipment can be used internationally, contact the manufacturer before your trip to ensure you’re fully prepared for safe and stress-free travel.
Oxygen Use on Other Forms of Transportation
If your travel plans include more than flying, be sure to review cruise line oxygen policies, Amtrak regulations and any requirements for bus travel before departure. Some transportation providers may require advance notice, medical documentation or additional approval for oxygen equipment.
For road trips, confirm that your portable oxygen concentrator is compatible with your vehicle and bring any necessary car power inverters or charging accessories. If you’ll be staying overnight, verify that you will have access to electrical outlets for charging.
No matter how you travel, always carry an adequate portable oxygen supply, extra batteries and any equipment recommended by your healthcare provider to help ensure a safe and comfortable journey.
Ready to Travel with Oxygen?
Traveling with oxygen equipment doesn’t have to be complicated. With the right planning and preparation, you can navigate your journey with confidence and focus on enjoying the experience ahead. At BLV, we’re committed to helping passengers travel safely and comfortably from check-in to arrival. No matter where your travels take you, a little preparation today can help make your trip smoother tomorrow.