What does "Final Review" actually mean?

F

FlyingBiscuit

Filing Flight Plan
Joined
Mar 18, 2023
Messages
24
Display Name
Display name:
FlyingBiscuit
How is it different from "In Review?"

Also, MedXPress says it'll take two days, but I have my doubts. What are some experiences you guys have had with this?
 
They are creating the letter.
Or maybe in the doc's inbox...
 
Last edited:
I was in "final review" for many months. When I called the regional flight surgeon, they told me the air surgeon who had been assigned to make a final decision had not yet opened my file. From that my impression is that your file is in the inbox of the one responsible for making a final decision.
 
Mikey52 said:
Or denial.
Click to expand...
Mine was in "Final Review" for 2 months only to get a denial letter. I'd call once a week to the D.C. office...the last 1.5 weeks it was done but not signed and because it wasn't "official" they wouldn't tell me anything. The medexpress website is a joke.
 
Mine has been "In Review" for over 8 months.
They literally have every piece of document they have ever requested. MY HIMS AME called them once a month and the typical answer from the doc of the day is: "we have not gotten to it yet, soon"
I had a letter from them 11 months ago asking for:

1. COG screening results.
2. Updated HIMS Psychiatrist EVAL.
3. Updated HIMS AME report.

All was sent in 8-9 months ago and nothing.
All three HIMS team reports were very, very favorable.

Who really knows.
 
Al1606 said:
Mine has been "In Review" for over 8 months.
They literally have every piece of document they have ever requested. MY HIMS AME called them once a month and the typical answer from the doc of the day is: "we have not gotten to it yet, soon"
I had a letter from them 11 months ago asking for:

1. COG screening results.
2. Updated HIMS Psychiatrist EVAL.
3. Updated HIMS AME report.

All was sent in 8-9 months ago and nothing.
All three HIMS team reports were very, very favorable.

Who really knows.
Click to expand...
My HIMS deferral took 15 months from start to denial. They will reconsider SI again after more evals and additional info.

It’s a long haul and so unnecessarily inefficient.
 
UTLonghorn_1979 said:
My HIMS deferral took 15 months from start to denial. They will reconsider SI again after more evals and additional info.

It’s a long haul and so unnecessarily inefficient.
Click to expand...
Wow. I never got a denial.
They actually sent a simple (3) question demand. It stated for "SI" consideration, please provide.
I did so. All evals have been favorable.
What do you think?
 
Al1606 said:
Wow. I never got a denial.
They actually sent a simple (3) question demand. It stated for "SI" consideration, please provide.
I did so. All evals have been favorable.
What do you think?
Click to expand...
I got that request then denial letter, but same letter said upon additional info, evals, etc they would reconsider.

My evals all said the same thing. I.e. they said “I don’t see any reason for you not to get your SI medical.” Obviously I was shocked and disheartened that the D.C. folks thought otherwise.

I’m starting process over, I’m expecting another 12 months.

Good luck!!
 
I made an error on my medxpress. Could I get in trouble by the faa. I did get the medical and the faa already knows my history
 
Final review generally means the analyst has reviewed the package for completeness and it is now pending the review by the physician or specialist for a final decision. In some cases, they will determine that other information is still needed during the final review.

Also to consider it depends on the condition or complexity of the case as to which office the final review is at - OKC vs FAS (DC).

I was recently told by FAS about approx wait times from the moment they get the package:

- SSRI case = 6 months
- Psych or Neuro consult = 12 months

***Again these are the times AFTER they receive the package not from the date of initial submission by your AME/HIMS AME.
FlyingBiscuit said:
How is it different from "In Review?"

Also, MedXPress says it'll take two days, but I have my doubts. What are some experiences you guys have had with this?
Click to expand...
 
GoFlightMed said:
Final review generally means the analyst has reviewed the package for completeness and it is now pending the review by the physician or specialist for a final decision. In some cases, they will determine that other information is still needed during the final review.

Also to consider it depends on the condition or complexity of the case as to which office the final review is at - OKC vs FAS (DC).

I was recently told by FAS about approx wait times from the moment they get the package:

- SSRI case = 6 months
- Psych or Neuro consult = 12 months

***Again these are the times AFTER they receive the package not from the date of initial submission by your AME/HIMS AME.
Click to expand...
Don't all SSRI cases include/require the Psych/Neuro eval or case by case? If the initial SSRI deferral results in a denial upon review and FAS saying it's a dual diagnoses (alcohol abuse/dependence), would you expect the next round to go quicker? I.e. if the SSRI use is stable/no concerns from the treating physician and only an update is needed along with the new substance related HIMS items, do you think one is still looking at another 12 months or quicker?

Thanks!
 
Back
Top