BasicMed is an alternative pathway from traditional medical certification. Instead of seeing an aviation medical examiner, pilots who elect to fly with BasicMed work with a state licensed physician to go through a medical checklist every four years, and then take an online course covering various aeromedical topics every two years. Every medical certificate has various privileges and limitations, and so does BasicMed. By flying with a BasicMed qualification, a pilot is limited to a six-place airplane, and five passengers, with a maximum takeoff weight of 6,000 pounds, and can fly up to 250 knots and up to 18,000 feet msl, day or night.