Delta Air Lines Medical Equipment Guide: Complete 2025 Policy

Disclaimer

Airline Policy Information: This guide provides comprehensive information about Delta Air Lines' medical equipment policies as of January 2025. Airline policies can change without notice. Always verify current requirements directly with Delta Air Lines 48-72 hours before your flight by calling their Special Assistance Line at 404-209-3434 (U.S.) or visiting delta.com.

Medical Advice: This article does not constitute medical advice. Always consult with your healthcare provider before air travel with medical conditions. Your physician can advise whether air travel is safe for your specific health situation and what precautions to take.

Individual Circumstances: Each passenger's medical needs are unique. While this guide covers Delta's general policies, individual situations may require special accommodations. Contact Delta's Accessible Travel Services team for personalized assistance.

Regulatory Compliance: All information is based on current FAA (Federal Aviation Administration), TSA (Transportation Security Administration), DOT (Department of Transportation), and ACAA (Air Carrier Access Act) regulations. International flights may be subject to additional regulations from foreign aviation authorities.

Last Updated: January 2025

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Why Delta's Medical Equipment Policies Matter

For the millions of Americans traveling with medical conditions requiring specialized equipment, understanding airline policies isn't just about convenience—it's about safe, dignified, and legally protected travel.

Delta Air Lines, one of the world's largest carriers serving 325+ destinations across six continents, transports thousands of passengers with medical equipment daily. From portable oxygen concentrators (POCs) to wheelchairs, insulin pumps to CPAPs, the airline has developed comprehensive policies designed to balance passenger safety, regulatory compliance, and accessibility rights.

This guide provides an exhaustive examination of Delta's medical equipment policies, covering:

✓ Portable Oxygen Concentrators (POCs): FAA-approved devices, battery requirements, in-flight use procedures
✓ Respiratory Equipment: CPAPs, BiPAPs, nebulizers, and ventilators
✓ Mobility Devices: Wheelchairs, scooters, walkers, and canes
✓ Diabetes Equipment: Insulin pumps, CGMs, medication, and supplies
✓ Other Medical Devices: Crutches, prosthetics, medical supplies
✓ Lithium Battery Regulations: FAA limits, documentation, carrying requirements
✓ Documentation Requirements: Prescriptions, physician letters, device specifications
✓ Passenger Rights: ACAA protections, disability accommodations, complaint procedures
✓ International Travel: Country-specific regulations, customs considerations

Whether you're a first-time medical equipment traveler or a seasoned passenger seeking updated information, this guide provides the comprehensive knowledge needed for smooth Delta travel.

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Part 1: Portable Oxygen Concentrators (POCs)

Delta's POC Policy Overview

Delta Air Lines permits passengers to bring and use FAA-approved portable oxygen concentrators (POCs) aboard all Delta and Delta Connection flights, in accordance with FAA regulations (14 CFR § 121.574).

Key Policy Points:

• ✓ Only FAA-approved POCs are permitted (Delta does not provide oxygen)
• ✓ POCs do not count toward carry-on baggage allowance (ACAA requirement)
• ✓ In-flight use is permitted during all phases of flight (including taxi, takeoff, landing)
• ✓ 48-72 hour advance notice is strongly recommended but not legally required
• ✓ Sufficient battery capacity for 150% of flight duration is required
• ✓ No fee is charged for carrying POC as medical device

FAA-Approved POCs for Delta Flights

Only POCs bearing FAA approval may be used aboard Delta aircraft. As of January 2025, the FAA-approved POC list includes:

Most Common Models:

1. Inogen One G5 (most popular travel POC)
2. Philips Respironics SimplyGo Mini
3. Inogen One G3
4. Inogen One G4
5. Oxlife Independence
6. Precision Medical EasyPulse
7. Philips Respironics EverGo
8. Invacare XPO2
9. SeQual Eclipse 5
10. Inova Labs LifeChoice Activox

Verification: The complete, current FAA-approved POC list is available at:

• FAA Website: https://www.faa.gov/hazmat/packsafe/resources/media/how_to_pack_a_poc.pdf
• Delta Website: delta.com (search "portable oxygen")

Critical: If your POC is not on the FAA-approved list, it cannot be brought aboard under any circumstances. Compressed oxygen tanks and liquid oxygen are prohibited on all commercial aircraft.

Battery Requirements for POC Use on Delta

The FAA requires passengers to carry sufficient battery power for 150% of the maximum expected flight duration, accounting for potential delays.

Calculation Example:

• Flight duration: Atlanta (ATL) to Los Angeles (LAX) = 4.5 hours
• Required battery capacity: 4.5 hours × 1.5 = 6.75 hours minimum
• Recommended capacity: 8-10 hours (for unexpected delays)

Battery Guidelines:

1. Lithium-ion batteries are standard for modern POCs
2. Watt-hour (Wh) limits:
   • Under 100Wh: No airline approval required (most POC batteries)
   • 100-160Wh: Airline approval required (call Delta 48-72 hours ahead)
   • Over 160Wh: Prohibited on passenger aircraft
3. Spare batteries:
   • Allowed in carry-on luggage only (never checked)
   • Must have terminals protected (original packaging or electrical tape over contacts)
   • Maximum 2 spare batteries per passenger (for batteries 100-160Wh)
4. Battery condition:
   • Must be in good condition (no swelling, damage, or exposed wiring)
   • Must be manufacturer batteries or FAA-approved third-party batteries

Finding Your Battery's Watt-Hours:

• Check the battery label (usually displays "Wh" rating)
• Check device manual or manufacturer website
• Formula: Wh = Volts (V) × Amp-Hours (Ah)

Example: Inogen One G5 battery = 14.4V × 4.8Ah = 69.12Wh (under 100Wh limit, no approval needed)

Advance Notification and Reservation Process

While not legally required under DOT regulations, Delta strongly recommends 48-72 hour advance notice for POC travel to ensure smooth processing.

How to Notify Delta:

Option 1: Online (During Booking)

1. Visit delta.com and begin flight booking
2. On the passenger information page, select "Special Service Request"
3. Choose "Oxygen: POC – Customer will provide FAA-approved POC"
4. Enter device make, model, and battery specifications
5. Upload POC documentation (physician's statement, device specs)

Option 2: Phone (After Booking)

1. Call Delta Accessible Travel Services: 404-209-3434 (U.S.) or 404-209-3434 (International)
2. Reference your confirmation number
3. Provide POC details: make, model, battery type, battery capacity
4. Request special seating if needed (aisle seat for easier device access)

Option 3: Airport Check-In (Not Recommended) While you can present POC at check-in without advance notice, this may result in:

• Longer security screening time
• Delays while gate agents verify FAA approval
• Risk of denied boarding if documentation is insufficient
• Inability to accommodate preferred seating

Recommendation: Notify Delta 48-72 hours in advance for smoothest experience.

Documentation Required for POC Travel

Delta requires passengers traveling with POCs to carry specific documentation:

1. Physician's Statement (Recommended, Not Always Required) While Delta's official policy states a physician letter is "recommended," some gate agents may request it. The statement should include:

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[Physician Letterhead]

To Whom It May Concern:

This letter certifies that [PASSENGER NAME], date of birth [DOB], has a medical condition requiring the use of a portable oxygen concentrator during air travel.

Medical Necessity: [Brief diagnosis or reason, e.g., "chronic obstructive pulmonary disease (COPD)"]

Device Information:

• Device Make/Model: [e.g., "Inogen One G5"]
• Oxygen Flow Rate: [e.g., "2 liters per minute, pulse dose"]
• FAA Approval: This device is on the FAA-approved POC list

Fitness to Fly: I have evaluated this patient and determined they are medically fit for air travel with this device.

Duration of Need: [e.g., "Ongoing" or specific dates]

If you have questions, please contact my office at [PHONE NUMBER].

Sincerely,

[PHYSICIAN SIGNATURE]
[PHYSICIAN NAME], MD
[LICENSE NUMBER]
[DATE]

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2. Device Specifications

• FAA approval letter from manufacturer (usually available on manufacturer website)
• Device user manual showing battery specifications
• Battery label photo or specification sheet showing watt-hour rating

3. Identification

• Government-issued ID matching reservation

Pro Tip: Create a "POC Travel Folder" (physical or digital) with copies of all documents. Keep in carry-on bag for easy access during check-in and security screening.

In-Flight POC Use Procedures

Before the Flight:

1. Fully charge all batteries the night before departure
2. Test device to ensure proper function
3. Bring documentation in carry-on bag
4. Arrive at airport 2-3 hours before departure (allows extra time for screening)

At Airport Security (TSA):

1. Inform TSA officer you're traveling with a POC
2. Remove POC from bag and place in separate bin for X-ray screening
3. You may request visual inspection instead of X-ray if preferred
4. Be prepared to power on device to demonstrate it's functional
5. Spare batteries must be in carry-on (never checked luggage)

At the Gate:

1. Inform gate agent you're traveling with POC (especially if you didn't pre-notify)
2. They may visually inspect device and verify FAA approval
3. Request preboarding if you need extra time to stow device and get settled

During the Flight:

1. POC may be used during all phases of flight, including:
   • Taxi
   • Takeoff
   • Cruise
   • Descent
   • Landing
2. Device Placement Options:
   • Under seat in front of you (most common)
   • On your lap (if no underseat space)
   • In overhead bin if not in use (though not recommended for continuous use)
3. During takeoff/landing: Device must be secured (not loose in aisle)
4. Battery changes: May change batteries during flight; place depleted batteries in carry-on bag
5. Noise considerations: Modern POCs are very quiet (20-40 dBA), but inform crew if passengers complain

Flight Attendant Interactions:

• Flight attendants are trained on POC policies but may verify device is FAA-approved
• If questioned, politely reference that POCs are permitted per FAA regulation 14 CFR § 121.574
• Provide physician letter and FAA approval documentation if requested

Emergency Procedures:

• In extremely rare event of POC malfunction, notify flight attendant immediately
• Crew may have portable oxygen available for medical emergencies (separate from passenger POCs)
• If you experience medical distress, alert crew immediately

POC Seating Considerations

While Delta does not restrict POC users to specific seats, consider these factors:

Best Seat Choices:

• Aisle seats: Easier access to device, easier battery changes, more legroom for device placement
• Bulkhead seats: Extra legroom for device positioning (but no underseat storage)
• Window seats: More privacy, less concern about aisle traffic

Seats to Avoid:

• Exit rows: Generally prohibited for passengers requiring medical devices (you must be able to assist in emergency evacuation without device)
• Last row (non-reclining): Less comfort on long flights

Request Seating During Booking: When notifying Delta about your POC, request preferred seating. Delta will accommodate to the extent possible under ACAA regulations.

POC Travel on Delta Connection Partners

Delta Connection flights (operated by regional carriers like Endeavor Air, Republic Airways, SkyWest) are required to accept FAA-approved POCs under the same policies as mainline Delta flights.

However, note:

• Smaller regional aircraft may have limited underseat space
• Inform Delta when booking if traveling on connection flights
• Some regional jets have different power outlet configurations

International Partners (Codeshare Flights): If your Delta ticket includes segments operated by partner airlines (e.g., Air France, KLM, Virgin Atlantic), POC policies may differ. Verify policies with each operating carrier for codeshare flights.

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Part 2: Respiratory Equipment (CPAPs, BiPAPs, Nebulizers)

CPAP and BiPAP Machines on Delta

Delta Air Lines permits passengers to bring CPAP (Continuous Positive Airway Pressure) and BiPAP (Bilevel Positive Airway Pressure) machines aboard all flights as medical equipment.

Key Policy Points:

• ✓ CPAPs/BiPAPs do not count toward carry-on baggage allowance (per ACAA)
• ✓ May be carried in addition to standard carry-on and personal item
• ✓ No advance notification required (though recommended for large devices)
• ✓ May be used during flight on battery power (if FAA-compliant battery)
• ✓ No fee charged for medical device

Size Considerations:

• Travel CPAPs (ResMed AirMini, HDM Z2, Transcend 365): Fit easily in personal item or small bag
• Full-size CPAPs: May be bulkier; consider checking with Delta if device is exceptionally large

In-Flight CPAP Use

Passengers may use CPAPs during flight under these conditions:

Battery-Powered Use (Permitted):

• Device must operate on FAA-compliant lithium battery (under 160Wh)
• Battery must have sufficient capacity for flight duration
• Useful for:
  • Passengers who need therapy during long-haul flights
  • Overnight flights where sleeping with CPAP improves comfort
  • Medical necessity (physician-recommended continuous use)

Seat Power Use (Limited Availability):

• Delta's long-haul international aircraft (Boeing 767, 777, A330, A350) have in-seat power outlets
• Domestic flights: Some aircraft have USB ports (insufficient power for CPAP) or AC outlets
• Verify aircraft type when booking (seat maps on delta.com show amenities)
• Even if seat power available, bring battery backup in case outlet is non-functional

Water Chamber Use:

• Not recommended during flight due to spillage risk and cabin pressure changes
• Use waterless humidification (HME filters) or no humidification during flight
• Fill water chamber after arrival at destination

Battery Regulations:

• Most travel CPAP batteries are 65-99Wh (no approval required)
• If using battery 100-160Wh, notify Delta 48-72 hours in advance
• Spare batteries must be in carry-on with terminals protected

Documentation for CPAP/BiPAP Travel

Not Required by Delta, But Recommended:

• Prescription or physician letter stating medical necessity
• Device manual or specification sheet
• TSA notification card (available from CPAP manufacturer)

Why Documentation Helps:

• TSA agents may question device during security screening
• Gate agents unfamiliar with CPAP policies may request verification
• Customs officials (international travel) may ask about medical equipment

Sample TSA Notification Card:

Many CPAP manufacturers provide wallet-sized cards stating:

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Medical Device Notification

This passenger is traveling with a CPAP (Continuous Positive Airway Pressure) machine for treatment of sleep apnea. This device:

• Is a prescribed medical device
• Is permitted in carry-on luggage
• May require additional screening
• Should not be X-rayed (visual inspection available)

For questions, contact: [Manufacturer Customer Service]

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TSA Screening for CPAP Devices

Standard Procedure:

1. Remove CPAP from bag and place in separate bin (like laptop)
2. TSA will X-ray device
3. You may be asked to power on device to prove functionality

Special Considerations:

• Water chamber: Remove water before security (TSA liquid restrictions apply)
• Distilled water: Purchase after security (most airports have convenience stores)
• Alternative: Request visual inspection instead of X-ray if concerned about device

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Part 3: Mobility Devices (Wheelchairs, Scooters, Walkers)

Delta's Mobility Device Policy

Delta Air Lines provides comprehensive wheelchair and mobility assistance services under ACAA regulations. The airline accommodates:

✓ Manual wheelchairs
✓ Electric wheelchairs (power wheelchairs)
✓ Mobility scooters
✓ Walkers and canes
✓ Crutches
✓ Other assistive devices

Key Policy Points:

• Mobility devices do not count toward checked baggage allowance
• No fee for transporting wheelchairs or mobility aids
• Delta provides complimentary wheelchair assistance at airports
• Battery-powered wheelchairs have specific battery handling requirements

Manual Wheelchairs

Carry-On vs. Checked:

• Collapsible manual wheelchairs: May be carried in cabin if space permits (first-come, first-served overhead bin space)
• Non-collapsible wheelchairs: Must be checked at gate or ticket counter
• Personal wheelchairs: Passenger uses wheelchair until boarding, Delta stores during flight, returns at destination

Gate Check Procedure:

1. Use your wheelchair to gate
2. Delta agent tags wheelchair with special handling label
3. Wheelchair is stowed in cargo hold (priority handling)
4. Delta provides aisle chair for boarding
5. Wheelchair is returned at destination gate (or planeside if requested)

Damage Protections:

• Delta is liable for wheelchair damage under ACAA regulations
• Report any damage immediately at destination (before leaving airport)
• Take photos of wheelchair before and after flight (documentation for claims)
• Delta must repair or replace damaged wheelchairs promptly

Electric Wheelchairs and Scooters

Battery-powered mobility devices require special handling due to lithium or spillable battery regulations.

Advance Notification Required:

• 48-72 hours before departure: Call Delta Accessible Travel Services (404-209-3434)
• Provide device specifications:
  • Make and model
  • Battery type (lithium-ion, sealed lead-acid, spillable)
  • Battery watt-hours or amp-hours
  • Device weight and dimensions

Battery Type Regulations:

1. Lithium-Ion Batteries:

• Under 300Wh: Permitted (battery may remain installed or be removed)
• 300-600Wh: Permitted, but battery must be removed and carried in cabin
• Over 600Wh: Contact Delta Special Assistance for case-by-case evaluation
• Must have battery specifications label visible or provide documentation

2. Sealed Lead-Acid Batteries (Non-Spillable):

• Permitted with battery installed
• Must be labeled "Non-Spillable" or meet specific DOT standards
• Terminals must be protected from short circuit

3. Spillable Batteries:

• Permitted but must be upright and secured to prevent leakage
• Acid spillage risk requires special cargo handling

Battery Documentation: Provide Delta with:

• Battery watt-hour rating (on battery label or in device manual)
• Battery type certification (lithium-ion, sealed lead-acid, etc.)
• Manufacturer specifications sheet

Wheelchair Packing: For devices with removable batteries:

1. Disconnect battery terminals
2. Secure battery in protective case
3. Carry battery in cabin (not cargo hold)
4. Protect terminals with electrical tape or terminal covers

Walkers, Canes, and Crutches

Carry-On Allowance:

• Walkers, canes, and crutches may be carried in cabin and do not count toward baggage limits
• Stow in overhead bin or under seat (if collapsible)
• May be kept at passenger's seat if space permits

TSA Screening:

• Canes and crutches must go through X-ray or be hand-inspected
• Inform TSA officer if you cannot walk through metal detector without device
• TSA will provide alternative screening (handheld wand or pat-down)

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Part 4: Diabetes Equipment (Insulin, Pumps, CGMs)

Insulin and Diabetes Supplies on Delta

Delta Air Lines permits passengers to carry diabetes management equipment and supplies in carry-on luggage without restriction.

Permitted Items (Carry-On): ✓ Insulin vials and pens (any quantity)
✓ Insulin pumps
✓ Continuous glucose monitors (CGMs)
✓ Syringes and needles
✓ Lancets and lancing devices
✓ Blood glucose meters
✓ Test strips
✓ Alcohol swabs
✓ Glucagon emergency kits
✓ Glucose tablets or gel
✓ Ice packs for insulin cooling (see cooling requirements below)

No Prescription Required (for TSA): TSA does not require a prescription for diabetes supplies, but carrying one is recommended for:

• Clarification if questioned by TSA or airline staff
• International customs (some countries require prescriptions)
• Replacement supplies if lost during travel

Insulin Cooling and Storage

Carry-On Insulin:

• Unopened insulin: Should be refrigerated; use ice packs in insulated bag
• Ice packs: Frozen or gel ice packs are permitted through TSA security if:
  • Completely frozen solid at checkpoint (no liquid/slush), OR
  • Medically necessary (inform TSA officer)
• Cabin temperature: Typically 65-75°F, safe for insulin for short flights (under 6 hours)
• Long flights: Use cooling case with ice packs or Frio cooling pouches (evaporative cooling, no ice required)

Do Not Check Insulin: Cargo holds are unpressurized and can reach freezing temperatures or extreme heat—both damaging to insulin. Always carry in cabin.

Insulin Pumps and CGMs Through Security

TSA Screening Options:

Option 1: Wear Through Metal Detector

• Most insulin pumps and CGMs can go through metal detectors safely
• Inform TSA officer you're wearing medical device
• May trigger alarm; TSA will perform secondary screening (handheld wand or pat-down)

Option 2: Opt-Out of Body Scanner

• Inform TSA officer you cannot go through full-body scanner (may damage device or device manufacturer recommends against it)
• TSA will perform alternative screening (pat-down)

Manufacturer Recommendations:

• Medtronic pumps: Manufacturer recommends NOT going through full-body scanners
• Dexcom CGM: Generally safe through scanners (check current manufacturer guidance)
• Omnipod: Manufacturer states device is safe through metal detectors and scanners

Best Practice: Inform TSA officer before screening:

"I'm wearing an insulin pump and continuous glucose monitor. I prefer a pat-down instead of the body scanner."

TSA must accommodate this request under ADA and TSA medical device policies.

In-Flight Insulin Pump and CGM Use

Pump Use During Flight:

• Insulin pumps may be worn and used during all phases of flight
• Cabin pressure changes do not significantly affect insulin delivery
• Some users report minor air bubbles in tubing due to pressure changes; prime tubing if concerned

CGM Use During Flight:

• CGMs function normally during flight
• Airplane mode or flight mode does not affect CGM sensors (only data transmission to phone/receiver)
• Keep receiver or phone accessible for monitoring

Backup Supplies: Carry backup supplies in case of pump failure:

• Long-acting insulin (basal) pen or vial
• Rapid-acting insulin (bolus) pen or vial
• Syringes
• Blood glucose meter and strips

Hypoglycemia and Hyperglycemia Management:

• Carry fast-acting glucose (tablets, gel, juice) in personal item
• Inform flight attendant if you experience medical issue
• Delta crew is trained in basic medical response and can provide assistance

International Travel Considerations for Diabetes Supplies

Customs Declarations:

• Some countries require prescription documentation for syringes and medications
• Carry:
  • Prescription for insulin and supplies
  • Physician letter explaining medical necessity
  • Medication in original pharmacy packaging with labels

Insulin Availability Abroad:

• Insulin formulations vary by country (U100 vs U500)
• Bring sufficient supply for entire trip plus 50% extra (in case of delays or loss)
• Research pharmacy availability at destination in case of emergency

Time Zone Changes: Long flights crossing multiple time zones affect insulin dosing:

• Consult endocrinologist before travel for dosing adjustments
• Consider setting pump to home time zone for consistency
• Monitor blood glucose more frequently during travel days

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Part 5: Lithium Battery Regulations for Medical Devices

FAA Lithium Battery Limits

Most modern medical devices (POCs, travel CPAPs, insulin pumps, wheelchairs) use lithium-ion batteries due to high energy density and rechargeability. The FAA regulates lithium battery transport to prevent fire risks.

Lithium Battery Categories:

Under 100 Watt-Hours (Wh):

• ✓ Permitted in carry-on without airline approval
• ✓ Permitted in checked baggage if installed in device
• ✓ Examples: Most CPAP batteries (65-99Wh), phone batteries (10-20Wh), laptop batteries (40-99Wh)

100-160 Watt-Hours:

• ✓ Permitted in carry-on with airline approval (notify Delta 48-72 hours ahead)
• ✗ Prohibited in checked baggage
• ✓ Maximum 2 spare batteries per passenger
• ✓ Examples: Some extended CPAP batteries (169Wh), larger POC batteries, professional camera batteries

Over 160 Watt-Hours:

• ✗ Prohibited on passenger aircraft (cargo only, with special arrangements)
• ✗ Examples: Some power wheelchair batteries (300-600Wh), large power stations

Exception for Wheelchairs: Mobility devices with batteries over 160Wh may be transported under special procedures (see Part 3: Mobility Devices).

How to Calculate Watt-Hours

Method 1: Check Battery Label Most modern lithium batteries have watt-hour (Wh) rating printed on the label:

• Look for "Wh" or "Watt Hours"
• Example: "97.2Wh" or "99 Watt Hours"

Method 2: Calculate from Voltage and Amp-Hours If only voltage (V) and amp-hours (Ah) are listed:

Formula: Wh = V × Ah

Example:

• Battery label: 14.4V, 6.8Ah
• Calculation: 14.4V × 6.8Ah = 97.92Wh (under 100Wh limit, no approval needed)

Method 3: Calculate from Milliamp-Hours (mAh) Some batteries list milliamp-hours instead of amp-hours:

Formula: Wh = V × (mAh ÷ 1000)

Example:

• Battery label: 14.8V, 6600mAh
• Calculation: 14.8V × (6600mAh ÷ 1000) = 14.8V × 6.6Ah = 97.68Wh

Spare Battery Carrying Requirements

Spare lithium batteries (not installed in device) must be transported in carry-on luggage with safety precautions:

Terminal Protection: Battery terminals must be protected from short circuit:

• Keep in original retail packaging, OR
• Place in protective battery case, OR
• Cover terminals with electrical tape, OR
• Place each battery in separate plastic bag

Why Terminal Protection Matters: Exposed battery terminals can contact metal objects (coins, keys, other batteries), causing short circuit, fire, or explosion.

Quantity Limits:

• Under 100Wh batteries: Reasonable quantity for personal use (typically 4-6 batteries)
• 100-160Wh batteries: Maximum 2 spare batteries per passenger

Prohibited:

• Spare batteries in checked luggage
• Damaged, swollen, or corroded batteries
• Batteries without clear labeling (unknown watt-hour rating)

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Part 6: Documentation and Prescriptions

What Medical Documentation Should You Carry?

While Delta and TSA do not always require medical documentation, carrying proper paperwork prevents delays and resolves questions quickly.

Essential Documents:

1. Physician Letter (Medical Necessity) A letter on physician letterhead stating:

• Patient name and date of birth
• Medical condition requiring device (brief, e.g., "COPD," "sleep apnea," "type 1 diabetes")
• Device description and necessity ("Patient requires portable oxygen concentrator during air travel")
• Physician contact information
• Physician signature and date

2. Device Prescription For devices requiring prescriptions:

• POCs: Oxygen flow rate prescription
• CPAPs: Pressure settings prescription
• Insulin: Insulin type and dosage prescription

3. Device Specifications

• Manufacturer specifications sheet (especially battery watt-hours)
• FAA approval letter (for POCs)
• User manual (or relevant pages)

4. Battery Documentation

• Battery label photo showing watt-hour rating
• Manufacturer battery specifications

5. TSA Notification Card Many medical device manufacturers provide TSA notification cards (wallet-sized) explaining device.

Creating a Medical Travel Document Folder

Organize all documentation in one location for easy access:

Physical Folder (Recommended):

• Clear plastic folder or envelope in carry-on bag
• Include hard copies of all documents
• Keep easily accessible (not buried in checked luggage)

Digital Backup (Recommended):

• Scan all documents to PDF
• Store in cloud storage (Google Drive, Dropbox, iCloud)
• Save copies to phone for offline access
• Email copies to yourself

Why Both Physical and Digital:

• Physical: Faster to produce at security or gate
• Digital: Backup if physical documents lost; accessible from anywhere

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Part 7: Passenger Rights and ACAA Protections

Air Carrier Access Act (ACAA) Overview

The Air Carrier Access Act (ACAA), enforced by the U.S. Department of Transportation, prohibits discrimination against passengers with disabilities and mandates specific accommodations.

Key ACAA Provisions for Medical Device Travelers:

1. Medical Equipment as Carry-On Airlines must allow passengers to carry assistive devices (POCs, CPAPs, wheelchairs, crutches, etc.) in addition to standard carry-on allowance without charging fees.

2. Advance Seating Accommodations Airlines must provide seating accommodations for passengers with disabilities:

• Aisle seats for easier device access
• Bulkhead seats for extra legroom (if medically necessary)
• Seats near accessible lavatories (if applicable)

3. Wheelchair Assistance Airlines must provide complimentary wheelchair assistance:

• From check-in to gate
• From gate to aircraft door
• From aircraft door to seat (aisle chair)
• Reverse process upon arrival

4. Safe Storage of Medical Equipment Airlines must safely stow wheelchairs and assistive devices, returning them in same condition.

5. Priority Boarding Passengers requiring extra time to board due to medical devices or disabilities are entitled to preboard.

Delta's Accessible Travel Services

Delta provides dedicated resources for passengers with disabilities:

Accessible Travel Services Contact:

• Phone: 404-209-3434 (U.S. and International)
• TTY: 711 (for hearing-impaired passengers)
• Hours: 24/7
• Email: Through delta.com contact form (select "Accessible Travel Services")

Services Provided:

• Pre-flight planning and documentation review
• Special seating arrangements
• Wheelchair and mobility assistance coordination
• Medical equipment stowage planning
• International travel assistance (coordinating with foreign carriers)

Filing Complaints for ACAA Violations

If you experience discrimination or improper treatment related to your medical device:

Step 1: Speak with Delta Staff

• Politely reference ACAA requirements
• Ask to speak with supervisor or Complaint Resolution Official (CRO)
• Every airport has a designated CRO trained in disability regulations

Step 2: Document Incident

• Note names of staff involved
• Note flight number, date, time, location
• Take photos or videos if applicable (e.g., damaged wheelchair)
• Get witness contact information if applicable

Step 3: File Complaint with Delta

• Online: delta.com/customercare
• Mail: Delta Air Lines Customer Care, P.O. Box 20706, Atlanta, GA 30320-6001
• Phone: 800-455-2720

Step 4: File Complaint with DOT (if unresolved)

• Online: https://secure.dot.gov/air-travel-complaint
• Phone: Aviation Consumer Protection Division, 202-366-2220
• Mail: Aviation Consumer Protection Division, C-75, U.S. Department of Transportation, 1200 New Jersey Avenue SE, Washington, DC 20590

DOT investigates ACAA violations and can impose fines on airlines for non-compliance.

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Part 8: International Travel Considerations

Country-Specific Medical Device Regulations

When traveling internationally on Delta, you must comply with both U.S. regulations and destination country regulations.

Key Considerations:

1. Prescription Requirements Some countries require prescriptions for:

• Syringes and injectable medications (insulin)
• Controlled substances (some sleep medications, pain medications)
• Medical devices (POCs in rare cases)

Recommendation: Carry prescriptions for all medications and devices, translated into destination country language if possible.

2. Power Adapters and Voltage

• Most medical devices (CPAPs, POCs) accept 100-240V (universal voltage)
• You only need plug adapter (not voltage converter)
• Verify device specifications before travel
• Bring universal adapter or country-specific adapter

3. Customs Declarations

• Declare medical devices if asked at customs
• Medical devices are typically duty-free
• Keep documentation accessible for customs officials

4. Replacement Supplies

• Bring sufficient supplies for entire trip plus 50% extra
• Distilled water for CPAP may not be available in all countries
• Insulin formulations vary internationally

Traveling to High-Risk or Remote Destinations

If traveling to destinations with limited medical infrastructure:

Pre-Trip Planning:

• Research nearest hospital or medical facility at destination
• Identify pharmacies that carry necessary medications
• Check if travel insurance covers medical evacuation
• Register with U.S. Embassy (STEP program) for emergency assistance

Backup Equipment:

• Bring spare batteries beyond minimum requirements
• Bring manual backup for electronic devices (e.g., manual blood glucose meter if using CGM)
• Carry repair kit (if applicable for device)

Emergency Contacts:

• Medical device manufacturer customer service (international number)
• Physician contact information
• Travel insurance provider
• U.S. Embassy/Consulate

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Part 9: Special Situations and FAQs

Traveling with Multiple Medical Devices

Q: I use a POC, CPAP, and wheelchair. Do all three get exemptions from baggage fees?

A: Yes. Under ACAA regulations, all assistive and medical devices are exempt from baggage limits and fees. You may carry:

• POC (carry-on, doesn't count toward limit)
• CPAP (carry-on, doesn't count toward limit)
• Wheelchair (checked without fee)
• PLUS your standard carry-on and personal item

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Service Animals and Medical Devices

Q: I have a service dog and use a POC. Are both accommodated?

A: Yes. Delta accommodates both service animals and medical devices under separate ACAA provisions. Your service dog and POC are both permitted without restriction.

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Traveling with Children Using Medical Devices

Q: My child has type 1 diabetes and wears an insulin pump. What documentation do I need?

A: Carry:

• Child's prescription for insulin and pump
• Physician letter explaining medical necessity
• Diabetes supplies (insulin, glucagon, glucose)
• Parent/guardian authorization if child traveling with non-parent adult

Inform TSA that child is wearing medical device. TSA has specific procedures for screening children with medical devices (less invasive than adult screening).

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Lost or Damaged Medical Equipment

Q: What happens if Delta loses or damages my wheelchair?

A: Delta is liable for lost or damaged mobility devices under ACAA. Steps:

1. Report immediately at baggage claim before leaving airport
2. File written report with Delta (get reference number)
3. Take photos of damage
4. Delta must repair or replace device promptly
5. Delta must provide loaner wheelchair if repair takes time
6. You may be entitled to compensation for inconvenience

If dissatisfied with Delta's response, file complaint with DOT Aviation Consumer Protection Division.

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Medical Emergencies During Flight

Q: What if I have a medical emergency during the flight?

A: Delta flight crews are trained in emergency medical response:

1. Alert flight attendant immediately
2. Crew will assess situation and provide first aid
3. Aircraft medical kit includes basic emergency equipment (AED, oxygen, etc.)
4. MedLink consultation: Crew can contact ground-based physicians for guidance
5. Flight diversion: In severe emergencies, captain may divert to nearest airport

Your Role:

• Inform crew of your medical condition if relevant
• Provide crew with your physician's contact info if needed
• Follow crew instructions

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Pre-Existing Condition Waivers

Q: Does Delta require me to sign a waiver for pre-existing conditions?

A: No. Delta does not require passengers with medical conditions to sign waivers or obtain medical clearance for most conditions. Exceptions (may require physician clearance):

• Passengers requiring stretcher accommodation
• Passengers requiring onboard medical oxygen (not POC)
• Passengers with communicable diseases
• Passengers who gave birth within 7 days

For standard medical device travel (POC, CPAP, wheelchair, insulin pump), no medical clearance is required.

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Traveling During COVID-19 or Respiratory Illness

Q: Can I use my POC if I have a respiratory illness?

A: Yes, but:

• Inform Delta if you have symptoms (coughing, fever)
• Follow current CDC and Delta health screening requirements
• Wear mask if required by airline policy or if symptomatic
• Consult physician before flying if illness is severe

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Part 10: Airport-Specific Tips and Gate Check Procedures

Major Delta Hubs: Special Considerations

Hartsfield-Jackson Atlanta International Airport (ATL) – Delta's Main Hub

• Massive airport; allow extra time for connections
• Accessible tram system connects concourses
• Wheelchair assistance available throughout
• Medical equipment screening at security can take 10-15 minutes; arrive early

Detroit Metropolitan Airport (DTW)

• Large Delta hub with long distances between gates
• Request wheelchair assistance for connections if needed
• Excellent accessibility features (moving walkways, trams)

Minneapolis-St. Paul International Airport (MSP)

• Delta hub with two terminals (most Delta flights in Terminal 1)
• Good accessibility; allow extra time in winter weather

Seattle-Tacoma International Airport (SEA)

• Major West Coast hub
• Security screening can be congested; arrive 2+ hours early
• Accessible light rail connects to downtown Seattle

New York-JFK International Airport

• Delta operates from Terminal 4
• Complex airport; allow extra time
• Wheelchair assistance highly recommended for connections

Los Angeles International Airport (LAX)

• Delta operates from Terminals 2 and 3
• Under renovation; signage may be confusing
• Request assistance if unfamiliar with airport

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Conclusion: Confident Medical Device Travel with Delta

Traveling with medical equipment on Delta Air Lines is not only possible—it's legally protected, well-supported, and increasingly streamlined thanks to ACAA regulations and Delta's comprehensive accessibility services.

Key Takeaways:

1. Know Your Rights: ACAA protects your right to travel with medical devices without fees or restrictions.

2. Plan Ahead: Notify Delta 48-72 hours before departure for smoothest experience, especially for POCs and battery-powered wheelchairs.

3. Document Everything: Carry physician letters, prescriptions, and device specifications to resolve any questions quickly.

4. Understand Battery Rules: Know your device's watt-hour rating and comply with FAA lithium battery limits.

5. Use Delta Resources: Accessible Travel Services (404-209-3434) can assist with planning and accommodations.

6. Arrive Early: Medical device screening takes extra time; arrive 2-3 hours before domestic flights, 3-4 hours before international.

7. Pack Smart: Carry medical devices and medications in carry-on luggage (never check critical equipment).

8. Advocate Respectfully: If you encounter resistance, politely reference ACAA regulations and ask for a Complaint Resolution Official (CRO).

9. Backup Plans: Carry spare batteries, backup supplies, and emergency contact information.

10. International Awareness: Research destination country regulations and carry translated documentation.

Whether you depend on a portable oxygen concentrator, CPAP machine, insulin pump, wheelchair, or other medical device, you deserve the freedom to travel safely and comfortably. Delta Air Lines' policies, combined with federal protections and your own preparation, make that freedom a reality.

Safe travels, and breathe easy knowing your medical needs are protected.

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Additional Resources

Delta Air Lines:

• Accessible Travel Services: 404-209-3434 (24/7)
• Website: https://www.delta.com/us/en/accessible-travel-services/overview
• Customer Care: 800-455-2720

U.S. Government Agencies:

• DOT Aviation Consumer Protection: https://www.transportation.gov/airconsumer (file ACAA complaints)
• FAA Lithium Battery Guidance: https://www.faa.gov/hazmat/packsafe/
• TSA Medical Devices: https://www.tsa.gov/travel/special-procedures (screening procedures)
• TSA Cares: 855-787-2227 (helpline for travelers with disabilities, call 72 hours before flight)

Medical Device Manufacturers:

• Inogen (POCs): 877-466-4369, https://www.inogen.com/
• Philips Respironics (POCs, CPAPs): 800-345-6443, https://www.philips.com/respironics
• ResMed (CPAPs): 800-424-0737, https://www.resmed.com/
• Medtronic (Insulin Pumps): 800-646-4633, https://www.medtronic.com/diabetes
• Dexcom (CGMs): 888-738-3646, https://www.dexcom.com/

Disability and Medical Travel Organizations:

• Society for Accessible Travel & Hospitality (SATH): https://www.sath.org/
• Mobility International USA: https://www.miusa.org/
• American Diabetes Association Travel Tips: https://www.diabetes.org/
• American Sleep Apnea Association: https://www.sleepapnea.org/

Travel Insurance (Medical Coverage):

• Allianz Global Assistance: https://www.allianztravelinsurance.com/
• Travel Guard: https://www.travelguard.com/
• Medjet (Medical Evacuation Insurance): https://www.medjetassist.com/

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Disclaimer: This guide is current as of January 2025. Airline policies, FAA regulations, and TSA procedures are subject to change. Always verify current requirements with Delta Air Lines and relevant authorities before travel. This article does not constitute legal or medical advice. Consult appropriate professionals for your specific situation.

Last Updated: January 16, 2025
Next Review: July 2025