Airport assistance for elderly travellers

Reviewed by the AirAmbulance.org editorial team · Updated 13 November 2026 · Editorial policy

Older travellers who need help walking long distances, boarding or making a connection can get it free of charge from the airline and airport in the US and EU, if they ask in advance.

In the US: what airlines must provide

• Under the Air Carrier Access Act, airlines must provide prompt wheelchair or other guided assistance to board, deplane and connect to another flight.
• Airlines may not charge for the accommodations the rules require.
• Airlines may require up to 48 hours' advance notice for certain accommodations that need preparation time; request assistance when you book.

Getting through security in the US

• TSA Cares is a helpline for travellers with disabilities, medical conditions or other circumstances. TSA asks you to contact it at least 72 hours before departure, by its online form or by calling (855) 787-2227.
• You can ask for a Passenger Support Specialist, a TSA officer with specialised training, to help at the checkpoint. This doesn't exempt anyone from screening.
• A free TSA disability notification card lets the traveller show officers their condition discreetly. See TSA notification card.

In Europe

• EU Regulation 1107/2006 gives passengers with reduced mobility, including older people who need help, free assistance at EU airports and on flights from them.
• Notify the airline, its agent or tour operator at least 48 hours before the published departure time so assistance can be arranged.

Tips for the day

• Arrive early and go to the airline's assistance desk or call point.
• Keep medicines, a medication list and a copy of the doctor's letter in hand luggage.
• If the traveller is confused or forgetful, a companion is safer than assistance alone.
• If they can't sit upright for the flight or need medical care on board, compare a medical escort and an air ambulance.

Sources

• US DOT: Passengers with disabilities
• 14 CFR Part 382 (Air Carrier Access Act rules)
• TSA: Passenger Support
• EU Regulation (EC) No 1107/2006

General information only, not medical, legal or insurance advice. Rules, coverage and prices change; confirm with your provider and insurer.