Expert preparation for international air ambulance and aeromedical programs pursuing European Aeromedical Institute standards, recognized worldwide by assistance companies and insurers.
Talk to an Expert →The European Aeromedical Institute (EURAMI) is an independent international accrediting body that evaluates medical quality standards for air ambulance and aeromedical transport programs. Founded in 1996 and headquartered in Europe, EURAMI accreditation is the benchmark recognized by international assistance companies, insurers, and repatriation networks worldwide.
Accreditation covers the medical quality of your operations: crew competency and training, aircraft medical configuration, patient care protocols, quality management, safety systems, and organizational structure. Programs are evaluated through a combination of document review and an on-site audit conducted by trained EURAMI auditors.
For programs working with international assistance companies and insurance carriers, EURAMI accreditation is often a prerequisite for inclusion in provider networks. It signals to partners and patients that your program meets a rigorous, independently verified international standard of medical care. Weighing your options? Read CAMTS, EURAMI, and NAAMTA compared.
EURAMI is designed for programs that operate internationally or work with international assistance and insurance networks. Most programs fall into one of these categories.
Fees below reflect dedicated air ambulance programs. Commercial medical escort programs operate under a different fee structure. All fees are denominated in euros; verify current rates directly at eurami.org before budgeting.
| Fee Item | Notes | Approximate Cost |
|---|---|---|
| Application fee | One-time; paid at initial application | ~€500 – €1,000 |
| Annual membership fee | Yearly fee to maintain EURAMI membership status, regardless of accreditation cycle timing | ~€500 – €1,200 / yr |
| Annual accreditation fee | Scales with fleet size and number of accredited aircraft; billed annually | ~€1,000 – €3,000 / yr |
| On-site audit costs | Auditor travel, lodging, and per diem; varies by program location; due at each 2-year survey | ~€2,000 – €4,500+ |
| Standards documentation | Required standards manual purchase | ~€100 – €300 |
| Estimated first-year total | Single-fleet program; does not include consulting fees | ~€4,500 – €10,000+ |
* Fees are subject to change and vary by fleet size and program scope. Audit costs are paid separately to auditors and are the most variable line item. These estimates are for planning purposes; verify current rates directly with EURAMI before budgeting.
Most programs complete the EURAMI process in 9 to 18 months from application to accreditation decision. The timeline depends on your program's documentation maturity and quality management infrastructure at the start.
Application & Eligibility
Submit application, pay fees, receive standards documentation and self-assessment framework from EURAMI
Gap Analysis & Build
Review your current documentation and quality systems against EURAMI standards; develop what's missing or insufficient
Document Submission
Compile and submit your quality manual, SOPs, crew credentials, aircraft records, and supporting documentation to EURAMI
On-Site Audit
EURAMI auditors visit your base of operations; inspect aircraft, equipment, and crew; review documentation in person
Accreditation Decision
EURAMI reviews the audit findings and issues accreditation, conditional accreditation, or denial
Ongoing Compliance
Submit annual reports, maintain documentation and quality standards, and prepare for re-accreditation at the two-year mark
We work exclusively for your program, not for EURAMI. Our role is to close the gap between where your documentation and quality systems are today and where they need to be on audit day.
We conduct a detailed review of your current documentation, quality systems, and operational records against the full EURAMI standards. You get a clear picture of what exists, what needs to be built, and what needs to be updated before your submission goes in.
Quality manuals, SOPs, crew competency frameworks, case review processes, and safety management documentation, built to reflect how your program actually operates and written to satisfy EURAMI standards. Every document we develop is yours exclusively.
The document submission package is your first impression with EURAMI. We guide the process, review your responses, and ensure your supporting documentation is complete and organized before anything leaves your hands.
We walk through a mock audit of your program before the EURAMI auditors arrive. We know what they review because we have been through that process. No gaps discovered on audit day.
After accreditation, the work continues. We stay available for policy updates, quality management support, and annual reporting so your program maintains compliance through the full two-year cycle.
Unlike EURAMI-affiliated auditors, we work only for you. Our job is to prepare your program for success, not to evaluate it. That distinction matters when you are building documentation and preparing your team for an international audit.
Tell us about your program: where you operate, what assistance networks you work with, and where you are in the process. We will take it from there.
Prefer to message? Reach us on WhatsApp.