Americas to India and worldwide

Air Ambulance in the Americas: Medevac and Repatriation to India and Worldwide

Air ambulance, commercial stretcher and medical escort transfers from the USA, Canada, Latin America and the Caribbean, arranged by Safe Fly Aviation with established operators across the region.

Quick answer

Safe Fly Aviation arranges air ambulance, commercial stretcher and medical escort transfers from the United States, Canada, Latin America and the Caribbean to India, and coordinates medevac flights within the Americas through partner operators. Between the USA and India, a medical escort on a commercial flight costs about ₹18.75 lakh to ₹37.5 lakh, a commercial stretcher about ₹25 lakh to ₹50 lakh, and a private ICU jet about ₹1.05 crore to ₹2.25 crore or more. Hubs include Miami, Houston, New York, Toronto, São Paulo, Mexico City, Bogotá, Santiago, Nassau and San Juan.

Going the other way, or from another region? See the air ambulance cost list and the international bed-to-bed guide.

From the Americas to India: Routes and Rates

For Indian families in the Americas, the usual need is to bring a parent or relative home to India, or to an Indian hospital for treatment. The rates below are for the USA. Other countries are quoted case by case, because the routing and the number of flights differ.

RouteMedical escort, airline seatCommercial stretcherPrivate ICU jet
USA to India, or India to USA₹18.75–37.5 lakh₹25–50 lakh₹1.05–2.25 crore+

Budget ranges only, reviewed October 2026. 1 lakh = ₹100,000 and 1 crore = ₹10 million. Each transfer is quoted in writing after the medical report is reviewed.

United States

Hubs: Miami, Houston, New York

Nonstop flights link New York with Delhi in about 15 to 16 hours, on Air India and American Airlines at the time of writing. Other US cities connect with one stop.

To IndiaEscort ₹18.75–37.5 lakh
Stretcher ₹25–50 lakh
ICU jet ₹1.05–2.25 crore+

Canada

Hubs: Toronto, Vancouver

Nonstop flights link Toronto with Delhi on Air Canada and Air India, and Vancouver with Delhi on Air India, in about 15 to 16.5 hours. The distance is close to that from the US north-east.

To IndiaQuoted case by case

Mexico

Hub: Mexico City

There are no nonstop flights to India. Escorted patients connect through a European, Gulf or US hub. A connection in the US needs a US visa or ESTA for the patient and each escort.

To IndiaQuoted case by case

Brazil

Hubs: São Paulo, Rio de Janeiro

There are no nonstop flights to India. Commercial transfers connect through Europe or the Gulf, usually with one change of aircraft.

To IndiaQuoted case by case

Colombia

Hub: Bogotá

Commercial transfers to India connect through Europe or North America. Patients from smaller cities are first moved to Bogotá.

To IndiaQuoted case by case

Chile

Hub: Santiago

The longest route to India in the region. Commercial transfers need one or two connections, through Europe, the Gulf or São Paulo.

To IndiaQuoted case by case

The Bahamas

Hub: Nassau

Patients are usually flown first to Florida by air ambulance, then continue to India on a long-haul flight once stable.

To IndiaQuoted case by case

Puerto Rico

Hub: San Juan

Transfers connect through a hub on the US mainland east coast, then on to India.

To IndiaQuoted case by case

Airline schedules change. We check the flights operating on the day before recommending a commercial transfer.

Visas and documents for India

  • Indian passport holders and OCI card holders do not need a visa to enter India.
  • Other nationals travelling for treatment need an Indian Medical Visa, with Medical Attendant visas for companions. Check eligibility for the e-Medical Visa on India's official e-Visa portal.
  • The receiving hospital in India issues an acceptance letter, and the treating doctor issues fit-to-fly clearance. See medical tourism in India.

Three Ways to Travel to India

Private ICU air ambulance jetFor critical or unstable patients. A long-range jet with a full ICU team flies to the patient's schedule, usually with one or two fuel stops between the Americas and India.
Commercial airline stretcherFor stable patients who must lie flat. A stretcher is fitted in the airline cabin and a doctor or nurse travels alongside. The airline must give medical clearance first. See commercial stretcher services.
Business-class medical escortFor stable patients who can sit upright. A doctor or nurse travels in the next seat with oxygen and medicines. See Bring You Home and the medical escort routes guide.

A Connected Medevac Network Within the Americas

The Americas cover dense cities, island destinations, mountain ranges, rainforest and offshore operations. Patients may need to be moved from a remote location to a regional hub, or from one country to another, for specialist care. We help manage:

  • Hospital-to-hospital transfers in North America
  • Evacuations from Latin America and the Caribbean after an accident or sudden illness
  • Repatriation flights to home countries in Asia, Europe, Africa or the Middle East

Our role is to bridge distance, language and regulatory differences, and to give families and case managers one professional point of contact for the whole transfer.

Air Ambulance Hubs in the Americas

North AmericaMiami, Houston and New York in the United States; Toronto in Canada
Latin AmericaSão Paulo and Rio de Janeiro in Brazil; Mexico City; Bogotá in Colombia; Santiago in Chile
CaribbeanNassau in The Bahamas; San Juan in Puerto Rico; other island gateways on request

Every case is reviewed by our operations and medical coordination team, which looks at clinical safety, route planning, permits and the readiness of the receiving hospital.

Air Ambulance and Medical Repatriation Services

We arrange bed-to-bed transfers through a network of experienced operators and medical providers:

  • Fixed-wing ICU air ambulances for critical and complex patients
  • Business jets converted for medical use on selected routes, subject to operator availability
  • Commercial medical escort flights for stable patients
  • Bed-to-bed coordination with hospitals, insurers and families
Bombardier Challenger 650 jet used for long-range air ambulance repatriation
Bombardier Challenger 650: long-range repatriation
Cessna Citation XLS jet used for air ambulance transfers
Cessna Citation XLS: mid-size jet
Beechcraft Super King Air 200 turboprop used for regional air ambulance transfers
Beechcraft Super King Air 200: regional transfers
Pilatus PC-12 turboprop used for short air ambulance flights
Pilatus PC-12: short sectors

Aircraft types shown as examples. The aircraft for each transfer depends on the route and the operator available.

How a transfer works

  1. Bedside assessment and fit-to-fly clearance. The treating doctor carries out a bedside assessment and issues fit-to-fly clearance for the patient.
  2. Route, aircraft and airport selection. Our operations team selects the route, aircraft and airports based on the patient's medical needs, visa and immigration requirements, and insurance approvals.
  3. Permits and clearances. Overflight approvals and landing clearances are secured for each country on the route.
  4. Ground handover at both ends. Ground ambulances are arranged at departure and arrival, with a full handover to the receiving hospital.

The air ambulance booking guide lists the documents needed at each stage.

Typical Scenarios

  1. An Indian parent falls ill while visiting family in the USA or Canada and needs to return to India with medical support.
  2. A tourist is evacuated from a Caribbean island to a major hospital in Florida or to the home country.
  3. A patient is transferred from South America to North America or Europe for advanced treatment.
  4. A staff member is injured on an offshore platform and needs specialist surgery.
  5. An overseas citizen is repatriated after long-term treatment in the Americas.

Every transfer is assessed for clinical stability, aircraft suitability, airport options and weather before it is confirmed.

Why Use Safe Fly Aviation for an Americas Medevac

Access to several operatorsWe work with reputable air ambulance operators in North and South America, and choose the one suited to the route.
One team at the India endOur New Delhi team arranges the receiving hospital, ground ambulance and paperwork in India.
Aviation operations backgroundExperience in charter, aircraft management and operations planning.
Clear communicationDirect contact with case managers, insurers and families throughout.
Realistic timelinesWe say how long visas, airline clearance and permits are likely to take before you commit.
Written quotesEvery option is priced in writing, so the family can compare a private jet with a commercial transfer.

Request an Air Ambulance Quote for the Americas

For urgent or planned transfers, send the patient's location, diagnosis and preferred destination hospital. We will set out the workable options, with approximate costs and timelines.

Send an Enquiry

For emergencies, please call rather than wait for a reply to the form.

Call or WhatsApp the Team

Our team is in New Delhi (UTC+5:30) and answers at any hour. WhatsApp works from any country, and you can send medical reports there.

Safe Fly Aviation Services Pvt Ltd
8/25 Mehram Nagar, Opp G+5 Building, Terminal 1C, IGI Airport, New Delhi 110037, India
Email: info@safefly.aero
Charter and aviation services: safefly.aero

Frequently Asked Questions

How much does an air ambulance from the USA to India cost?

Between the USA and India, a medical escort on a commercial flight costs about ₹18.75 lakh to ₹37.5 lakh, a stretcher on a commercial flight about ₹25 lakh to ₹50 lakh, and a private ICU air ambulance jet about ₹1.05 crore to ₹2.25 crore or more. These are budget ranges reviewed in October 2026. Each transfer is quoted in writing after the medical report is reviewed.

Can a patient fly from the USA or Canada to India on a commercial flight?

Yes, if the patient is stable. A patient who can sit upright can travel in business class with a doctor or nurse, and a patient who must lie flat can travel on an airline stretcher. The airline's medical department must clear the patient first, which usually takes a few days. Critical or unstable patients need a private ICU air ambulance.

How long does a medical flight from the USA or Canada to India take?

Nonstop scheduled flights from New York or Toronto to Delhi take about 15 to 16 hours. A private air ambulance jet usually takes longer, because most need one or two fuel stops on this distance. Allow extra time for airline medical clearance, visas and flight permits before departure.

Which parts of the Americas does Safe Fly Aviation cover?

Safe Fly Aviation works with established air ambulance and medevac operators across North, Central and South America and the Caribbean, through hubs including Miami, Houston, New York, Toronto, São Paulo, Rio de Janeiro, Mexico City, Bogotá, Santiago, Nassau and San Juan.

What types of air ambulance flights are available in the Americas?

Options include fixed-wing ICU air ambulances for critical and complex patients, business jets converted for medical use on selected routes, commercial medical escort flights for stable patients, and bed-to-bed coordination with hospitals, insurers and families.

Can patients be repatriated from the Americas to Europe, Asia, Africa or the Middle East?

Yes. As well as hospital-to-hospital transfers in North America and evacuations from Latin America and the Caribbean, we arrange repatriation flights to a patient's home country in Europe, Asia, Africa or the Middle East.

What affects the timeline for an air ambulance flight from the Americas?

Visa requirements, immigration processes, medical documents and insurance approvals all affect the timeline and the route, along with the patient's clinical stability, the aircraft available, airport options and the weather.

Does Safe Fly Aviation operate the air ambulance aircraft in the Americas?

No. In the Americas, Safe Fly Aviation works with established, reputable air ambulance and medevac operators and does not operate the aircraft itself. Families and case managers get one point of contact for the whole international transfer.