Flying with a portable oxygen concentrator (POC) can feel overwhelming, especially if you also need ADA accommodations. The good news is that all U.S. airlines are legally required by the Air Carrier Access Act (ACAA) to accommodate passengers with disabilities, including those who rely on oxygen therapy.
That said, some airlines make the process easier by offering clearer policies, accessible support lines, and staff who are well-trained in assisting passengers traveling with medical equipment. Choosing a POC-friendly airline can make the difference between a stressful travel day and a smooth one.
Airlines Known to Be POC-Friendly & ADA-Supportive (U.S.)
While all airlines must comply with the law, certain carriers stand out for going above and beyond in their approach.
Alaska Airlines
- One of the highest-rated U.S. carriers for passengers with disabilities
- Transparent, easy-to-follow guidance on their website HERE
- Straightforward notification process when booking travel with oxygen
- An ADA desk that is consistently described as responsive and helpful
- Less rigid about documentation compared to some other carriers
Delta Air Lines
- Offers a dedicated Disability Assistance line to support travelers directly
- Provides online forms and a detailed checklist for passengers traveling with oxygen
- Will coordinate safe battery storage and handling if you’re traveling with multiple spares
- Cabin crews are trained to accommodate passengers with medical needs
Southwest Airlines
- Very customer-friendly when it comes to oxygen use
- Typically does not require extra paperwork if your device is FAA-approved
- Welcomes POC use during all phases of flight without unnecessary hurdles
- Allows passengers using POCs to preboard early to set up their device
- Known for friendly crews who are quick to assist passengers needing extra support
JetBlue Airways
- Clear and well-documented POC policies published on their website HERE
- Streamlined process for requesting preboarding and accessible seating
- Generally good reputation for customer service and responsiveness
- Easy to work with when booking special accommodations
ADA Accommodations You Can Expect
Under the Air Carrier Access Act (ACAA), you have important rights when flying with oxygen in the U.S. These include:
- POC Use During All Flight Phases: You may use your FAA-approved POC during taxi, takeoff, cruising, and landing.
- Battery Requirements: Airlines require you to bring enough battery life to power your device for at least 150% of the scheduled flight time to account for delays.
- Preboarding: You may board early if you need extra time to set up your device or get settled.
- Seating Accommodations: You are entitled to seating that works with your medical needs (though you cannot sit in exit rows).
- Travel Companions: You may bring someone with you to assist in operating your Portable Oxygen Concentrator if necessary.
- Assistive Equipment: Your POC counts as medical equipment, not as part of your carry-on limit. This means you can still bring your standard carry-on and personal item.
These rights apply across all U.S. airlines, but the ease of actually using them depends heavily on how well-trained staff are and how streamlined the airline’s policies are.
Tips for Getting the Best Service
Even with strong ADA protections, your travel experience will be smoother if you prepare ahead of time.
- Contact the airline’s disability desk as soon as you book, and again at least 72 hours before your flight. This ensures your needs are noted in your reservation.
- Carry printed documentation: Bring your POC’s FAA approval label, the user manual, and a doctor’s note confirming your oxygen prescription. Some airlines may not ask, but having it avoids delays.
- Arrive early at the airport: Allow for extra time at check-in and security, where your POC may be swabbed or screened separately.
- Request preboarding at the gate so you can board calmly and set up your device without rushing.
- Know your rights: If staff seem unsure of procedures, politely remind them of your protections under the Air Carrier Access Act.
International Airlines
Traveling abroad with a Portable Oxygen concentrator introduces new variables. While U.S. airlines follow the ACAA, international airlines may follow different rules. Some still provide bottled oxygen for a fee, while others may not accept certain portable concentrators.
Airlines generally regarded as supportive of passengers traveling with oxygen include:
British Airways – Offers clear medical policies and allows FAA-approved POCs
- Lufthansa – Known for strong medical support services for travelers
- Air Canada – Flexible policies and generally good coordination with medical needs
- Qantas – Provides detailed guidelines and advance coordination for POC use
In contrast, some low-cost or regional carriers abroad may impose more restrictions. Always confirm directly with the airline before booking, and review local regulations that may differ from FAA standards.
Know the ACAA Hotline
If you ever feel you are being denied accommodations you are entitled to, you can call the U.S. Department of Transportation Disability Hotline:
📞 1-800-778-4838 (Voice)
📞 1-800-455-9880 (TTY) used by people with hearing or speech disabilities
The hotline is available to assist passengers who believe their rights have been violated under the Air Carrier Access Act.
Air travel with oxygen is possible, and the law is on your side. While every airline must comply with accessibility requirements, choosing a POC-friendly airline can make the journey much smoother.
By knowing your rights, preparing the required documentation, and proactively contacting your airline, you can reduce stress and focus on the best part of your trip: reaching your destination.
Flying with oxygen doesn’t have to feel overwhelming—with the right preparation, it can be a safe, comfortable, and empowering experience.
