Elderly people who look for help from fixed wing air ambulance operations would be categorized as being in a non life or death circumstance but they are extremely limited physically. As you may be unaware , airevac outfits occasionally are contracted specifically because they are diagnosed as being in a medically stable condition but the people in question are seriously sick. People need respiratory support , and a first rate paramedic and emergency medical technician .. and as a result these are the people that cannot go on the large commercial airline establishments. Oftentimes there are private air ambulance outfits which are available to be hired all over the world. Patients usually will seek medivac operations when they are not helped by a certified insurance case worker.