Lifestyle Avoid Surprises: TSA Screening for Those with Special Needs 2/12/2025 | By Terri L. Jones The process of TSA screening for those with special needs can be more challenging than for the average air traveler. Senior adults often fall into this category. However, a little bit of knowledge and preparation can make the process easier. The process of TSA screening for those with special needs can be more challenging than for the average air traveler. However, a little bit of knowledge and preparation can make the process easier. Going through TSA can be a hassle for anyone; however, TSA screening for those with special needs, such as a disability or medical condition, can make it much more challenging. Maybe you regularly set off the metal detector because of joint replacements or have medical equipment that requires X-raying or inspecting every time you travel. The key to an easier, more successful experience at this security checkpoint is knowing what to expect and preparing for it. Prepare to ease the process Your most important preliminary step is to notify the TSA officer of anything that may impact the screening process. You can verbally inform the officer before you go through the line or you can do it more discreetly by providing the officer with TSA’s optional Disability Notification Card. Within 72 hours of your flight, you can call the TSA Cares helpline (855-787-2227) to request that a Passenger Support Specialist (PSS) assist you through TSA. This can take a huge weight off your shoulders, particularly if you’re traveling alone or supporting someone who is disabled. TSA screening for needs common to seniors These specific TSA screening processes apply to medical conditions and disabilities common to seniors. Arm yourself with knowledge of what you can expect to avoid last-minute surprises. NOTE: Screening processes may vary if you are approved to go through the TSA PreCheck® line. Insulin pumps, glucose monitors, and other medical devices Recently, a Seniors Guide staff member’s relative was astonished during TSA inspection when she had to have her hands tested for explosives. The agent said it was because of her glucose monitor. We investigated and found that if a medical device, such as a glucose monitor or insulin pump, is attached to your body, TSA will not require you to remove it. You can be screened using the body scanner or metal detector or request a pat-down instead of imaging technology. In any event, you will be subject to additional screening, including a self-pat down of the device and a test of your hands for any trace of explosives. Nonvisible disabilities If you are traveling with someone who has a nonvisible disability, such as Alzheimer’s disease, dementia, or autism spectrum disorder, and who needs your assistance, you can ask to accompany them during screening. You will then need to be screened on your own. Blindness Inform the TSA officer that you require assistance through the screening process due to blindness or severely impaired vision. Any aids that you use, such as white canes or Braille note-takers, will be X-rayed. If you need the aid to be returned immediately after screening, make the officer aware. If the aid won’t fit through the X-ray machine, it will be inspected by the TSA officer. Mobility issues Because my husband has limited mobility, he uses a wheelchair in the airport; however, he is able to walk through the body scanner. However, if you are in a wheelchair or scooter and can’t stand and walk, you won’t be required to be screened through the metal detector or in a body scanner. While you’re seated in your wheelchair or scooter, TSA will conduct a pat-down instead and may also test your hands for traces of explosives. Your wheelchair will also be inspected, and any removable parts will be X-rayed. Liquid medicines You can exceed the 3-1-1 rule for medicines in liquid form; however, you must inform the TSA officer at the security checkpoint and separate these liquids from your other liquids when screened. It’s also advisable to keep them in their original prescription packaging or bring a note from your pharmacist or doctor. If TSA officers are unable to use screening technology on these liquids, you may be asked to open the medicines for vapor analysis. Bandages and compression sleeves If you are wearing a bandage or a compression sleeve, you won’t have to remove it when you are screened; however, that dressing or compression sleeve is subject to additional screening. This includes visual inspection, screening with a handheld metal detector, and a test of your hands and the medical item for any trace of explosives. Age 75 and over If you are 75 or older, you may leave your shoes on during screening, but you must remove light jackets in the body scanner. If the alarm goes off during your screening, you may need to remove your shoes for further screening or undergo a pat-down. During this additional screening, you may ask to remain seated. While TSA screening may seem inconvenient and invasive, remember that it’s designed for the safety of all passengers and flight crew. Whether you’re traveling to see family and friends or off on a grand adventure, these relatively few minutes of inspection are worth it. As always, arrive at the airport in plenty of time avoid the stress of fearing your plane will leave without you! The list above is not comprehensive. For more detail as well as information on other disabilities and medical conditions, consult the TSA website or call the TSA Cares helpline (855-787-2227). Where will you fly? Check out the Seniors Guide article: Take Advantage of Shoulder Season Travel Read More Terri L. Jones Terri L. Jones has been writing educational and informative topics for the senior industry for over 10 years, and is a frequent and longtime contributor to Seniors Guide.