A military medical challenge coin belongs to a medical unit, or to medical personnel attached to units they are not part of. Because medical people move between commands more than most, these coins are usually built around the profession rather than around a single command.

Who Orders Military Medical Challenge Coins?

The military medical community is large and it spans every service. Aeromedical evacuation and staging squadrons, medical groups and squadrons, hospitals and clinics, flight nursing, dental and veterinary units, field and combat support hospitals, medical training commands, and the medics and corpsmen attached to line units.

There is a reason coins matter more in this community than in most. Medical personnel routinely serve alongside units they do not belong to. A medic attached to an infantry company wears that company’s patch and is not one of them. A flight nurse moves patients between commands and belongs to none of the units at either end. A staging squadron receives people from everywhere and sends them on somewhere else.

For everyone else in the military, the unit is the identity and the coin records it. For medical personnel it is the other way around. The profession is the constant and the units change, so the coin is often the only object that records where someone actually was and who they worked with. That makes medical coins more likely to be kept, and it makes the choice of what goes on them more considered than usual.

The occasions are end of tour, qualification and upgrade to a new level of practice, exercises and deployments, retirement, and recognition for a specific mission or patient movement. That last one is particular to this community. A difficult evacuation or a long transport is a shared event worth marking, and a coin is how it gets marked.

For related work, see our medical and emergency services coins and Air Force squadron coins.

What Goes on a Medical Unit Coin?

The unit insignia, which for Air Force squadrons is usually the squadron emblem and carries most of the identity.

Wings, for flight medical personnel. Flight nurse and aeromedical evacuation wings are worn qualifications and they belong on the coin of anyone who holds them.

Litters, aircraft and evacuation imagery. For staging and evacuation units these say what the work is without describing it, and a silhouette of the airframe a unit works with is instantly recognizable to everyone in it.

The Rod of Asclepius or the caduceus, and this is the one worth getting right.

They are not the same symbol. The Rod of Asclepius is a single snake wound around a plain staff, named for the Greek god of healing, and it is the genuine symbol of medicine. The caduceus is a winged staff with two snakes, carried by Hermes, and it is a symbol of commerce, negotiation and messengers.

The confusion is old and specifically American. The U.S. Army Medical Corps adopted the caduceus in 1902, and because the military is where most Americans first see a medical insignia, the two-snake version spread through American medical imagery while the rest of the world kept the single snake. So both are defensible on a U.S. military coin, and the caduceus is genuinely correct for units whose branch insignia uses it.

The practical advice: match whatever your own branch and corps actually use rather than picking the one that looks better. A corps that wears the caduceus should have the caduceus. And whichever it is, count the snakes on the artwork before approving the proof, because a single snake drawn with a doubled tail or a two-snake design with the wings dropped are both easy mistakes to miss at proof size and impossible to fix afterward.

Can a Coin Use the Red Cross Emblem?

This one is a legal restriction rather than a design preference, and almost nobody ordering a medical coin knows it.

The red cross on a white ground is a protected emblem. Its use is restricted under the Geneva Conventions and under United States federal law, and it is not a generic medical symbol available for decoration. The protection exists because the emblem marks people and facilities as protected under the laws of armed conflict, and diluting it through casual use undermines that protection. The same applies to the red crescent and the red crystal.

Our position is the same as it is for any restricted mark. We produce from artwork the customer is authorized to supply, and the authorization is the customer’s to obtain. We are a manufacturer rather than an authority on emblem use, so if you are considering a red cross on a coin, confirm your position through your own chain of command first.

There are straightforward alternatives that carry the same meaning:

  • Your unit’s own emblem, which is almost always the stronger design anyway
  • The Rod of Asclepius, which is unrestricted and unambiguously medical
  • A cross in a different color, which reads as medical without being the protected emblem
  • Wings, litters or airframes for evacuation and flight medical units

About This 624th ASTS Coin

The 624th Aeromedical Staging Squadron is a United States Air Force unit that cares for patients moving through the aeromedical evacuation system.

The reverse carries the squadron’s insignia and symbols, embossed and painted, and the whole coin is finished in solid glossy enamel colors. The front is built around a single large cartoon mascot figure, given the full face with minimal surrounding detail.

The finish is the part worth understanding, because solid gloss enamel over embossed relief is a more demanding combination than it appears. Each color sits in a recess bounded by raised metal, and the enamel has to fill that recess right to the edge and settle level without flooding over the ridge into the area beside it. Too little and the color sits low with a visible dip against the metal line; too much and the boundary between two colors softens or bleeds. Gloss makes both faults more obvious than a matte finish would, because a glossy surface shows every variation in level as a change in the way it catches light.

That is why a coin like this one, with large areas of flat saturated color, is a better test of enamel work than a busy design with lots of small fills. There is nowhere for an uneven edge to hide. For the opposite problem, insignia detail at very small scale, see our page on unit insignia at small scale.

For coins made to remember rather than to recognize, see our page on memorial and remembrance coins.

Can We Use Our Unit Insignia on a Coin?

Most units can, but the authorization has to come from the unit, not from us. Squadron emblems, unit insignia, corps devices and service marks are controlled by the organizations that own them, and the rules differ between branches and between commands.

The practical version is straightforward. Clear the artwork through your own chain of command before you order, and send us artwork your organization is authorized to supply. We produce from what the customer provides and we do not grant permission on anyone’s behalf. If you are unsure who signs off, your wing or command public affairs office is usually the right place to ask.

Design a Coin for Your Medical Unit

Professional artwork is free with unlimited revisions, and nothing goes into production until you approve a digital proof. You do not need finished artwork to start. A photograph of the squadron patch is enough.

The minimum order is 50 coins. Standard production runs about 45 to 50 days after final artwork approval, rush production is available on many projects, and shipping within the continental United States is included. Embleholics is veteran-owned, SDVOSB and registered in SAM.gov. Browse more custom Air Force challenge coins or request a quote to get started.

Coin Front

624th Aeromedical Staging Squadron challenge coin in glossy enamel colors

Coin Back

Reverse of the aeromedical squadron coin showing embossed and painted unit

Frequently Asked Questions

What is a military medical challenge coin?

A military medical challenge coin is a custom coin made for a medical unit or for medical personnel serving with other units. Because medical staff move between commands, these coins usually center on the profession, the qualification or the medical unit rather than on a single command.

Who orders coins for medical units?

Aeromedical evacuation and staging squadrons, medical groups and squadrons, hospitals and clinics, flight nursing units, dental and veterinary units, field hospitals, training commands, and medics and corpsmen attached to line units all order medical coins. Orders are often placed by a section rather than a whole medical group.

What is the difference between the caduceus and the Rod of Asclepius?

The Rod of Asclepius is a single snake on a plain staff and is the true symbol of medicine. The caduceus has two snakes and wings and is historically a symbol of commerce and messengers. The U.S. Army Medical Corps adopted the caduceus in 1902, which is why both appear in American medical imagery.

Can a challenge coin use the red cross emblem?

The red cross on a white ground is protected under the Geneva Conventions and under United States federal law, so it is not a generic medical symbol available for decoration. Confirm your position through your chain of command, and supply artwork your organization is authorized to provide. A unit emblem or the Rod of Asclepius are unrestricted alternatives.

What goes on an aeromedical unit coin?

An aeromedical coin usually carries the squadron emblem, flight or aeromedical evacuation wings, and imagery drawn from the work such as litters or the airframe the unit operates with. Enamel color is common, and the unit’s own insignia normally takes the reverse.

What is an Aeromedical Staging Squadron?

An Aeromedical Staging Squadron is a United States Air Force unit that cares for patients moving through the aeromedical evacuation system. It is the point where patients are received, looked after, and prepared for onward transport by air.

Can we use our unit insignia on a coin?

Squadron emblems and unit insignia are controlled by the organizations that own them, so permission has to come from your unit rather than from a manufacturer. Clear the artwork through your chain of command and send us artwork your organization is authorized to supply.

What is the minimum order for unit coins?

The minimum order for custom challenge coins is 50 coins. That figure suits a squadron, a flight or a single section rather than an entire medical group, and larger quantities reduce the cost per coin.