In 2017-2018, the helicopter has been certified for operation under extremely cold and high temperatures from minus 45°С to plus 50°С, during series of ground and flight testing. In January 2019, on the basis of trials conducted at the Mount Elbrus in 2018, the Federal Air Transport Agency certified the increase in take-off/landing altitude of the Ansat from previous 1,000 m to 3,500 m and approved the helicopter for high-altitude operations. Ansat helicopter optional Emergency Floatation System certified in March 2020. Since May 2020, a specially-adapted medical version is used to transport patients with the novel coronavirus in Russia.