health information for overseas travel

CDC Health Information for International Travel: Yellow Book

As unprecedented numbers of travelers cross international borders each day, the need for up-to-date, actionable information about the health challenges posed by this mass movement has never been greater. For both international travelers and the health professionals who care for them, CDC Health Information for International Travel (more commonly known as the Yellow Book ) is the definitive guide to staying healthy and safe anywhere in the world. The Yellow Book is produced biennially with input from hundreds of travel medicine experts and is published through a unique collaboration between CDC, the CDC Foundation and Oxford University Press. 

The 2018 edition codifies the U.S. government’s most current health guidelines and information for international travelers, including pretravel vaccine recommendations, destination-specific advice, and easy-to-reference maps , tables and charts . The book also offers updated guidance for specific types of travel and travelers, including:

• Precautions for pregnant travelers, immunocompromised travelers and travelers with disabilities
• Special considerations for newly arrived adoptees , immigrants and refugees
• Practical tips for last-minute or resource-limited travelers
• Advice for air crews , humanitarian workers , missionaries and others who provide care and support overseas

The 2018 Yellow Book includes important travel medicine updates:

• The latest information about emerging infectious disease threats such as Zika , Ebola  and MERS
• New cholera vaccine recommendations
• Updated guidance on the use of antibiotics in the treatment of travelers' diarrhea
• Special considerations for unique types of travel, such as wilderness expeditions , work-related travel  and study abroad
• Destination-specific recommendations for popular itineraries, including new sections for travelers to Cuba and Burma

Written by a team of CDC experts on the forefront of travel medicine, the Yellow Book provides a user-friendly, vital resource for those in the business of keeping travelers healthy abroad. Order the 2018 edition online .

©David Snyder/CDC Foundation

• COVID-19 travel advice

Considering travel during the pandemic? Take precautions to protect yourself from COVID-19.

A coronavirus disease 2019 (COVID-19) vaccine can prevent you from getting COVID-19 or from becoming seriously ill due to COVID-19 . But even if you're vaccinated, it's still a good idea to take precautions to protect yourself and others while traveling during the COVID-19 pandemic.

If you've had all recommended COVID-19 vaccine doses, including boosters, you're less likely to become seriously ill or spread COVID-19 . You can then travel more safely within the U.S. and internationally. But international travel can still increase your risk of getting new COVID-19 variants.

The Centers for Disease Control and Prevention (CDC) recommends that you should avoid travel until you've had all recommended COVID-19 vaccine and booster doses.

Before you travel

As you think about making travel plans, consider these questions:

• Have you been vaccinated against COVID-19 ? If you haven't, get vaccinated. If the vaccine requires two doses, wait two weeks after getting your second vaccine dose to travel. If the vaccine requires one dose, wait two weeks after getting the vaccine to travel. It takes time for your body to build protection after any vaccination.
• Have you had any booster doses? Having all recommended COVID-19 vaccine doses, including boosters, increases your protection from serious illness.
• Are you at increased risk for severe illness? Anyone can get COVID-19 . But older adults and people of any age with certain medical conditions are at increased risk for severe illness from COVID-19 .
• Do you live with someone who's at increased risk for severe illness? If you get infected while traveling, you can spread the COVID-19 virus to the people you live with when you return, even if you don't have symptoms.
• Does your home or destination have requirements or restrictions for travelers? Even if you've had all recommended vaccine doses, you must follow local, state and federal testing and travel rules.

Check local requirements, restrictions and situations

Some state, local and territorial governments have requirements, such as requiring people to wear masks, get tested, be vaccinated or stay isolated for a period of time after arrival. Before you go, check for requirements at your destination and anywhere you might stop along the way.

Keep in mind these can change often and quickly depending on local conditions. It's also important to understand that the COVID-19 situation, such as the level of spread and presence of variants, varies in each country. Check back for updates as your trip gets closer.

Travel and testing

For vaccinated people.

If you have been fully vaccinated, the CDC states that you don't need to get tested before or after your trip within the U.S. or stay home (quarantine) after you return.

If you're planning to travel internationally outside the U.S., the CDC states you don't need to get tested before your trip unless it's required at your destination. Before arriving to the U.S., you need a negative test within the last day before your arrival or a record of recovery from COVID-19 in the last three months.

After you arrive in the U.S., the CDC recommends getting tested with a viral test 3 to 5 days after your trip. If you're traveling to the U.S. and you aren't a citizen, you need to be fully vaccinated and have proof of vaccination.

You don't need to quarantine when you arrive in the U.S. But check for any symptoms. Stay at home if you develop symptoms.

For unvaccinated people

Testing before and after travel can lower the risk of spreading the virus that causes COVID-19 . If you haven't been vaccinated, the CDC recommends getting a viral test within three days before your trip. Delay travel if you're waiting for test results. Keep a copy of your results with you when you travel.

Repeat the test 3 to 5 days after your trip. Stay home for five days after travel.

If at any point you test positive for the virus that causes COVID-19 , stay home. Stay at home and away from others if you develop symptoms. Follow public health recommendations.

Stay safe when you travel

In the U.S., you must wear a face mask on planes, buses, trains and other forms of public transportation. The mask must fit snugly and cover both your mouth and nose.

Follow these steps to protect yourself and others when you travel:

• Get vaccinated.
• Keep distance between yourself and others (within about 6 feet, or 2 meters) when you're in indoor public spaces if you're not fully vaccinated. This is especially important if you have a higher risk of serious illness.
• Avoid contact with anyone who is sick or has symptoms.
• Avoid crowds and indoor places that have poor air flow (ventilation).
• Don't touch frequently touched surfaces, such as handrails, elevator buttons and kiosks. If you must touch these surfaces, use hand sanitizer or wash your hands afterward.
• Wear a face mask in indoor public spaces. The CDC recommends wearing the most protective mask possible that you'll wear regularly and that fits. If you are in an area with a high number of new COVID-19 cases, wear a mask in indoor public places and outdoors in crowded areas or when you're in close contact with people who aren't vaccinated.
• Avoid touching your eyes, nose and mouth.
• Cover coughs and sneezes.
• Wash your hands often with soap and water for at least 20 seconds.
• If soap and water aren't available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub your hands together until they feel dry.
• Don't eat or drink on public transportation. That way you can keep your mask on the whole time.

Because of the high air flow and air filter efficiency on airplanes, most viruses such as the COVID-19 virus don't spread easily on flights. Wearing masks on planes has likely helped lower the risk of getting the COVID-19 virus on flights too.

However, air travel involves spending time in security lines and airport terminals, which can bring you in close contact with other people. Getting vaccinated and wearing a mask when traveling can help protect you from COVID-19 while traveling.

The Transportation Security Administration (TSA) has increased cleaning and disinfecting of surfaces and equipment, including bins, at screening checkpoints. TSA has also made changes to the screening process:

• Travelers must wear masks during screening. However, TSA employees may ask travelers to adjust masks for identification purposes.
• Travelers should keep a distance of 6 feet apart from other travelers when possible.
• Instead of handing boarding passes to TSA officers, travelers should place passes (paper or electronic) directly on the scanner and then hold them up for inspection.
• Each traveler may have one container of hand sanitizer up to 12 ounces (about 350 milliliters) in a carry-on bag. These containers will need to be taken out for screening.
• Personal items such as keys, wallets and phones should be placed in carry-on bags instead of bins. This reduces the handling of these items during screening.
• Food items should be carried in a plastic bag and placed in a bin for screening. Separating food from carry-on bags lessens the likelihood that screeners will need to open bags for inspection.

Be sure to wash your hands with soap and water for at least 20 seconds directly before and after going through screening.

Public transportation

If you travel by bus or train and you aren't vaccinated, be aware that sitting or standing within 6 feet (2 meters) of others for a long period can put you at higher risk of getting or spreading COVID-19 . Follow the precautions described above for protecting yourself during travel.

Even if you fly, you may need transportation once you arrive at your destination. You can search car rental options and their cleaning policies on the internet. If you plan to stay at a hotel, check into shuttle service availability.

If you'll be using public transportation and you aren't vaccinated, continue physical distancing and wearing a mask after reaching your destination.

Hotels and other lodging

The hotel industry knows that travelers are concerned about COVID-19 and safety. Check any major hotel's website for information about how it's protecting guests and staff. Some best practices include:

• Enhanced cleaning procedures
• Physical distancing recommendations indoors for people who aren't vaccinated
• Mask-wearing and regular hand-washing by staff
• Mask-wearing indoors for guests in public places in areas that have high cases of COVID-19
• Vaccine recommendations for staff
• Isolation and testing guidelines for staff who've been exposed to COVID-19
• Contactless payment
• Set of rules in case a guest becomes ill, such as closing the room for cleaning and disinfecting
• Indoor air quality measures, such as regular system and air filter maintenance, and suggestions to add air cleaners that can filter viruses and bacteria from the air

Vacation rentals, too, are enhancing their cleaning procedures. They're committed to following public health guidelines, such as using masks and gloves when cleaning, and building in a waiting period between guests.

Make a packing list

When it's time to pack for your trip, grab any medications you may need on your trip and these essential safe-travel supplies:

• Alcohol-based hand sanitizer (at least 60% alcohol)
• Disinfectant wipes (at least 70% alcohol)
• Thermometer

Considerations for people at increased risk

Anyone can get very ill from the virus that causes COVID-19 . But older adults and people of any age with certain medical conditions are at increased risk for severe illness. This may include people with cancer, serious heart problems and a weakened immune system. Getting the recommended COVID-19 vaccine and booster doses can help lower your risk of being severely ill from COVID-19 .

Travel increases your chance of getting and spreading COVID-19 . If you're unvaccinated, staying home is the best way to protect yourself and others from COVID-19 . If you must travel and aren't vaccinated, talk with your health care provider and ask about any additional precautions you may need to take.

Remember safety first

Even the most detailed and organized plans may need to be set aside when someone gets ill. Stay home if you or any of your travel companions:

• Have signs or symptoms, are sick or think you have COVID-19
• Are waiting for results of a COVID-19 test
• Have been diagnosed with COVID-19
• Have had close contact with someone with COVID-19 in the past five days and you're not up to date with your COVID-19 vaccines

If you've had close contact with someone with COVID-19 , get tested after at least five days. Wait to travel until you have a negative test. Wear a mask if you travel up to 10 days after you've had close contact with someone with COVID-19 .

• How to protect yourself and others. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html. Accessed Feb. 4, 2022.
• Domestic travel during COVID-19. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/travelers/travel-during-covid19.html. Accessed Feb. 4, 2022.
• Requirement for face masks on public transportation conveyances and at transportation hubs. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/travelers/face-masks-public-transportation.html. Accessed Feb. 4, 2022.
• International travel. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/travelers/international-travel/index.html. Accessed Feb. 4, 2022.
• U.S citizens, U.S. nationals, U.S. lawful permanent residents, and immigrants: Travel to and from the United States. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/travelers/international-travel-during-covid19.html. Accessed Feb. 4, 2022.
• Non-US. citizen, non-U.S. immigrants: Air travel to the United States. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/travelers/noncitizens-US-air-travel.html. Accessed Feb. 4, 2022.
• People with certain medical conditions. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html. Accessed Feb. 4, 2022.
• Stay up to date with your vaccines. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/vaccines/stay-up-to-date.html. Accessed Feb. 4, 2022.
• Pack smart. Centers for Disease Control and Prevention. https://wwwnc.cdc.gov/travel/page/pack-smart. Accessed Feb. 4, 2022.
• Travel: Frequently asked questions. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/travelers/faqs.html. Accessed Feb. 7, 2022.
• Coronavirus (COVID-19) information. Transportation Security Administration. https://www.tsa.gov/coronavirus. Accessed Feb. 7, 2022.
• WHO advice for international traffic in relation to the SARS-CoV-2 Omicron variant (B.1.1.529). World Health Organization. https://www.who.int/news-room/articles-detail/who-advice-for-international-traffic-in-relation-to-the-sars-cov-2-omicron-variant. Accessed Feb. 7, 2022.
• VRHP/VRMA Cleaning guidelines for COVID-19. Vacation Rental Management Association. https://www.vrma.org/page/vrhp/vrma-cleaning-guidelines-for-covid-19. Accessed Feb. 7, 2022.
• Safe stay. American Hotel & Lodging Association. https://www.ahla.com/safestay. Accessed Feb. 7, 2022.
• Khatib AN, et al. COVID-19 transmission and the safety of air travel during the pandemic: A scoping review. Current Opinion in Infectious Diseases. 2021; doi:10.1097/QCO.0000000000000771.

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U.S. travel resources

• Check CDC recommendations for travel within the U.S.
• Review testing requirements for travel to the U.S.
• Look up restrictions at your destination .
• Review airport security measures .

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COVID-19 international travel advisories

If you plan to visit the U.S., you do not need to be tested or vaccinated for COVID-19. U.S. citizens going abroad, check with the Department of State for travel advisories.

COVID-19 testing and vaccine rules for entering the U.S.

• As of May 12, 2023, noncitizen nonimmigrant visitors to the U.S.  arriving by air  or  arriving by land or sea  no longer need to show proof of being fully vaccinated against COVID-19. 
• As of June 12, 2022,  people entering the U.S. no longer need to show proof of a negative COVID-19 test . 

U.S. citizens traveling to a country outside the U.S.

Find country-specific COVID-19 travel rules from the Department of State.

See the  CDC's COVID-19 guidance for safer international travel.

LAST UPDATED: December 6, 2023

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• For Travelers

Travel Overseas

This section provides information for international travelers about planning for your trip, returning home, navigating passenger processing. You can also find brochures about traveling overseas.

Travel Alerts

Travel Alerts are issued when short-term conditions that pose risks to the security of U.S. citizens.

Travel Warnings

Travel Warnings are issued when long-term conditions make a country dangerous or unstable and U.S. citizens should avoid or consider the risk of traveling to that country.

Preparing for your Trip

A passport is required for overseas travel. It is recommended to make a copy of your passport and put it in a separate place. Carry your passport - do not pack it in your checked luggage. You must present it to the Customs and Border Protection officer upon arrival in the United States.

Find out if you need to get a visa. United States citizens don’t need a U.S. visa for travel, but when planning travel abroad may need a visa issued by the embassy of the country they wish to visit. If you have a visa, we recommend you make a copy and put it in a separate place. Carry your visa with you — do not pack it in your checked luggage.

Trusted Traveler Programs (TTP ) provide modified screening for pre-approved members, improve security by being more efficient during screenings at ports of entry.

Learn about the types of identification that are required for travel in the Western Hemisphere (Canada, Mexico, Caribbean, Central and South America). There are six types of acceptable documents for crossing US borders.

All children, including infants, must have their own passport or Trusted Traveler Program document for U.S. entry. Carry documents for traveling with minor children.

• If you are escorting a minor child without the parents, have a letter from both parents indicating that you have permission to travel with the minor.
• If the child is accompanied by only one parent, the parent should have a note from the child's other parent. For example, "I acknowledge that my wife/ husband is traveling out of the country with my son/ daughter. He/She/ has my permission to do so."
• If a single parent has sole custody, a copy of the court custody document can replace a letter from the other parent.

If bringing a dog, have a health certificate and proof of rabies vaccinations from a veterinarian in your country of residence. Prior to your trip, check with your airline for its rules on transporting animals – many airlines require a health certificate.

Returning Home

Find out what is prohibited or restricted before you pack for your trip. Products that would harm community health, public safety and domestic plant and animal life are restricted from entering the United States and are subject to seizure by the U.S. Customs and Border Protection Agency .

Other considerations for packing:

• Carry only medication needed for the trip in its original container. Do not pack it.
• Carry only the jewelry needed for the trip. Do not pack it.

Navigating Passenger Processing

When planning connecting flights to or from the United States, allow at least two hours between flights. Allow time for CBP processing that must be completed at your first port of entry.

If entering the United States by air or sea, you will receive en route a CBP Declaration Form 6059B and, if you are not from a Visa Waiver Program country, a CBP Form I-94 Arrival/Departure Record . Complete all sections of the forms.

Review the CBP Inspection Process before your travel. Listed below are general steps for the inspection process.

• On your U.S. arrival, go to the primary CBP passport control area. The CBP officer will ask to see all of your travel documents and the completed CBP forms. The officer may refer you for a secondary screening.
• Proceed to baggage claim to pick up luggage.
• Go to the CBP customs inspection checkpoint and show your declaration to the CBP officer, who may examine your bags and refer you for a secondary inspection.
• Pay duty, if applicable.

Traveling Overseas Resources

These resources can help navigate traveling overseas. 

• Know Before You Go – Regulations for International Travel
• International Travel Tips – Online resources for common questions about international travel
• Welcome to the United States – A Guide for International Visitors
• Import/Export Forms – Travel documents and forms
• Ports of Entry (Air, Land, Sea) – Locate the ports of entry into the United States
• How Do I - For Travelers

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Vaccines for Travelers

Vaccines protect travelers from serious diseases. Depending on where you travel, you may come into contact with diseases that are rare in the United States, like yellow fever. Some vaccines may also be required for you to travel to certain places.

Getting vaccinated will help keep you safe and healthy while you’re traveling. It will also help make sure that you don’t bring any serious diseases home to your family, friends, and community.

On this page, you'll find answers to common questions about vaccines for travelers.

Which vaccines do I need before traveling?

The vaccines you need to get before traveling will depend on few things, including:

• Where you plan to travel . Some countries require proof of vaccination for certain diseases, like yellow fever or polio. And traveling in developing countries and rural areas may bring you into contact with more diseases, which means you might need more vaccines before you visit.
• Your health . If you’re pregnant or have an ongoing illness or weakened immune system, you may need additional vaccines.
• The vaccinations you’ve already had . It’s important to be up to date on your routine vaccinations. While diseases like measles are rare in the United States, they are more common in other countries. Learn more about routine vaccines for specific age groups .

How far in advance should I get vaccinated before traveling?

It’s important to get vaccinated at least 4 to 6 weeks before you travel. This will give the vaccines time to start working, so you’re protected while you’re traveling. It will also usually make sure there’s enough time for you to get vaccines that require more than 1 dose.

Where can I go to get travel vaccines?

Start by finding a:

• Travel clinic
• Health department
• Yellow fever vaccination clinic

Learn more about where you can get vaccines .

What resources can I use to prepare for my trip?

Here are some resources that may come in handy as you’re planning your trip:

• Visit CDC’s travel website to find out which vaccines you may need based on where you plan to travel, what you’ll be doing, and any health conditions you have.
• Download CDC's TravWell app to get recommended vaccines, a checklist to help prepare for travel, and a personalized packing list. You can also use it to store travel documents and keep a record of your medicines and vaccinations.
• Read the current travel notices to learn about any new disease outbreaks in or vaccine recommendations for the areas where you plan to travel.
• Visit the State Department’s website to learn about vaccinations, insurance, and medical emergencies while traveling.

Traveling with a child? Make sure they get the measles vaccine.

Measles is still common in some countries. Getting your child vaccinated will protect them from getting measles — and from bringing it back to the United States where it can spread to others. Learn more about the measles vaccine.

Find out which vaccines you need

CDC’s Adult Vaccine Quiz helps you create a list of vaccines you may need based on your age, health conditions, and more.

Take the quiz now !

Get Immunized

Getting immunized is easy. Vaccines and preventive antibodies are available at the doctor’s office or pharmacies — and are usually covered by insurance.

Find out how to get protected .

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Travel health information

As the saying goes, an ounce of prevention is worth a pound of cure. Make informed choices about where you go and what you do there by being informed and prepared for issues that may come up when you travel outside Canada.

Measles cases are increasing worldwide

Before travelling, check that you and your family have received the recommended measles vaccinations.

Do not travel if you have symptoms of measles or have been in contact with someone with measles.

If you develop symptoms of measles after your return to Canada, call a health care provider right away.

Global Measles Notice

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Check what vaccinations are recommended or required for your destination 

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Get advice on visiting a clinic or your health care provider 6 weeks before you travel

Travelling with medication

Learn about travelling outside Canada with prescription or over-the-counter medication

Travelling with syringes and medical devices

Learn about going through security screening at airports and travelling with syringes and medical devices

Travelling to receive medical care outside Canada

Learn about “medical tourism”—travelling to another country to receive medical care

Eating and drinking safely

Learn about precautions you can take with food and water to avoid getting sick while you are outside Canada

Travel-related diseases

Find information about diseases you may encounter while you are outside Canada, along with advice on prevention, risks, symptoms and treatment    

Insect bite and pest prevention

Learn how to prevent bites from pests such as mosquitoes and  ticks, and how to prevent bedbugs when travelling

Sun and heat safety

Find tips on staying healthy when travelling to hot and sunny place

Oral rehydration

Learn how to treat diarrhea-caused dehydration with oral rehydration solution

Mass gatherings and large events

Find health information about participating in large public events

Visiting friends and relatives

Learn how to protect your health while visiting friends and relatives in a foreign country

If you become sick or injured while travelling outside Canada or after your return

What to do if you are sick when or after you return to Canada

Forced marriage

What to do if you or someone you know might be forced into marriage

What we are doing

Policies, acts and regulations.

• Department of Health Act
• Public Health Agency of Canada Act
• Quarantine Act

Publications

• Bon voyage, but… Essential information for Canadian travellers
• Travelling with children
• Well on Your Way – A Canadian's Guide to Healthy Travel Abroad

All related publications

• Recommended consent letter for children travelling abroad
• Registration of Canadians Abroad

Before travelling, check that you and your family have received the recommended measles vaccinations and know what symptoms to look out for.

Up-to-date information on and warnings about rapidly evolving health risks to Canadians travelling or living abroad.

Protect yourself from diseases spread by mosquitoes found in tropical climates.

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Infectious diseases.

This page has information about the risk of infectious diseases for Australians overseas.

This page only gives general advice. Always talk to your healthcare providers for advice specific to you and your situation.

Read this page to learn about:

• infectious disease risks overseas
• vaccine-preventable diseases
• insect-borne diseases
• water or food-borne diseases
• contact, droplet or airborne diseases
• blood-borne diseases
• sexually transmissible infections (STIs)
• diseases spread by animals
• consular services and infectious diseases

Infectious disease risks overseas

Infectious diseases exist everywhere. But you have a higher risk of getting an infectious disease in some destinations. This can be due to:

• water and sanitation issues
• insects that carry diseases
• low vaccination rates.

Research the risks before you go. Then you can take preventive measures to reduce them.

• Read our travel advice for your destination . See if there are any health risks or suggested vaccines listed.
• Talk to your doctor or pharmacist. Tell them where you're going and ask their advice on prevention.

Vaccine-preventable diseases

Vaccination can prevent some diseases.

Get your travel vaccinations. Particularly if there's a travel warning for a vaccine-preventable disease where you're going. Ensuring you're vaccinated can protect you and those around you.

Talk to your doctor. Ask what travel vaccines they recommend. And find out if your standard vaccinations need boosting.

Get the vaccinations you need well before you go. Some take 6-8 weeks to work or need several doses.

Visit the Vaccine Hub to explore  suggested vaccines for where you're going . Common travel vaccines include:

• chickenpox (varicella)
• hepatitis A  and  hepatitis B
• influenza (flu)
• Japanese encephalitis
• meningococcal
• tuberculosis (TB)
• yellow fever .

This list doesn't include everything. You may need to vaccinate against other diseases depending on your health and where you're going. Ask your doctor or pharmacist for advice.

Learn more about  travel vaccinations .

Proof of vaccination

You may need proof of certain vaccinations when you're travelling.

Rules will vary between each country. Contact your destination's embassy or consulate in Australia  for information.

Yellow fever

Some countries need you to show an international yellow fever vaccination certificate if you:

• arrive from a  yellow fever-infected area
• transit through an infected area before arriving
• have been in an infected area within a number of days before arriving.

Your airline can stop you from boarding if you don't have one.

It's important to  get your yellow fever vaccination at an approved clinic . You need it at least 10 days before you travel. The clinic will give you your certificate.

Read  more about international yellow fever vaccination certificates .

Some countries may need you to show a COVID-19 vaccination certificate on entry or to access some services.

You can get your certificate through  myGov  or the  Express Plus Medicare mobile app . If you can't use these options

• visit a  Services Australia services centre
• contact the Australian Immunisation Register (AIR) at 1800 653 809 (in Australia) or +61 2 8633 3284 (from overseas).

Learn  more about international COVID-19 vaccination certificates .

Insect-borne diseases

Insects can carry disease and spread it between people. They can also spread disease between animals and people.

You're more likely to get an insect-borne disease in tropical climates. This includes parts of

• Central America
• the Pacific.

You're also at risk in parts of Europe and the United States. Risks may differ depending on what you plan to do.

Some common insect-borne diseases are:

• chikungunya
• Lyme disease
• yellow fever
• Zika virus .

If you're pregnant or planning to get pregnant, your unborn child may face more risks from Zika virus. As a precaution, the Department of Health advises you to consider delaying travel to countries with Zika.

Reducing your risk of insect-borne diseases

You can get vaccinated against some insect-borne illnesses. For others, such as malaria, there's oral medicine you can take. Discuss options with your doctor or pharmacist.

Take steps to avoid insect bites.

• Cover exposed skin with light-coloured long-sleeved shirts and long pants.
• Use insect repellents with DEET or picaridin. If you use both sunscreen and insect repellent, apply the sunscreen first and then the repellent.
• Treat your clothing and gear with insecticides containing permethrin.
• Sleep in screened or air-conditioned rooms. Use bed nets if you can't keep mosquitoes from coming inside the room.

After walking through high grass or brush in tick-prone areas:

• brush off your clothes before getting in a car or going inside
• check yourself and others for ticks 
• tumble dry your clothes hot for 20 minutes to kill ticks that may have hitched a ride.

Water- or food-borne diseases

Water- or food-borne diseases are common in many countries. You can catch them from:

• drinking or using tainted water
• drinking any drink with ice cubes made with tap water
• eating food washed with tap water
• brushing your teeth or washing your face with tap water
• eating tainted food, including meals prepared by people following poor hygiene practices
• taking part in activities in tainted water, such as swimming or water sports.

Some water- and food-borne diseases include:

• infections causing  gastroenteritis  (vomiting and  diarrhoea )
• campylobacter
• hepatitis A
• leptospirosis
• polio (poliomyelitis)
• salmonella  (including  typhoid and paratyphoid )
• schistosomiasis

Cholera  is less common, but it's very contagious and deadly.

Reduce your risk from water- or food-borne diseases

There are vaccines for some water and food-borne infectious diseases, including hepatitis A, typhoid and cholera.

You can do a lot to reduce your risk of infection where water and food-borne diseases are common.

• Wash your hands often and use hand sanitiser before you eat.
• Drink bottled water from a sealed bottle.
• Use water-sterilising tablets or filtration bottles to make tap water safe.
• Wash fresh produce thoroughly using bottled or sterilised water.

Try to avoid:

• drinking tap water or using it to clean your teeth
• drinks with ice cubes. Some restaurants may use water straight from the tap
• uncooked and undercooked food or food that has been left sitting for a while
• fresh salads and raw vegetables
• contact with water or soil that may be contaminated with sewerage
• in some places, swimming or wading in any fresh water.

For more information, see the Better Health Channel's advice on  food safety while travelling .

Contact, droplet and airborne diseases

Some diseases can spread:

• through close contact with a person who is coughing, sneezing, or unwell
• through something an infected person touched after coughing, sneezing or blowing their nose.

These are called diseases spread by contact, droplets or through the air.

These include:

• chickenpox  (varicella)
• coughs and colds
• influenza  (flu)
• Middle East respiratory syndrome  (MERS)
• Severe acute respiratory syndrome  (SARS)

Reducing your risk of contact, droplet and airborne diseases

Protect yourself from contact, droplet and airborne diseases.

• Stay up to date with your vaccinations for measles, rubella, diphtheria, pertussis, flu, COVID-19, and other vaccines recommended by your doctor.
• Wash your hands often or use hand sanitiser if soap and water aren't available.
• Avoid close contact with people who are sick or showing early symptoms.
• Avoid close contact with wild or domestic animals.

Blood-borne diseases

Some infectious diseases can be spread by blood. This can be:

• when an infected person's blood comes into direct contact with another person's blood, mouth or eyes
• when blood is on an object such as a needle or razor blade
• through bodily fluids (see also  sexually transmissible infections )

Common blood-borne diseases overseas are:

• hepatitis B
• hepatitis C

Reduce your risk of blood-borne diseases

You can get vaccinated against some blood-borne diseases.

You can also reduce your risk of infection by being careful and making smart choices.

• Avoid contact with any objects that could be tainted with blood or body fluids.
• Never share needles, syringes, or other injecting tools.
• Choose tattoo, piercing and medical services that carefully sterilise their tools and surfaces. If you're not sure, ask for proof before they start.
• Practise safer sex.
• Cover wounds and cuts with a waterproof dressing.
• Don't share toothbrushes, razors and other personal items that may be tainted with blood.
• Use gloves and other relevant protection when giving first aid.

These diseases may not have symptoms in the early stages. If you think you've been exposed, seek medical advice early. There may be preventive treatment.

Sexually transmissible infections (STIs)

STIs are infections or diseases passed on during unprotected sex with an infected partner, including vaginal, anal and oral sex. Some STIs can spread through skin-to-skin contact with a person's infected genitals or mouth.

STIs include:

• genital herpes
• gonorrhoea 
• human papillomavirus (HPV)

Other diseases can spread through sexual contact but are not called an STI. For example, water-borne diseases shigellosis and hepatitis A can also spread through sexual activity, including oral and anal sex.

Reducing your risk of STIs

Vaccines can prevent some STIs. But you must also take preventive measures to reduce your risk of infection.

Reduce your risk of infection by taking and using your own condoms from a brand you trust.

STIs may not have symptoms. If you think you've been exposed, seek medical advice.

If you're a victim of  assault , including  sexual assault , get  medical care  immediately to reduce the risk of infection.

For more information, see the Department of Health's information on  STIs  and  HIV / AIDS .

Diseases spread by animals

Some animals can spread disease through close contact, scratches or bites. These diseases include:

• influenza A subtypes , including avian and swine influenza
• Middle East respiratory syndrome (MERS)

Reduce your risk of infection.

• Get vaccinated for rabies and influenza before you go, if recommended.
• Avoid contact with sick animals.
• Wash your hands well after contact with animals.
• Don't eat raw or undercooked meat or animal products.

If you have a pre-existing illness, you may need to avoid all contact with some animals. Seek medical advice.

If you're bitten, scratched or licked on an open wound by an animal:

• use first aid
• wash the wound out well with soap and water for at least 10 minutes
• use antiseptic solution
• get urgent medical advice about preventing rabies, tetanus, and bacterial infection.

Consular services and infectious diseases

You're responsible for protecting yourself against infectious diseases.

Read the Consular Services Charter for what the Australian Government can and can't do to help you overseas .

What we can do

• We can update our travel advice if we learn of a disease outbreak.
• We can give you a list of local English-speaking doctors and health services.
• We can help you get in contact with family and friends in Australia.
• We can provide emergency support if we declare a disease outbreak a crisis.

What we can't do

• We can't tell you every infectious disease in your destination.
• We can't give you medical advice.
• We can't tell you all the vaccines you may need.
• We can't tell you what to do or take to protect your health in your destination.
• We can't guarantee your health in any destination.
• We can't pay your medical costs if you get sick overseas.
• Read about  travelling with medication and medical equipment .
• See our advice on  travelling while pregnant .
• Learn about  medical tourism .
• See our  health advice for everyone .
• Read advice about  travelling with children .
• See our advice on  taking care of your mental health .
• See our advice for  travellers with a disability .
• Read about health risks in all your destinations .
• Understand how and when  consular services  can help Australians overseas.
• Learn about  infectious diseases  and  travel vaccinations  (Department of Health).
• See a range of advice on  international travel and health  (World Health Organization).
• Read advice on  food safety while travelling  (Victorian Department of Health and Human Services).
• Learn about  immunising your child  (Department of Health).
• See information about  insect-borne diseases  (World Health Organisation).

Related content

Read our general advice for Australians planning to travel overseas with medications or medical equipment.

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What is COVID-19?

Who can get covid-19, can i travel if i recently had covid-19, what can travelers do to prevent covid-19, more information.

CDC Respiratory Virus Guidance has been updated. The content of this page will be updated soon.

Coronavirus disease 2019 (COVID-19) is a respiratory illness caused by the virus SARS-CoV-2. The virus spreads mainly from person to person through respiratory droplets and small particles produced when an infected person coughs, sneezes, or talks. The virus spreads easily in crowded or poorly ventilated indoor settings.

People with COVID-19 have reported a wide range of symptoms   – ranging from no or mild symptoms to severe illness. Symptoms may appear 2–14 days after exposure to the virus. Possible symptoms include fever, chills, cough, shortness of breath, fatigue, muscle aches, headache, new loss of taste and smell, sore throat, runny nose, nausea, vomiting, or diarrhea.

Anyone can get COVID-19. However, some people are more likely than others to get very sick if they get COVID-19. These include people who are older, are  immunocompromised , or have certain  disabilities , or have  underlying health conditions .  Vaccination, past infection, and timely access to testing and treatment can help protect you from getting very sick from COVID-19.

Yes, you can travel once you have ended isolation . Check CDC guidance for additional precautions, including testing and wearing a mask around others. If you recently had COVID-19 and are recommended to wear a mask, do not travel on public transportation such as airplanes, buses, and trains if you are unable to wear a mask whenever around others.

Get  up to date  with your COVID-19 vaccines before you travel and take steps to protect yourself and others . Consider wearing a mask in crowded or poorly ventilated indoor areas, including on public transportation and in transportation hubs. Take additional precautions if you were recently exposed to a person with COVID-19. Don’t travel while sick.

If you have a  weakened immune system  or  are at increased risk for severe disease talk to a healthcare professional before you decide to travel.  If you travel, take multiple prevention steps to provide additional layers of protection from COVID-19, even if you are up to date with your COVID-19 vaccines. These include improving ventilation and spending more time outdoors, avoiding sick people, getting tested for COVID-19 if you develop symptoms, staying home if you have or think you have COVID-19, and seeking treatment if you have COVID-19.

Consider getting travel insurance in case you need medical care abroad .

Consider getting a COVID-19 test if you:

• Develop COVID-19 symptoms before, during, or after travel.
• Will be traveling to visit someone who is at higher risk of getting very sick from COVID-19.
• Were in a situation with a greater risk of exposure during travel (e.g., in an indoor, crowded space like an airport terminal while not wearing a mask).

If you traveled and feel sick, particularly if you have a fever, talk to a healthcare professional, and tell them about your recent travel.

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Getting Medical Insurance For Your Next Trip Abroad

Last Updated: May 8, 2024

Suffering a medical emergency in a foreign country is a common fear among travelers. In a recent Squaremouth survey of over 5,000 vacationers, more than 52% of respondents revealed their biggest travel concern was getting sick or injured during their upcoming trip.

Travelers have every right to be fearful. Since most U.S. health insurance plans offer limited to no coverage abroad, receiving medical care overseas can result in thousands of dollars in out-of-pocket expenses.

If you’re traveling internationally and want medical coverage, we highly recommend that you consider Travel Medical Insurance .

What is Travel Medical Insurance?

Travel Medical Insurance is a type of travel insurance that’s specifically designed to cover unforeseen medical emergencies that may arise during a trip. If you experience an unexpected injury or illness, for example, your insurance provider will reimburse your related medical expenses up to the plan’s coverage limit.

Most international travel medical insurance policies will typically cover expenses like ambulance rides, surgeries, hospital stays, doctor visits, x-rays, prescription medications, emergency medical evacuations, and other unexpected medical expenses.

Why is it Important?

If you’re a U.S. citizen, it’s likely your primary health care plan, such as Medicare or an employer sponsored policy, won’t cover overseas medical care. Without proper coverage, you’re responsible for paying all medical costs out-of-pocket.

Travel Medical Insurance acts as an international health insurance plan, offering reimbursement for unexpected medical bills during your trip abroad. While it’s likely that you may not ever need to use your plan, it may be worth the investment for the peace of mind alone.

How Much Does Travel Medical Insurance Cost?

There’s a common misconception that travel insurance is expensive. While this can be true for some policies, it’s very possible to find affordable health coverage for your next vacation that doesn’t break the bank.

According to Squaremouth data, the average cost of Travel Medical Insurance is roughly $97. Many of these plans also include protection against other travel disruptions, including delays, missed connections, baggage loss, and more.

Keep in mind that pricing can vary from one travel insurance provider to the next, so it’s important to shop around. Typically, providers price policies based on several risk factors including, but not limited to:

• The age of the travelers covered by the policy
• Your trip length
• Your destination
• Your trip costs
• The type of coverage you choose ( single-trip vs. Annual)
• The coverage limits found within the policy
• Any add-ons you choose to include

Medical Benefits Offered by Travel Insurance

When comparing travel insurance policies, the most important thing to look at is the coverage they each provide. Luckily, the majority of plans offer medical benefits that provide coverage overseas.

If your main concern is getting sick or injured during your trip, we recommend paying close attention to the following benefits:

Emergency Medical

Emergency Medical is one of the most important benefits among travel insurance customers. It covers the cost of unexpected medical bills you may encounter at any point during your trip. Due to the potentially high costs involved with seeking medical care abroad, we suggest you consider policies with at least $50,000 in Emergency Medical coverage.

Be mindful that some travel insurance providers may have you pay a medical deductible before coverage kicks in. While rare, Medical Deductibles can range from $50 to $2,500.

Medical Evacuation

If you get seriously sick or hurt while overseas, there’s a chance that the nearest medical facility won’t be the best one equipped to treat you. If a treating physician deems it necessary, the Medical Evacuation benefit will cover emergency transportation to another, more adequate medical facility or back to your home country.

The cost of a medical evacuation can quickly escalate in the tens, sometimes hundreds, of thousands of dollars. For that reason, we recommend policies that offer at least $100,000 in Medical Evacuation coverage.

Pre-Existing Condition

Traveling with a pre-existing medical condition can be a tough task, especially if flare ups are likely to occur. While most travel insurance plans exclude pre-existing conditions from coverage, some providers offer what’s called a “Pre-Existing Condition Waiver.”

This waiver essentially extends your travel medical insurance to include coverage for conditions and illnesses that were present when you purchased your plan. Pre-Existing Condition coverage is a time-sensitive benefit, meaning to qualify you must buy your policy 10-14 days after making an initial trip payment.

Cancel for Medical Reasons

A medical emergency can occur at any time, even before you depart for your trip. Most comprehensive travel insurance plans include Trip Cancellation coverage that allows you to cancel your trip due to medical reasons and be reimbursed up to 100% of your prepaid, non-refundable trip costs.

Under most plans, covered medical reasons to cancel a trip include unforeseen illnesses, injuries, or death in the family. When filing a claim, you may be required to provide documentation to support your reason for cancellation.

24-Hour Emergency Assistance

The best travel insurance companies offer 24-Hour Emergency Assistance to their policyholders. Through this service, you can get support for a wide-range of challenges you may encounter while traveling, especially when it concerns health care. Examples include:

• Overseas medical referrals
• Arrangement of medical evacuations or repatriations
• Medical claims support

How to Find the Best Medical Coverage For Your Next Trip:

There are more travel insurance policies available today than ever before. Knowing what you’re looking for and where to find it can make your search for international health insurance much more straightforward.

Below are a handful of our top tips that may be helpful to you as you evaluate your insurance options.

Determine How Much Medical Coverage You Need

As a baseline, you should be looking at policies with at least $50,000 in Emergency Medical coverage and at least $100,000 in Emergency Evacuation coverage for trips abroad. However, you may want even more health insurance coverage depending on your destination, your itinerary, and other trip details.

For example, travelers heading on a weeklong beach trip to Mexico may not need as much medical coverage as someone going backpacking in the Himalayan Mountains for a month.

It’s also important to take inventory of existing travel health insurance you may already have. Take some time to read through your primary health insurance policy to see if it offers coverage overseas. While rare, some travel credit cards may also include medical benefits.

Compare Plans From Multiple Insurance Providers

The only way to guarantee you’re getting the best plan is to get a quote from multiple travel insurance providers. You’ll be shocked at how much pricing can vary from one company to the next for similar coverage. In general, getting quotes from 3-5 providers is a good start.

You can do this manually or save time by using a travel insurance comparison website like Squaremouth. Whichever way you choose, be sure to pay close attention to each policy’s premium and medical coverage limits to determine which best fits your budget and travel needs.

Review Policy Exclusions & Limitations

Not all medical emergencies will be covered by insurance. Each travel medical insurance plan will have its own set of exclusions, which can be found in the Policy Details, that outlines what activities or scenarios would not be eligible for reimbursement.

While these exclusions will vary, most travel insurance providers won’t cover medical expenses that stem from:

• Participation in an inherently dangerous sport or activity
• Self-inflicted harm
• Pre-existing medical conditions (unless stated otherwise)
• Intoxication from alcohol or illegal substances
• Routine physicals or checkups
• Normal pregnancy or childbirth

Frequent Traveler? Consider an Annual Travel Insurance Plan

If you’re a frequent business or leisure traveler, it may be wise to consider an Annual travel insurance plan . Also known as “Multi-Trip Insurance,” this type of coverage offers trip protection for a 12-month span, no matter how many trips you decide to take during that period.

Annual plans can be cost-effective if you travel at least 2-3 times per year, and may be more convenient than purchasing a single-trip plan each time you travel.

The Bottom Line

A medical emergency can happen at any time. For peace of mind and financial protection abroad, it may be worth investing in a travel medical insurance policy.

Travel medical insurance covers unforeseen illnesses and injuries that may occur during your trip. Some plans also extend coverage to pre-existing medical conditions. If you’re nervous about having to cancel your trip due to medical reasons, we recommend a comprehensive travel insurance policy that includes Trip Cancellation coverage.

Get a quote today to begin your search for travel medical insurance.

Do I Need Additional Health Coverage if I Travel Internationally?

Y ou will likely need additional health coverage if you plan on traveling outside of the United States since Affordable Care Act (ACA) Marketplace health plans are not required to include international travel coverage. Multiple insurance carriers sell separate travel insurance that can cover emergency health care services and potentially other treatments you need while in a foreign country.

Keep reading to find out how you can know when your health insurance covers international travel and what types of coverage can protect you as you travel abroad.

On This Page

Does my health insurance cover international travel, what won’t be covered by health insurance during international travel, how much does it cost to get medical insurance for international trips, how do i know if an international medical facility is in my network, how to get medical coverage when you travel internationally, how to file a claim for medical care during international travel.

ACA-compliant health insurance plans aren’t required to cover you during international travel, so you should contact your insurer before you leave to find out if any out-of-country medical services you receive would be covered. Keep in mind that some health plans don’t cover out-of-network care at all, meaning you would be fully on the hook for medical expenses you incur while visiting a foreign hospital that isn’t in your plan’s network.

Meanwhile, plans that do cover out-of-network care will usually require you to pay a greater portion of the costs through coinsurance or copays . As a result, there’s a good chance you will have to pay more for international treatments even if your health insurance company agrees to cover them.

Fortunately, numerous companies sell supplemental health insurance products that can provide more comprehensive health coverage while you are traveling abroad. For example, medical evacuation insurance can cover the costs of transportation to a medical facility that can provide you with appropriate care in an emergency. This type of coverage may automatically be included in a travel health insurance plan, which can also cover the emergency care itself and potentially even regular treatments related to a preexisting condition. [1]

Does Medicare Cover International Travel?

Medicare only covers treatments at foreign hospitals in specific situations where they are closer to you than an American health care facility. For example, if you live in the United States near the border of Mexico or experience a medical emergency near the border, Medicare may cover treatments at a Mexican hospital. Similarly, you may be covered if you visit a Canadian hospital after experiencing a medical emergency on your way to Alaska. [2]

Meanwhile, Medicare will only cover care you receive on a cruise ship if the ship is within six hours of an American port. Conversely, some Medicare Advantage plans and most Medigap plans include international travel coverage. [2]

Specifically, a Medigap plan can cover 80% of the costs for medically necessary care in foreign countries that Original Medicare won’t cover as long as you have met a $250 deductible and receive the care within 60 days of starting your trip. Note that Medigap foreign travel emergency coverage comes with a $50,000 lifetime limit. [2]

Does Medicaid Cover International Travel?

Medicaid generally doesn’t cover medical expenses you incur overseas. [1] In fact, you may have limited coverage anywhere outside of your home state since Medicaid benefits are largely determined at the state level. For example, North Carolina Medicaid only covers out-of-state routine care if you receive it in Georgia, South Carolina, Tennessee or Virginia within 40 miles of the North Carolina border, exclusively covers medically necessary care elsewhere in the United States and doesn’t provide any coverage outside of the country. [3]

Even if you purchase a separate travel health insurance plan, your insurer likely won’t cover preventive services and other kinds of routine care. [4] You may need to purchase a long-term international health plan to receive coverage for these kinds of services outside of the United States.

Instead, travel medical insurance predominantly provides coverage for emergency situations such as slipping and breaking your leg while rock climbing, getting sick after a spider bites you on a hike or requiring a medevac helicopter after you have a heart attack in a remote location.

The average cost of health insurance for international travel ranges from $40 to $80, with factors like the length of your trip and the coverage limits you select influencing your rates. [4] Meanwhile, you will usually have to pay 5% to 7% of the cost of your entire trip for a trip insurance package that includes coverage for emergency medical care, canceled flights, trip interruption and lost or damaged luggage. [5]

The best way to know if a medical provider is in your network or if your insurance company will otherwise cover care from that provider is to contact your insurer in advance to get your treatment preapproved.

Keep in mind that many American insurance carriers don’t contract with international medical facilities at all.

Nevertheless, there are some health insurance companies with networks that extend beyond the United States. For example, Cigna ’s network includes 1.5 million hospitals and health care professionals throughout the world, while Blue Cross Blue Shield ’s GeoBlue contracts with more than 1.7 million medical providers globally. [6][7]

You may be able to buy coverage for your vacation from either a company that specializes in travel insurance or a traditional health insurance carrier that offers international coverage. It’s recommended that you obtain quotes from three to five different companies so you can compare all of your options to find the best deal.

To make this process as simple as possible, consider using an online insurance marketplace like SmartFinancial. We can take information about your coverage needs and budget from a brief questionnaire and match you up with insurance agents who may be able to help you find a health plan with built-in travel coverage. If you’re interested in receiving free health insurance quotes today, simply enter your zip code below.

Claim filing processes can vary from company to company but you will generally need to fill out your insurer’s designated claim form and provide an itemized bill listing all of the treatments you were charged for along with other documents showing information such as where you were treated and what injury or sickness you were treated for.

You should be aware that foreign health care providers generally don’t accept American insurance and won’t file claims on your behalf. [4] As a result, even if your health plan covers international care, you will likely have to pay for your treatments out of pocket initially and then file an insurance claim yourself to be reimbursed by your insurer.

Do I need additional medical insurance when traveling abroad?

ACA-compliant health plans are not required to cover you while you’re traveling abroad, so you may need to purchase additional travel medical insurance.

Does Medicare cover international travel?

Medicare covers international travel in extremely limited circumstances such as when you are on a cruise ship less than six hours away from an American port. However, you may be able to get broader travel health coverage through a Medicare Advantage or Medicare Supplement plan. [2]

Do I need travel insurance if I have health insurance?

Many American health insurance plans don’t cover out-of-network care and don’t include foreign hospitals in their networks, so you may need separate travel health insurance to receive coverage for international care.

• United States Department of State. “ Insurance Providers for Overseas Coverage .” Accessed Nov. 8, 2023.
• Centers for Medicare & Medicaid Services. “ Medicare Coverage Outside the United States ,” Pages 1-4. Accessed Nov. 8, 2023.
• North Carolina Department of Health and Human Services. “ NC Medicaid: Out of State Services ,” Page 1. Accessed Nov. 9, 2023.
• Travelers Insurance. “ How Does Travel Medical Insurance Work? ” Accessed Nov. 9, 2023.
• International Association for Medical Assistance to Travellers. “ Travel Health Insurance 101 .” Accessed Nov. 9, 2023.
• Cigna Global. “ International Health Insurance & Global Medical Cover .” Accessed Nov. 9, 2023.
• GeoBlue. “ International Travel Health Insurance Coverage .” Accessed Nov. 9, 2023.

International travelers to the US will be able to skip proof of COVID vaccine, WH says

The Biden administration will lift the COVID-19 vaccine requirement for inbound international air travelers on Friday.

"As we continue to monitor the evolving state of COVID-19 and the emergence of virus variants, we have the tools to detect and respond to the potential emergence of a variant of high consequence," President Joe Biden said in a proclamation Tuesday. "Considering the progress that we have made, and based on the latest guidance from our public health experts, I have determined that we no longer need the international air travel restrictions that I imposed in October 2021."

Biden announced the change last week , along with the end of vaccine requirements for federal employees and contractors, foreign nationals at the land border and others. The requirement for air travelers will lift at midnight Thursday as the coronavirus public health emergency ends. Biden previously  signed a bill ending the COVID national emergency  in April.

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Is there still a vaccine requirement for international travelers coming to the US?

Not as of later this week.

Currently, all "non-U.S. citizen, non-U.S. immigrants traveling to the United States by air" must show proof of vaccination with limited exceptions, according to the Centers for Disease Control and Prevention's  website .

Industry group the U.S. Travel Association, which had called on the Biden administration to  end the vaccine requirement  for inbound international visitors and argued the rule was an impediment to tourism, applauded the change when it was announced last week.

“Today’s action to lift the vaccine requirement eases a significant entry barrier for many global travelers, moving our industry and country forward," Geoff Freeman, the organization's President and CEO, said in a statement last week. He also called on the federal government to "ensure U.S. airports and other ports of entry are appropriately staffed with Customs and Border Protection officers to meet the growing demand for entry."

The U.S.  lifted a requirement  that air travelers coming from China show proof of a negative COVID test in March. The policy took effect in January amid a surge of cases in China.

The U.S.  dropped its COVID testing rule  for international flyers in June.

Do travelers need a vaccine to cross the Mexico or Canada borders to the US?

The Department of Homeland Security also said in a news release that it will no longer require non-U.S. travelers coming into the country by land or at ferry terminals to be fully vaccinated or show proof of their vaccination status.

Do US travelers need to be vaccinated against COVID to travel internationally?

That depends. Many destinations have dropped their vaccination and testing requirements for travel, though some still have rules in place. The Philippines, for example, still requires travelers to be fully vaccinated or show proof of a negative COVID test in order to visit, according to the  U.S. Embassy in the Philippines .

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The CDC also recommends travelers be up to date on their COVID vaccinations before leaving the country. The agency defines up to date as having one updated Pfizer-BioNTech or Moderna vaccine for people age 6 and up, which "protect against both the original virus that causes COVID-19 and the Omicron variant BA.4 and BA.5," according to its  website .

Nathan Diller is a consumer travel reporter for USA TODAY based in Nashville. You can reach him at [email protected].

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For many, the Taylor Swift Eras Tour isn't just a concert; it's an unforgettable experience of a lifetime, filled with nostalgia and excitement. By exploring ticket prices in different cities and considering the overall cost of travel, fans are finding that catching a performance in a distant location is more feasible and economical than expected.

For years, Taylor Swift has captivated music fans of all ages around the world with her iconic hits and ever-evolving style. For many, the Taylor Swift Eras Tour isn't just a concert; it's an unforgettable experience of a lifetime, filled with nostalgia and excitement. However, for many "Swifties," attending a show may be a bit of a financial stretch, especially if the tour misses their hometown. Surprisingly, though, traveling to a different city to attend could be more affordable than scoring tickets to a show closer to home.

Taylor Swift started her Eras Tour in March of 2023 with more than 150 shows scheduled in five different continents. According to online research company QuestionPro , the tour could generate about $5 billion for the U.S. economy by the end of 2024. On average, each concertgoer is spending $1,300 per show on hotels, outfits, and merchandise. Researchers at Skift estimate the tour has already generated $1.2 billion for the U.S. travel industry alone―accounting for flights, hotels, short-term rentals, transportation, dining, and other additional spending.

The beauty of the Eras Tour is the magic that Taylor Swift brings to the stage around the globe, allowing fans from different cities and countries to partake in triumphs of her musical career. While it may seem most sensible for Swifties to attend a show in a nearby city, it isn't always possible to score tickets for a show close to home. And, even if tickets are available in a city nearby, prices can fluctuate greatly based on location, venue size, and, of course, demand.

The difference in price is strikingly noticeable when looking at current ticket prices on StubHub. In the U.S., tickets are particularly expensive. Tickets start at $2,000 each for shows in Miami and Indianapolis, and fans will have to shell out $1,500 for the "cheapest" ticket in New Orleans. International shows can have more affordable ticket prices, starting at $300 each in Paris, $400 in Stockholm, and $350 in Madrid. While tickets to international shows may be less expensive, fans won't be missing out on Taylor's performance. Many of the international venues are much smaller than the venues in the U.S., so even "cheap" tickets can provide a closer seat and better view than a higher-priced ticket in the States.

By exploring ticket prices in different cities and considering the overall cost of travel, many fans are finding that catching a performance in a distant location is more feasible and economical than expected. For years, music fans have been "gig-tripping," combining a concert with a vacation, and the Eras Tour has been fueling this trend. Distance is no barrier as many Swifties are turning their one-night concert experience into a weeklong vacation.

While many fans worry that it's unrealistic to see Taylor perform live, by considering traveling abroad, they could make their Wildest Dream a reality. 

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