International Travel


Country Information

North Macedonia

North Macedonia
North Macedonia
Exercise normal precautions in North Macedonia.

Exercise normal precautions in North Macedonia. 

Read the Safety and Security section on the country information page.

If you decide to travel to North Macedonia:


Embassy Messages


Quick Facts


Six months beyond your planned stay recommended


One page required for entry stamp


Not for stays less than 90 days within a six month period




10,000 Euros or equivalent must be declared


10,000 Euros or equivalent must be declared

Embassies and Consulates

U.S. Embassy Skopje

Samoilova 21
1000 Skopje
Republic of North Macedonia
Telephone: +(389) (2) 310-2000
Fax: +(389) (2) 310-2299

Destination Description

See the Department of State’s Fact Sheet on North Macedonia for information on U.S.–North Macedonia relations. 

Entry, Exit and Visa Requirements

Visit the Embassy of North Macedonia website for the most current visa information.

  • You need a valid U.S. passport for travel to North Macedonia.
  • You do not need a visa for tourist or business trips of less than 90 days within a six month period.
  • If you plan to work, study, or stay longer than 90 days in North Macedonia, you must obtain an entry visa before traveling to North Macedonia.
  • Border police strictly enforce the 90 day limit. You may face delayed departure, a court hearing with a substantial fine, or be barred from entering North Macedonia if you exceed 90 days.
  • You cannot adjust from tourist status to long-term status within North Macedonia. To adjust status, you must leave North Macedonia and apply for a long-term visa at a North Macedonian embassy or consulate.
  • North Macedonia requires all foreign citizens to provide proof of travel medical insurance when they enter the country.
  • All foreign citizens must register with local police within 48 hours of arrival.
    • Hotels register foreign guests.
    • If you are not staying in a hotel, register in person (take the owner or landlord of the residence with you) at the police station nearest to where you’re staying.
    • If you change addresses while in North Macedonia, notify the police station where you initially registered and re-register with the police station closest to your new address.
  • To enter and stay in North Macedonia, unaccompanied U.S. citizen minors should have a notarized statement of consent from a parent or guardian certified by a competent authority in the country from which the child arrives, or by a Macedonian embassy or consulat
  • You should carry a copy of your passport or another photo ID at all times; local authorities can request your identification.  You must carry your residence permit at all times.
  • U.S. citizens born in North Macedonia are advised to read the Greece Country Specific Information if they plan to travel to Greece.
  • Dual U.S.-Macedonian citizens who have stayed outside of North Macedonia for more than three months should either report to the Macedonian embassy or consulate nearest their location before returning to North Macedonia, or report to the nearest police station after entering North Macedonia. Failure to notify may delay your departure from Macedonia.

The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for visitors to or foreign residents of North Macedonia.

Find information on dual nationality, prevention of international child abduction and customs regulations on our websites

Safety and Security

Terrorists successfully carried out attacks in Europe in 2015, 2016, and 2017. Credible information indicates terrorist groups continue to plot possible attacks in Europe. European governments are taking action to guard against terrorist attacks; however, all European countries remain potentially vulnerable to attacks from transnational organizations.

Protest activity in North Macedonia sometimes results in violent incidents. Public protests, demonstrations, and strikes occur sporadically, and often result in traffic disruptions, particularly near the center of Skopje. Information about demonstrations in North Macedonia can be found on the embassy’s security and emergency messages for U.S. citizens webpage.

  • You should avoid demonstration areas and exercise caution if traveling near demonstrations.
  • Monitor local media coverage of events
  • Be aware of your surroundings at all times.
  • Follow the instructions of Macedonian authorities.

Crime: Violent crime against U.S. citizens is rare. Theft and other petty street crimes do occur, particularly in areas where tourists and foreigners congregate.

  • Do not leave anything of value in plain view in unattended vehicles.
  • Securely lock the windows and doors of your residence when not at home.
  • Organized crime is present in North Macedonia, and violent confrontations between rival organizations occasionally results.
  • ATM use is generally safe; however, take standard safety precautions and be aware of your surroundings.
  • Pickpockets are a problem in crowded areas of Skopje. You should:
    • Baware of your belongings and surroundings at all times.
    • Know that pickpockets use various diversionary tactics to distract victims, including groups of children swarming the victim.
    • If pickpocketed, report the crime to the police.
      • Cancel your credit cards as quickly as possible.
  • Taxis are generally safe.  Use metered taxis to avoid conflicts about the fare.

See the Department of State and the FBI pages for information on scams.

Victims of Crime:

  • U.S. citizen victims of sexual assault should first contact the U.S. Embassy.
  • Report crimes to the local police at 192 (ambulance: 194) and contact the U.S. Embassy at (389) (2) 310-2000.
  • Remember that local authorities are responsible for investigating and prosecuting the crime.
  • See our webpage on help for U.S. victims of crime overseas.

We can:

  • help you find appropriate medical care
  • assist you in reporting a crime to the police
  • contact relatives or friends with your written consent
  • explain the local criminal justice process in general terms
  • provide a list of local attorneys
  • provide our information on victim’s compensation programs in the U.S.
  • provide an emergency loan for repatriation to the United States and/or limited medical
  • support in cases of destitution
  • help you find accommodation and arrange flights home
  • replace a stolen or lost passport

Domestic Violence:  U.S. citizen victims of domestic violence may contact the Embassy for assistance.

Tourism: The tourism industry is generally regulated, but rules may be unevenly enforced. Hazardous areas/activities are not always identified with appropriate signage. Professional and certified staff may not be available to support some organized activities. In the event of an injury, appropriate medical treatment may be sporadic due to limited hours and physical distances. Outside of a major metropolitan center, it may take more time for first responders and medical professionals to stabilize a patient and provide life-saving assistance. U.S. citizens are encouraged to purchase medical evacuation insurance. See our webpage for more information on insurance providers for overseas coverage.

Local Laws & Special Circumstances

Criminal Penalties: You are subject to local laws. If you violate local laws, even unknowingly, you may be expelled, arrested, or imprisoned. If you break laws in North Macedonia, your U.S. passport will not help you avoid arrest or prosecution.

Furthermore, some laws are also prosecutable in the U.S., regardless of local law. For examples, see our website on crimes against minors abroad and the Department of Justice website.

Arrest Notification:  If you are arrested or detained, ask police or prison officials to notify the U.S. Embassy immediately. See our webpage for further information.

  • Macedonian customs authorities enforce strict regulations that require special licenses or permits for the exportation of items deemed to be of historical value or significance. Taking such items out of North Macedonia without the appropriate government-issued permit can result in arrest, monetary fines, and prison sentences.  The Macedonian Customs Administration provides more information on customs regulations.

  • Taking photographs of anything that could be perceived as having military or security interest may result in problems with authorities.  Visitors should comply with “no photography” signs. If you are in doubt, ask for permission before taking photographs.

  • Larger stores and restaurants accept credit cards, but we recommend having cash in local currency (denar) for purchases in small establishments.

  • Failure to declare currency exceeding 10,000 euros, or the equivalent, may result in its confiscation and a court proceeding.  Penalties typically include a fine and a percentage of the undeclared amount.

Faith-Based Travelers:  See our following webpages for details:

LGBTI Travelers:  There are no legal restrictions on same-sex sexual relations or the organization of LGBTI events in North Macedonia. Vandals attacked a LGBTI center several times in the last four years, and masked individuals attacked persons attending a LGBTI event in October 2014 with bottles and stones. We advise exercising caution when attending LGBTI events.

See our LGBTI Travel Information page and section 6 of our Human Rights report for further details.

Travelers Who Require Accessibility AssistanceIndividuals with disabilities may find accessibility and accommodation very different from the United States. Macedonian law requires only that new buildings be accessible to persons with disabilities. Most public buildings are inaccessible and inconsistent inspection results in construction of new facilities that are not accessible. Public transportation for persons with disabilities is very limited. 

Students: See our Students Abroad page and FBI travel tips.

Women Travelers: See our travel tips for Women Travelers.


Air pollution is a significant problem in some cities.  In several cities, including Skopje, Bitola, Kicevo, and Veles, particulate pollution exceeds acceptable norms more than 150 days per year.

  • Pollutants such as particulates, especially the PM2.5 particles (fine particles in the air with a diameter of 2.5 micrometers or smaller), and ozone contribute to a number of significant health problems.
  • These effects are likely to be more severe for people with heart or lung disease, children, and older adults.
  • U.S. citizens traveling to North Macedonia may wish to consult their doctor before traveling to cities with significant air pollution.
  • The Ministry of Environment and Physical Planning provides air quality data for cities and urban regions throughout Macedonia.

Medical care in North Macedonia varies in quality by location and provider.  Skopje has four private hospitals that offer services ranging from cardiovascular surgery to pediatric intensive care. Quality of care is not equal to U.S. health care. Outside Skopje, medical care is substandard, with the exception of trauma services in Ohrid.

  • Rheumatology, endocrinology, burn, and psychiatric services are either substandard or unavailable to non-citizens throughout the country.
  • A government formulary controls which prescription medications are available; the list does not include several medications available in most Western countries. Insulin is not available to non-citizens.
  • Government-operated emergency services are substandard. Private emergency services in Skopje, operated by private institutions, meet high quality standards.

We do not pay medical bills. Be aware that U.S. Medicare does not apply overseas.  

Medical Insurance: Make sure your health insurance plan provides coverage overseas. Most care providers overseas only accept cash payments. See our webpage for more information on insurance providers for overseas coverage.

We strongly recommend supplemental insurance to cover medical evacuation.

If traveling with prescription medication, check with the government of North Macedonia to ensure the medication is legal in North Macedonia. Always carry your prescription medication in original packaging with your doctor’s prescription. 

Vaccinations: Be up-to-date on all vaccinations recommended by the U.S. Centers for Disease Control and Prevention.

Further health information:

Travel and Transportation

Road Conditions and Safety: In North Macedonia, road conditions differ significantly from those in the United States. Driving safely in North Macedonia requires excellent defensive driving skills.

  • Most major highways are in good repair, but many secondary urban and rural roads are not maintained and are poorly lit. Secondary mountain roads may be narrow, poorly marked, and lack guardrails.
  • Many vehicles are old and lack front or rear lights.
  • Horse-drawn carts, livestock, dead animals, rocks, or other objects are sometimes in the roadway.
  • Roadside emergency services are limited.
  • In case of emergency, drivers may call the police at 192, the Ambulance Service at 194, and Roadside Assistance at 196.
  • Pedestrians should be very cautious when crossing streets, even when using crosswalks, as local drivers often do not slow down or stop for pedestrians.
  • Driving at night in rural mountainous areas is inadvisable due to poor or nonexistent lighting.

Traffic Laws:  U.S. citizens need a valid U.S. driver’s license and an International Driving Permit (available in the United States only) to drive in North Macedonia.

  • Drivers and passengers should always wear seat belts.
  • Many local drivers routinely ignore speed limits and other traffic rules, such as stopping for red lights and stop signs.
  • Drivers often make illegal left turns from the far right lane, or drive into oncoming lanes of traffic.
  • Using a cell phone while driving is illegal.

Public Transportation: Public transportation in North Macedonia is dilapidated. Taxis are generally safe.

For more information, please visit our Road Safety page. 

Aviation Safety Oversight: As there is no direct commercial air service to the United States by carriers registered in North Macedonia, the U.S. Federal Aviation Administration (FAA) has not assessed the government of North Macedonia’s Civil Aviation Authority for compliance with International Civil Aviation Organization (ICAO) aviation safety standards. Further information may be found on the FAA’s safety assessment page.

For additional travel information

International Parental Child Abduction

Review information about International Parental Child Abduction in North Macedonia. For additional IPCA-related information, please see the International Child Abduction Prevention and Return Act (ICAPRA) report.

Last Updated: September 11, 2018

Travel Advisory Levels

Assistance for U.S. Citizens

U.S. Embassy Skopje
Samoilova 21
1000 Skopje
Republic of North Macedonia
+(389) (2) 310-2000
+(389) (2) 310-2000
+(389) (2) 310-2499

North Macedonia Map