Travel.State.Gov > International Travel > Country Information > North Macedonia International Travel Information
See the Department of State’s Fact Sheet on North Macedonia for information on U.S. - North Macedonia relations.
Visit the Embassy of North Macedonia website for the most current visa information.
The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for visitors to or foreign residents of North Macedonia.
Terrorism: Terrorist groups and those inspired by such organizations are intent on attacking U.S. citizens abroad. Terrorists are increasingly using less sophisticated methods of attack – including knives, firearms, vehicles, and rudimentary IEDs – to more effectively target crowds. Frequently, their aim is unprotected or vulnerable targets, such as:
For more information, see our Terrorism page.
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.
Demonstrations occur sporadically and often result in traffic disruptions, particularly near the center of Skopje. They may take place in response to political or economic issues, on politically significant holidays, and during international events.
Information about demonstrations in North Macedonia can be found on the Embassy’s Security and Emergency Messages for U.S. citizens webpage.
Victims of Crime: U.S. citizen victims of sexual assault are encouraged to contact the U.S. Embassy for assistance. 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 crime.
See our webpage on help for U.S. victims of crime overseas.
Domestic Violence: U.S. citizen victims of domestic violence are encouraged to contact the Embassy for assistance.
Tourism: The tourism industry is unevenly regulated, and safety inspections for equipment and facilities do not commonly occur. Hazardous areas/activities are not always identified with appropriate signage, and staff may not be trained or certified either by the host government or by recognized authorities in the field. In the event of an injury, appropriate medical treatment is typically available only in/near major cities. First responders are generally unable to access areas outside of major cities and to provide urgent medical treatment. U.S. citizens are encouraged to purchase medical evacuation insurance. See our webpage for more information on insurance providers for overseas coverage.
Criminal Penalties: You are subject to local laws. If you violate local laws, even unknowingly, you may be expelled, arrested, or imprisoned. Individuals establishing a business or practicing a profession that requires additional permits or licensing should seek information from the competent local authorities, prior to practicing or operating a business.
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.
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 an LGBTI center several times in the last five years, and in June 2019, a prominent activist for the rights of LGBTI people was chased, pulled from a car, and violently assaulted in Skopje. We advise exercising caution when attending LGBTI events.
Travelers Who Require Accessibility Assistance: Individuals with disabilities may find accessibility and accommodation very different from the United States. North Macedonia’s 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.
Women Travelers: See our travel tips for Women Travelers.
For emergency services in North Macedonia, dial 194.
Ambulance services are available in Skopje and major tourist areas, such as Ohrid, though response times, equipment and staff training may be below US standards. In other regions of the country, especially rural areas and small towns, ambulances are staged regionally and may be more than an hour away or unavailable when needed.
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.
We do not pay medical bills. Be aware that U.S. Medicare/Medicaid does not apply overseas. Most hospitals and doctors overseas do not accept U.S. health insurance.
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. Visit the U.S. Centers for Disease Control and Prevention for more information on the type of insurance you should consider before you travel overseas.
We strongly recommend supplemental insurance to cover medical evacuation.
Always carry your prescription medicine in original packaging, along with your doctor’s prescription. Check with the Republic of North Macedonia Customs Administration to ensure the medication is legal in North Macedonia.
Vaccinations: Be up-to-date on all vaccinations recommended by the U.S. Centers for Disease Control and Prevention.
Further health information:
Air Quality: Visit AirNow Department of State for information on air quality at U.S. Embassies and Consulates.
The U.S. Embassy maintains a list of doctors and hospitals. We do not endorse or recommend any specific medical provider or clinic.
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.
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.
Public Transportation: Public transportation in North Macedonia is dilapidated. Taxis are generally safe.
See our Road Safety page for more information.
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.