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.
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.
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.
Victims of Crime:
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.
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.
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 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.
Travelers Who Require Accessibility Assistance. Individuals 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.
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.
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 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:
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.
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.