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USA travel insurance tips from our expert

Medical treatment isn’t cheap

The USA is notoriously expensive when it comes to healthcare, and has no Reciprocal Health Care Agreement (RHCA) with Australia. Travel insurance is highly recommended to give you that extra peace of mind. 

Pre-existing conditions must be declared

If you have any pre-existing health conditions, declare them to your insurer before taking out a policy. A failure to do so may bar you from any coverage for that condition. 

Prepare for the worst

Save digital copies of important documents (e.g. your insurance policy) and keep emergency contacts handy, such as the nearest Australian consulate/embassy and your insurer’s emergency hotline.

Guide to travel insurance for the USA

Why do I need travel insurance for the USA?

With over 50 states, the United States of America (USA) is a vast country with lots of potential for fun, but also the potential for accidents to occur: 

  • Illness: The USA’s geography spans all five climate zones. Travelling from one climate to another in days increases your risk of falling sick, especially if you haven’t acclimated to the sudden change in weather.
  • Injury: Be it Yosemite National Park or Lombard Street in San Francisco, traversing uneven terrain can increase your risk of injuring yourself. If you find yourself frequently driving on the open road, you also run the risk of getting into a car accident. 
  • Natural disasters: Depending on the state you’re in, the USA can be prone to severe weather events, including earthquakes, tsunamis, avalanches, hurricanes, tornadoes, winter storms, wildfires and floods.
  • Gun violence: Gun regulations are less strict than in Australia, with consistently high rates of gun violence.
  • Theft: Smartraveller warns that tourists are often targeted for pickpocketing and purse-snatching, especially in crowded areas.

If you’re injured or fall sick, the responsibility for paying off your medical bills falls on your shoulders — that’s because the USA doesn’t share a Reciprocal Health Care Agreement (RHCA) with Australia. 

If you’re uninsured, you’ll have to foot the medical costs yourself. Considering the high cost of healthcare in the USA, you could find yourself having to pay thousands of dollars to get treatment. 

Having travel insurance for your trip to the USA can allow you peace of mind should your trip hit any unexpected bumps along the way.


How to choose the right travel insurance for the USA?

Generally speaking, there isn’t a ‘one-size-fits-all’ insurance policy for all visits to the USA. Given the cost of health care in the USA, the ‘right’ policy should provide enough cover for a reasonable price. 

The cheapest option is not always the best, so it’s important to buy the cover that suits your particular needs, as well as what you plan to do on your trip.

When comparing travel insurance with Canstar, you can search for policies that cover you for travel to the USA and Hawaii, and see the limits that each policy provides for overseas medical and hospital cover, as well as cancellation and lost luggage. 

Policies with higher limits for cancellation and lost luggage may be more expensive, but may also provide more peace of mind, depending on how much you have paid for your trip.


What does USA travel insurance cover?

The list of things generally covered by travel insurance policies for the USA includes:

  • Medical or dental emergency: Hospital admission, emergency care and medical evacuation.
  • Lost or stolen luggage, passport, or other items: Reimbursement of the cost of replacing luggage, valuables and travel documents.
  • Cancelling your trip unexpectedly: Cancellation due to illness, accident, revoked holiday leave or a natural disaster at home or at your intended destination.
  • Legal liability: If you break a local law and need a lawyer.
  • Rental vehicle excesses: If you’re planning on road tripping across the country, rental vehicle excess cover can pay for any out-of-pocket costs if your rental car is damaged or stolen. This feature isn’t always a standard inclusion on every policy, but may be an optional add-on. 
  • Optional extras: Some policies offer a variety of useful extras, such as cover for kennels and catteries for your pets at home, or cover if you suffer a loss of income or a permanent disability while overseas.
  • Repatriation: Repatriation covers the cost of flying your body and belongings back home to Australia. Some policies also include a separate sum for funeral expenses.

However, this list isn’t exhaustive — a policy’s coverage will differ between insurers or different levels of cover (basic, standard, or comprehensive). 

To get an accurate picture of what is and isn’t covered, read each policy’s documentation carefully, such as its Product Disclosure Statement (PDS) or Target Market Determination (TMD). 


What isn't covered by USA travel insurance?

Your travel insurance policy to the USA, like other countries, will not cover every possible scenario. In some cases you could be disqualified from cover, such as: 

  • Behaving recklessly: Being a participant in an illegal and reckless act or crime could automatically void your cover. An example is failing to wear a helmet when riding a scooter. 
  • Under the influence: Generally, you won’t be able to claim for an event if you were, at the time, under the influence of drugs or alcohol. 
  • Unattended items: If your belongings are lost or stolen while unattended, you won’t be able to submit a claim for them. 
  • Pre-existing conditions: If you fail to disclose a pre-existing condition you were aware of at the time of purchasing a travel insurance policy, the insurer could choose to exclude cover for it outright. Some insurers may offer cover for pre-existing conditions for an additional cost (provided they were informed at the time of application).

How much does travel insurance cost for the USA?

At the time of writing, travel insurance for the USA can start from as low as $152+ for basic cover for an individual traveller for two weeks in the USA, and $172+ for more comprehensive cover. 

Generally speaking, the cost of travel insurance for the USA is higher than other popular destinations because of the country’s notoriously high cost of healthcare. 

The price can vary from there, depending on the level of cover and optional inclusions that you need.


FAQs about travel insurance for USA

Australian Government website, Smartraveller, generally classifies the USA as a safe country to travel to. 

However, it warns that entry requirements are strict, with the authorities having ‘broad powers to decide if you're eligible to enter and may determine that you are inadmissible for any reason under US law’. If you are barred entry, your travel insurance policy may cover the cost of abruptly cancelling the rest of your holiday. 

The USA’s relaxed gun laws and politically charged environment also elevate the risk of violence, conflict, domestic terrorist attacks and crime. 

Depending on the state you’re visiting, America is commonly afflicted with a host of natural disasters, not limited to: 

  • Wildfires
  • Destructive winds, such as tornadoes and hurricanes
  • Flooding
  • Earthquakes and tsunamis
  • Blizzards and heavy snowfall
  • Volcanic eruptions
  • Avalanches
  • Landslides.

Pay close attention to local news reports or travel warnings on Smartraveller before and during your holiday. If a natural disaster strikes before your departure date, you may be able to recoup any costs of cancellation through your insurance policy.

No, you do not need a visa for the USA if you’re visiting for less than 90 days, as this falls under the Visa Waiver Program (VWP). 

However, you are required to apply for an Electronic System for Travel Authorization (ESTA), which costs $40.27 USD.

If you don’t intend to enter the USA under the VWP, then you’ll need to get a visa before you travel.

Travel insurance isn’t required to enter the USA, but is highly recommended. Without it, you may have to pay extremely high costs for medical care upfront.

As the Australian Government won’t pay for overseas medical expenses, including medical evacuation, you’ll need a policy that covers these costs. 

No, there are no general requirements for vaccinations before travelling to the USA. However, you may wish to keep basic vaccinations up to date, such as COVID-19 boosters, plus vaccines for tetanus, polio, measles, the common cold and the flu.

Standard travel insurance policies generally do not cover adventure sports, water sports and snow sports, so if you’re travelling to the USA to go rafting, climbing, skiing or snowboarding, you’ll need to explore additional policy add-ons. 

Note that standard snow-sports policies don’t usually include off-piste skiing.

The national emergency number in the United States is 911 for the police, fire and ambulance services.

For embassy matters, including help with the replacement of a passport, contact:

Australian Embassy, Washington DC

  • Address: 1601 Massachusetts Avenue NW, Washington DC
  • Phone number: +1 202 797 3000

See the Embassy website: https://usa.embassy.gov.au/ for information about opening hours and temporary closures that may affect service provision.

There are a number of Consulate-General offices scattered throughout the country that can give you consular assistance depending on where you are. See the official Australian Embassy website for lists of locations and contact details of these consulates.

In person services at the Australian Embassy in Washington DC and other Consulate-General offices are by appointment only. Appointments for consular services can be made by calling the relevant office.

In a consular emergency if you’re unable to contact the Australian Embassy or Consular offices in other USA cities you can contact the 24-hour Consular Emergency Centre in Canberra on +61 (2) 6261 3305 or 1300 555 135 (from within Australia).

About our travel insurance experts

Kevin is a Senior Finance and Energy Journalist. Kevin covers a wide range of topics for the Canstar editorial team that includes energy, home loans, car insurance, travel insurance and pet insurance. Alongside finance content, Kevin continues to report on the latest news in electricity, gas, and solar. 

Kevin also has a Bachelor of Journalism and a Bachelor of Economics and International Relations from the University of Queensland, and half a decade of experience in the comparison industry and as a professional content writer across numerous publications and digital agencies. Before his career in writing, Kevin first found his footing in the corporate events and retail sectors in Singapore and Brisbane. 

His years of learning and first-hand experience give him a grounded insight into what customers want. Pulling from his tertiary background in economics, Kevin simplifies difficult financial topics in a way that engages and empowers Aussies to shop around for better deals with confidence. You can follow Kevin on LinkedIn. 


Tara Donnelly is Canstar's Utilities and Finance Managing Editor, leading the team’s energy, telecommunications and consumer technology coverage, as well as editing personal finance and insurance content. For more than a decade she has authored hundreds of articles covering these topics across Australia, the US and Canada, including eight years as part of the Canstar Group. 

Prior to writing within the comparison industry, Tara worked hands-on in retail banking for more than six years, helping Australians to manage and understand their finances. Her years of experience have given her key insights into helping consumers find the right plan or product for their unique needs. 

Tara has shared her expertise with national media including 9 News, 7 News, Sunrise, the ABC, The Australian Financial Review, 4BC Radio and The Sydney Morning Herald. She has been nominated for multiple awards for her technology reporting, including Canstar’s highly commended recognition for Best Consumer Technology Coverage in 2024.


Important Information

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This advice is general and has not taken into account your objectives, financial situation or needs. Consider whether this advice is right for you.

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