Costa Rica is synonymous with adventure: zip-lining over rainforests, surfing warm Pacific waves, and hiking toward active volcanoes. It’s an incredible destination, but the wild nature of the country leads to one of the most common questions travellers ask: Do I need travel medical insurance when visiting Costa Rica?
As a travel writer who loves exploring this vibrant country, I’m here to give you the clear answer on health coverage, government requirements, and why protecting your trip is always a good idea.
Is It Required?
For most of the last few years, the answer was a clear yes, driven by the pandemic. However, the official rules have recently changed:
As of early 2022, Costa Rica officially suspended the mandatory travel insurance requirement.
This means that you are no longer legally required to purchase Costa Rica travel insurance to enter the country, regardless of whether you’re asking about COVID coverage or general health care.
While the government no longer forces the issue, eliminating the CR National travel insurance mandate, that doesn’t mean you should leave the coverage at home. First things first, make sure your documents are in order for the flight down: Do you need a passport to fly domestically within the U.S.? Find out exactly what ID you need for the airport.
Why You Still Need It
I always recommend having robust health coverage for any trip especially to a destination like Costa Rica, where the itinerary is often filled with adventure.
Here are the practical reasons why Costa Rica travel health insurance is a smart investment:
1. The Cost of Care (Even the Small Stuff)
Costa Rica has an excellent healthcare system, but if you need to access a private clinic or hospital for anything more than a minor issue, the costs can quickly rise for non-residents. This is especially true if you have an accident in a remote area, which leads to the next point.
2. High-Octane Adventure Risks
When you’re white-water rafting, rappelling down waterfalls, or chasing that hidden gem view on a muddy trail, the chance of an unexpected injury is higher than on a typical beach vacation.
Good travel insurance Costa Rica plans cover things your standard health insurance probably doesn’t:
- Emergency Transportation: The cost of an air-lift or medical evacuation back to the US can cost tens of thousands of dollars. A dedicated policy handles this heavy expense.
- Trip Interruption: If a serious injury forces you to cut your adventure short, the policy can reimburse your lost prepaid accommodation and flight changes.
3. COVID-19 and Unexpected Delays
While Costa Rica travel insurance requirements for COVID-19 have been lifted, the virus (or any illness) can still disrupt your journey. If you test positive while abroad and have to quarantine, travel medical insurance helps cover the cost of the extra accommodation and food.
Choosing the Best Travel Insurance for Costa Rica
When shopping for coverage, look beyond the basic cancellation policies and focus on the medical benefits.
Key Things to Look For:
- High Medical Limit: Aim for a policy with at least $50,000 to $100,000 in emergency medical coverage.
- Emergency Evacuation: This is critical. Ensure the limit is high, usually over $100,000.
- Adventure Activities Coverage: If you plan on doing specific high-risk sports (like diving or mountaineering), check the fine print to make sure those activities are not excluded.
Popular Providers
Major US providers like Allianz Travel Insurance or specialised travel insurance companies are often the best route, as they are accustomed to covering US citizens travelling internationally and offer clearer English-language policy documents and 24/7 assistance lines.
The choice of the best travel insurance for Costa Rica depends entirely on your specific itinerary. Still, prioritising medical and evacuation coverage will give you true Pura Vida peace of mind. If you’re planning a longer stay or embracing the digital nomad life, don’t miss my comprehensive guide to the Budgeting and Tax Truths for US Digital Nomading.