Last updated: 10/13/2025
Italy does not require trip insurance for entry. However, since the country does not accept U.S. health insurance, such as Medicare, travelers without the right trip protection must pay for medical expenses out of pocket.
Italy poses unique challenges to tourists, including pickpocketing, transportation strikes, and extreme weather events that range from flooding to heat waves. Frequent airline and train delays can also cause issues when traveling throughout Italy. Comprehensive travel insurance is strongly recommended for Americans visiting Italy, as it can provide essential financial protection and peace of mind while away from home.
Italy remains one of Europe’s most expensive travel destinations. According to Squaremouth data, visitors spend an average of $8,300 on flights, hotels, rental cars, and excursions. When significant expenses are involved, trip cancellations or interruptions can result in major financial losses.
✅ Comprehensive travel insurance reimburses up to 100% of your prepaid, non-refundable travel expenses if you cancel for a covered reason like illness, injury, or family emergencies.
Italy offers high-quality medical care, especially in major tourist cities. However, hospitals can be expensive for foreigners and often require upfront payment. U.S. health insurance does not cover medical expenses in Italy.
✅ Travel medical insurance covers hospital stays, doctor visits, and emergency transportation, reducing unexpected expenses. Some policies arrange direct payment to hospitals.
Italy’s major tourist areas and attractions are hotspots for pickpockets. Thieves frequently target travelers’ wallets, passports, and phones in crowded areas, like city centers and public transport.
✅ Travel insurance includes baggage loss protection that covers the cost to replace stolen personal items, including passports, cameras, and electronics. You may also contact your providers 24/7 assistance services to arrange emergency cash transfers or replace important travel documents.
Italy’s busy airports, including Rome Fiumicino (FCO) and Milan Malpensa (MXP), often experience delays, and European airline strikes can cause last-minute flight cancellations. Taking multiple flights to reach your destination also increases the risk of flight disruptions impacting your travel plans.
✅ Trip delay coverage provides reimbursement for hotel stays and food expenses if a flight is significantly delayed. If a delay causes you to miss a connecting flight, travel insurance can cover the cost to make new travel arrangements.
Italy faces increasing weather-related travel disruptions, including intense summer heat, winter storms in the Alps, and Venice flooding. Severe weather events can disrupt your trip, regardless of the time of year you plan to visit.
✅ Comprehensive travel insurance covers trip cancellations, trip interruptions, delays, and medical emergencies related to extreme and inclement weather.
Recommended Plan: Gold
Emergency Medical: $500,000
Medical Evacuation: $500,000
Trip Cancellation: 100% of trip costs
Covers a wide range of adventure sports & activities
Recommended Plan: FlexiPAX
Emergency Medical: $100,000
Medical Evacuation: $500,000
Trip Cancellation: 100% of trip costs
Great for add-ons and coverage upgrades
Recommended Plan: Trip Protection Choice
Emergency Medical: $500,000
Medical Evacuation: $1,000,000
Trip Cancellation: 100% of trip costs
Non-Medical Evacuation: Included
As of writing this, the average cost of travel insurance for Italy is $22 per day.
This is based on internal sales data from roughly 30,000 travelers who used Squaremouth to protect their Italy adventures over the last 12 months. The average traveler spent $370 on Italy travel insurance with an average trip length of 17 days.
That said, it’s possible to find even cheaper travel insurance for Italy by opting for medical-only travel coverage.
Here are sample costs for the most popular Italy travel insurance plans. These quotes below are for a 35-year-old traveler purchasing basic medical travel insurance for a 10-day, $3,000 trip to Italy:
| Provider | Plan Name | Plan Cost | Cancellation / Interruption Limits | Medical/Medevac Limits |
|---|---|---|---|---|
| Tin Leg | Gold | $28 | $0/$0 | $500,000 / $500,000 |
| Seven Corners | Trip Protection Choice | $57 | $0/$1,000 | $500,000 / $1,000,000 |
| Trawick International | Safe Travels Protect | $24.56 | $0 / $0 | $25,000 / $250,000 |
From this example, you can see that purchasing medical insurance for an Italian vacation can be budget-friendly, with some plans costing as little as $2.50 per day.
The plans listed above can provide you with strong financial protection against unexpected medical expenses, as well as cover expenses relating to other common disruptions like delays and baggage loss.
If you’re concerned about protecting your travel expenses, you’ll need a comprehensive travel insurance policy. The quotes in the table below are for comprehensive policies that include cancellation coverage using the same trip details.
| Provider | Plan Name | Plan Cost | Cancellation / Interruption Limits | Medical/Medevac Limits |
|---|---|---|---|---|
| Tin Leg | Gold | $160 | $3,000 / $4,500 | $500,000 / $500,000 |
| Seven Corners | Trip Protection Choice | $184 | $3,000 / $4,500 | $500,000 / $1,000,000 |
| Trawick International | Safe Travels Protect | $76.21 | $3,000 / $3,000 | $25,000 / $250,000 |
Travelers visiting Italy who want to protect expenses like airfare, hotel stays, or cruise reservations should consider comprehensive coverage. The cost of these policies usually varies between 4-10% of your total insured trip costs.
Using the prices above, comprehensive travel insurance starts at just $7.60 per day, with popular plans ranging from $15-$20 per day.
The prices listed above are examples of how much you can expect to pay for travel insurance for Italy. The price of your coverage will depend on factors like travel dates, age, coverage type, and overall trip costs.
Get an instant quote to view exact pricing for your upcoming Italy trip. Use the button below to compare policies from multiple travel insurance companies.
Regardless of your travel plans, we recommend buying travel medical coverage at a minimum when visiting Italy. That said, a comprehensive travel insurance plan is always best if it fits into your budget.
You should consider the following coverage when comparing plans for your upcoming Italy trip:
Italy offers excellent healthcare, but foreign visitors must pay out of pocket if they don’t have international medical coverage. The country does not accept U.S. health insurance or Medicare, which means travelers without a policy could face significant medical expenses.
A travel medical insurance plan provides essential protection and is often quite affordable. We recommend choosing a policy with at least $50,000 in Emergency Medical coverage to ensure adequate financial protection. Some plans also cover pre-existing conditions, provided you meet certain requirements.
Italy’s hospitals deliver high-quality care, especially in major cities like Rome, Naples, and Milan. However, if you experience a severe medical emergency in a rural area or while hiking in the mountains, you may need emergency transportation to a better-equipped facility.
Emergency medical evacuations can cost upwards of $50,000, making this coverage essential. In extreme cases, a policy can also cover medical repatriation back to your home country in case of a serious illness or death. We recommend choosing a policy with at least $100,000 in Medical Evacuation coverage for peace of mind.
Italy is a dream destination, but trips can be costly, especially when factoring in flights, hotels, and pre-booked excursions. If an unexpected event forces you to cancel or cut your trip short, trip cancellation and interruption insurance can reimburse you for your non-refundable expenses.
Comprehensive travel insurance policies include Trip Cancellation coverage, which can reimburse up to 100% of your insured trip costs for cancellations due to illness, injury, or the death of a family member. If you must return home early for a covered reason, some policies will even reimburse up to 150% of unused travel expenses to help cover return transportation.
While Italy is generally safe, pickpocketing is a common issue in tourist hotspots like Rome, Florence, and Venice. Travel insurance can reimburse you for lost, stolen, or damaged items such as passports, phones, cameras, and luggage.
Since coverage limits and deductibles vary between policies, be sure to compare plans carefully. Leaving valuable or irreplaceable items at home is always a good precaution when traveling.
Most standard policies will not cover:
As the nation’s largest travel insurance marketplace, we allow travelers to compare more policies and providers than any other site. Comparing plans side-by-side ensures you find the best coverage for your Italy trip at the lowest price.
Coverage varies between travel insurance plans, so always review the details carefully. Look for exclusions that might impact your trip, such as restrictions on adventure sports or pre-existing medical conditions. Reading the Certificate of Insurance will help you understand exactly what’s covered.
Whether you’re visiting the Amalfi Coast or the rolling hills of Tuscany, no trip to Italy is risk-free. Medical emergencies, pickpocketing, train delays, and other disruptions can happen without a moment’s notice. Certain coastal cities, like Venice, are also prone to flooding and other severe weather events.
Your age, health risks, itinerary, and trip length also influence your overall risk level. Making note of potential hazards before you depart for your trip can help you choose the best policy for your trip.
If you plan to purchase travel insurance for an Italian getaway, you should consider plans that offer $50,000 in medical coverage and $100,000 in evacuation coverage. This should provide you with a solid financial safety net if you get ill or injured during your trip.
According to the U.S. Embassy in Italy, hospitals often require foreign travelers to pay upfront for medical assistance. Some travel insurance companies can arrange direct payment to hospitals on your behalf, preventing high out-of-pocket expenses.
Absolutely. Even in a relatively safe destination like Italy, unexpected events can happen that derail your trip. Even an affordable travel health insurance policy that costs as little as $2.50 per day can provide financial protection and peace of mind throughout your trip.
The small cost of travel insurance is well worth the security it provides. For that reason, we strongly recommend that you buy travel insurance before your departure.
No, there are currently no travel insurance requirements for U.S. citizens visiting Italy for less than 90 days. Even though it’s not mandatory, purchasing travel insurance is strongly recommended to protect against unexpected medical emergencies, trip cancellations, and other costly travel disruptions.
No, U.S. health insurance is not accepted outside the USA, and this includes Italy. If you require medical treatment during your trip, you will need to pay out-of-pocket unless you have a travel medical insurance policy. If you are planning a trip to Italy, you should purchase a travel insurance plan with at least $50,000 in Emergency Medical coverage and $100,000 in Medical Evacuation coverage.
U.S. citizens and permanent residents will need the following to enter Italy:
Starting in 2026, U.S. visitors will also need an ETIAS (European Travel Information and Authorization System) visa waiver, which will require an online application before departure.
The cost of a trip to Italy varies based on travel style, season, and itinerary. On average, Squaremouth users spend $8,300 on trips to Italy. This includes a variety of prepaid travel expenses like airfare, hotel reservations, rental car bookings, tours, and excursions.
At least 10 to 14 days is recommended when traveling to Italy. The average Squaremouth user who purchases Italy travel insurance has a trip length of 17 days. Trips this long allow enough time to explore multiple cities, experience local culture, and enjoy a mix of sightseeing and relaxation.