Last updated: 08/18/2025
No, Peru does not require travel insurance to enter. However, the U.S. State Department and tourism experts strongly recommend it, especially if you’re heading to high-altitude regions, participating in adventure sports, or traveling during social unrest. Medical care isn’t free for foreigners, and U.S. health plans generally don’t extend coverage abroad, but travel health insurance can help prevent out-of-pocket expenses. You can always stay on top of any new reasons or risks on the U.S. Department of State website. As of now, Peru has a Level 2: Exercise Increased Caution advisory due to civil unrest in some areas.
Peru’s epic, physically demanding experiences or high-risk adventures, like zip-lining in the Andes, rafting the Urubamba River, or ATVing near Arequipa, aren’t always included in an insurer’s standard coverage, meaning you won’t be protected by default.
✅ Choose a plan that includes Adventure Sports or hazardous activity upgrades.
From catching wild illnesses in Huaraz to accidents on the Inca Trail, emergency care in Peru, especially outside Lima, can be expensive and limited. Airflights may be required to reach appropriate care, especially in remote areas like the Amazon or the Andes.
✅ We suggest looking for plans that offer at least $250,000 in Emergency Evacuation coverage. Our recommended plans are great options offering this coverage amount.
Altitude sickness is common when hiking the Inca Trail above 8,000 feet. Symptoms can escalate quickly, leading to canceled tours, extra hotel nights, or ER visits in Cusco or Huaraz.
✅ Plans should offer primary medical coverage and trip delay reimbursement.
Strikes, protests, illness, or a missed flight connection in Lima could cut your trip short. Having coverage in place means you won’t lose your investment in hotels, flights, and prepaid tours.
✅ Plans should offer 100% Trip Cancellation and 150% Trip Interruption coverage; luckily, each plan recommended for a Peruvian vacation provides these limits.
Transportation and tourism services can be disrupted due to civil unrest or protests, a common occurrence in Peru. So if you can’t make it to your destination because of turmoil, your trip cancellation benefit might not be enough, but using your Cancel for Any Reason benefit can help. Suppose your trip needs to be cut short because of the unrest for non-medical reasons. You can use your Interruption for Any Reason benefit or Non-Medical Evacuation coverage in that case.
✅ Consider trip interruption coverage and CFAR for maximum flexibility.
Petty theft can be an issue in places like Miraflores (Lima), Plaza de Armas (Cusco), or crowded markets. Travel insurance can reimburse you for stolen electronics, passports, and personal belongings.
✅ Baggage Delay benefits can help you manage if your luggage is rerouted between domestic flights or bus routes in Peru.
Tin Leg — Gold
Travel Insured International – FlexiPAX
IMG — iTravelInsured Choice
Travelers heading to Peru using Squaremouth for their travel insurance needs typically spend an average of $355.74 on a comprehensive travel insurance plan. That means a two-week trip, with cancellation and medical benefits, costs about $25.41 per day, for an average total trip cost of $5,807.90\.
Travel insurance protections can be even less if trip cancellation protection isn’t needed and only medical evacuation and safety are required. A medical-only plan for a 16-day trip costs just $4.39 per day, or $70.26 in total premium cost.
| Provider | Plan Name | Plan Cost | Cancellation / Interruption Limits | Medical/Medevac Limits |
|---|---|---|---|---|
| Tin Leg | Gold | $28 | $0 / $0 | $500,000 / $500,000 |
| Travel Insured International | FlexiPAX | $27 | $0 / $0 | $100,000 / $500,000 |
| Seven Corners | Trip Protection Choice | $57 | $0 / $1,000 | $500,000 / $1,000,000 |
| Provider | Plan Name | Plan Cost | Cancellation / Interruption Limits | Medical/Medevac Limits |
|---|---|---|---|---|
| Tin Leg | Gold | $160 | $3,000 / $4,500 | $500,000 / $500,000 |
| Travel Insured International | FlexiPAX | $113 | $3,000 / $4,500 | $100,000 / $500,000 |
| IMG | iTravelInsured Choice | $88.20 | $3,000 / $3,750 | $100,000 / $500,000 |
U.S. coverage is not applicable in Peru, and private hospitals typically demand upfront payment, particularly in remote areas. Common issues like altitude sickness, gastrointestinal illness, or minor injuries can become expensive setbacks if uninsured.
✅ We suggest considering at least $100,000 in Emergency Medical coverage to help with doctor visits, hospital stays, and any unexpected treatments you might encounter while traveling abroad.
Emergency care in Peru, especially outside Lima, can be costly and scarce. Issues range from altitude sickness in Huaraz to accidents on the Inca Trail. In remote areas like the Amazon or the Andes, airlifts may be necessary to access suitable medical services.
✅ Select a plan with at least $250,000 in Medical Evacuation benefits, especially if you’ll be in remote regions or at high altitudes.
Peru’s diverse terrain attracts adventurers to engage in activities typically not covered by standard travel insurance. Suppose you plan to hike at elevations over 10,000 feet, such as on the Inca or Salkantay Trails, or participate in exciting pursuits like whitewater rafting, mountain biking, sandboarding, zip-lining, or horseback riding near archaeological sites.
✅ Choose a plan with Adventure Sports coverage or optional activity-specific upgrades to ensure protection if something goes wrong on the trail, river, or slopes. Review your policy’s fine print to confirm it covers altitude-related ailments, guided trips, and strenuous activities.
Even carefully planned trips to Peru can face disruptions, such as airline delays in Lima or civil protests in Cusco. If you need to cancel or cut your trip short due to illness, injury, or political unrest, cancellation and interruption coverage reimburse non-refundable costs, including flights, hotels, and prepaid excursions.
✅ Select a policy that reimburses 100% of your trip costs for cancellations and 150% for trip interruptions, particularly if you’ve reserved guided tours or timed entry to popular sites like Machu Picchu.
According to the State Department, petty theft can be an issue in areas like Miraflores (Lima), Plaza de Armas (Cusco), or crowded markets. Travel insurance can reimburse you for stolen electronics, passports, and personal belongings.
✅ Look for plans with baggage loss and delay benefits, particularly if you’re taking multiple domestic flights or long-haul bus rides.
Even the most comprehensive travel insurance policies come with exclusions. Understanding what’s not covered is as important as knowing what is covered, as it can help you avoid denied claims and costly lessons.
Trekking the Inca Trail, zip-lining in the Sacred Valley, and sandboarding in Huacachina are popular adventures. However, insurers are likely to deny coverage for these activities as they are considered high-risk. Without proper coverage, you could be responsible for paying for emergency treatment or evacuation if you’re injured. Choose a plan that includes or allows for an Adventure Sports rider to ensure you stay protected. Activities involving altitude, speed, or wilderness may be excluded without this coverage.
Altitude and physical activity can worsen health issues like asthma, high blood pressure, or heart conditions. However, if your policy lacks a waiver for pre-existing conditions, related medical care won’t be covered. To qualify, buy your policy within 14 – 21 days of your initial trip deposit. Plans like IMG iTravelInsured Choice and Tin Leg Gold offer this option.
A celebratory Pisco Sour or a cleansing ayahuasca ceremony can make the trip unique and delicious, but also expensive. If you’re injured or ill due to alcohol or drugs, your claim may be denied, leaving you to cover medical or evacuation costs. Knowing this exclusion helps ensure safety and decision-making.
Peru recently declared a state of emergency in the country’s capital due to a severe wave of violent crimes. Travel advisories are in effect, so if you visit an area under a government warning, your coverage may not apply if something goes wrong. Before you go, stay updated with the U.S. State Department travel advisory for Peru and check it frequently for any changes.
Heavy rainfall and flooding can affect regions such as the Amazon or the Andes. If you purchase your insurance after a named storm or weather event is announced, you likely won’t be covered for any related delays or cancellations. The best way to avoid this is to obtain your plan early, just as you plan your first trip.
Peru showcases striking contrasts; one minute, you might be trekking among ancient ruins, and the next, you’re exploring shopping spots in Lima or navigating jungle rapids. A universal travel plan doesn’t exist. Utilize Squaremouth’s comparison tool to sort plans based on coverage limits, medical needs, and activity preferences, and review prices from more than 20 highly rated providers.
Many travelers think their plans account for every scenario, yet exclusions are standard. This is especially true for altitude sickness, adventure sports, or tours arranged by non-licensed operators. For example, suppose you rent a motorcycle in Arequipa or book a trek with a local guide who is not affiliated with a licensed company. In that case, your policy might not cover any incidents that occur.
Peru offers serene experiences, such as sunrises at Lake Titicaca and quiet evenings in the Sacred Valley, while appealing to thrill-seekers. Our recommended plans for Peru trips, like Tin Leg Gold and IMG iTravelInsured Choice, offer various options and add-ons to ensure total protection if your vacation includes adventure sports activities, jungle trekking, or remote hikes.
Landslides in the Andes or fog disruptions at Jorge Chávez Airport can result in major schedule adjustments. Opt for a plan that includes Trip Interruption and Travel Delay benefits to recover expenses from canceled flights, missed hotel stays, or prepaid activities.
Absolutely. Travel insurance can protect your health, gear, and investment in this once-in-a-lifetime trip for less than the cost of a souvenir alpaca sweater daily. Whether hiking ancient trails or hopping between cevicherías, the peace of mind is priceless.
Yes, but it requires awareness. Most travelers enjoy Peru without incident, though pickpocketing and civil demonstrations occur from time to time. Stay in well-lit tourist areas at night and keep your valuables secure.
Travel insurance is not mandatory for Peru, but we recommend it. Medical care isn’t free for foreigners, and U.S. health plans generally don’t extend coverage abroad. You can always stay on top of any new reasons or risks on the U.S. Department of State website. As of now, Peru has a Level 2: Exercise Increased Caution advisory due to civil unrest in some areas.
Most U.S. health plans, including Medicare, do not offer international coverage. You’ll need to pay out of pocket unless you have travel insurance.
If you’re a U.S. citizen planning a trip to Peru, have a passport valid for at least six months! It’s also a good idea to have proof of your return or onward travel ready, as authorities from Migraciones might ask for it. When you arrive, border officials will let you know how long you can stay, which typically ranges from 30 to 183 days. While getting extensions for tourists is usually tough, remember that overstaying can lead to fines, so it’s best to plan your visit carefully.
U.S. citizens need a valid passport for entry, but do not need a visa for tourism stays under 90 days. You must also provide proof of onward travel.
As of 2025, COVID insurance is not mandatory, but it’s often included in most plans. Travel Insured, IMG, and Tin Leg offer coverage for COVID-related illness, cancellations, and quarantine expenses.
Tin Leg Gold and IMG iTravelInsured Choice are our top picks and highly recommended from our point of view. Both cover high-altitude activities and emergency evacuation, making them ideal for Machu Picchu, Ausangate, or Choquequirao treks.
Suppose you’re looking for travel insurance that covers adventurous activities like rafting or zip-lining. In that case, Squaremouth offers a handy filtering tool to help you find policies that include Adventure Sports Coverage. Check the Certificate of Insurance to verify that your planned activities, such as whitewater rafting, zip-lining, or high-altitude hiking, are covered. Remember that not all plans automatically include these activities, so we recommend double-checking your policy before purchasing. If you don’t see your activity listed, look for plans that offer optional upgrades for high-risk sports.