Last updated: 05/29/2025
Travel insurance isn’t required for U.S. tourists visiting Portugal for under 90 days. However, it’s strongly recommended. Portugal’s public health system charges non-EU tourists for care; unexpected cancellations or delays are common. Emergency evacuation coverage is also wise if you plan to explore off-the-beaten-path villages or islands like the Azores or Madeira.
While Portugal has quality healthcare, international travelers must pay out-of-pocket unless insured. Emergency services, hospital visits, or prescriptions can cost hundreds—or even thousands.
✅ A good travel medical plan covers ER visits, ambulance rides, diagnostics, and medications—crucial if you have a chronic condition or are traveling with children or elderly relatives.
Portugal’s charm lies in guided excursions, whether a sunset sail in the Algarve or a historical walking tour in Porto. However, illness, injury, or unexpected events could mean forfeiting prepaid plans.
✅ Trip Cancellation and Trip Interruption coverage help you recoup costs from missed tours, non-refundable tickets, or excursions—ideal for those with packed itineraries.
Portugal’s airports—especially Lisbon and Porto—often experience weather delays, air traffic congestion, or seasonal strikes. A missed connection could lead to hotel rebookings and new transport costs.
✅ Travel delay benefits help cover overnight stays, new travel arrangements, and meals if your plans get thrown off course.
Multiple flight legs or small regional airlines increase the odds of delayed or missing bags, especially during the summer tourism rush.
✅ Baggage coverage reimburses for replacement essentials—like sandals, beachwear, or medication—if your luggage takes an unexpected detour.
From last-minute illnesses to work conflicts or family emergencies, trip cancellations happen. Without coverage, you could lose thousands in prepaid travel costs.
✅ Cancellation coverage helps protect non-refundable hotel nights, rail passes, or event tickets, reimbursing you if plans change due to a covered reason.
While Portugal has relaxed COVID restrictions, illness abroad—whether from a virus, food poisoning, or flu—can derail your plans.
✅ Many plans cover COVID-related care, cancellations, and quarantine accommodations. Some even reimburse missed excursions due to illness.
Internal data from Squaremouth shows that, in the past year, travelers spent an average of $19.78 per day on comprehensive travel insurance for Portugal, consistent with most destinations. This rate results in a total cost of $356.08 for an 18-day trip, covering about $5,130 in expenses. A medical-only plan without cancellation benefits averages $4.17 daily for a 25-day journey, totaling $104.29.
Quote Portugal Travel Insurance
Portugal’s vibrant tourism industry and seasonal travel spikes necessitate cancellation coverage, particularly if you’ve paid in advance for activities like guided city tours, wine tastings, or boutique hotel accommodations. Trip Cancellation covers costs if you cancel for valid reasons like illness or a family emergency. Trip Interruption assists if your trip ends early due to illness, injury, or a transit strike/emergency at home.
Portugal has a strong public healthcare system, but it doesn’t cover U.S. travelers. That means you’ll be expected to pay out-of-pocket for hospital care, emergency services, and even minor treatments. Travel medical insurance can cover emergency treatment, ambulance rides, X-rays, hospital stays, and sometimes telehealth visits. We recommend at least $100,000 in Emergency Medical coverage, especially for travelers with pre-existing conditions or families with kids.
While Lisbon and Porto boast excellent medical facilities, more remote areas, such as the Douro Valley, Alentejo, or the islands of Madeira and the Azores, might lack specialized care. We recommend at least $250,000 in Medical Evacuation coverage for travelers planning to explore Portugal’s countryside or coastlines.
Lost or delayed luggage can ruin your entire trip, especially if you’re island-hopping or transiting through major airports like Lisbon or Faro. Tourist hotspots like Bairro Alto and crowded trams in Lisbon are also known for pickpocketing. Baggage insurance helps replace lost, stolen, or delayed items, including clothes, tech, and essentials. Most plans offer $500 to $2,500 in coverage and reimburse for urgent purchases if your bag arrives late.
Even the best travel insurance plans have exclusions, and knowing what’s not covered can save you from unpleasant surprises mid-trip. Here are the most common gaps in coverage for travelers headed to Portugal:
Finding the right plan isn’t just about price—it’s about choosing coverage that matches your itinerary and travel needs. Check out a few of our best tips:
The easiest way to find the right plan is to compare your options. Squaremouth’s quote engine lets you filter plans based on medical coverage, cancellation protection, COVID benefits, adventure activity add-ons, and more—perfect if you’re planning wine tastings in Porto, hiking in the Azores, or a guided tour through Lisbon’s historic neighborhoods.
Not all plans cover the same activities or risks. For example, some may exclude things like sailing along the Algarve coast, hiking in Madeira’s rugged terrain, or scooter rentals unless you add adventure or hazardous activity coverage. Read the plan’s Certificate of Insurance carefully—especially if you’re booking excursions, ferry rides, or island-hopping adventures.
Portugal has potential disruptions, from ferry delays between islands to road closures in rural villages or lost luggage after a long-haul flight into Lisbon. If you plan to attend a festival, drive cross-country, or travel during the rainy season, look for plans that include weather-related trip delays, missed connections, or lost baggage protection.
We advise $100,000 in Emergency Medical coverage and $250,000 in Medical Evacuation coverage, particularly for those over 60 who have pre-existing health conditions or plan to explore remote areas like the Alentejo region or the volcanic trails of the Azores. For travelers with expensive prepaid tours or family members in tow, a comprehensive plan with robust cancellation and interruption coverage provides added peace of mind.
Absolutely. Whether it’s a missed flight, food poisoning in Porto, or lost bags on arrival, travel insurance helps keep minor mishaps from ruining your vacation. A small upfront cost can save you thousands in refunds and out-of-pocket expenses.
Yes, Portugal is considered one of the safest countries in Europe. Still, stay alert in crowded tourist areas and watch out for petty theft.
Insurance is not required for U.S. citizens, but it is necessary for Schengen visa applicants. Even without a visa requirement, travel medical insurance is strongly advised for peace of mind and medical protection.
Most U.S. health insurance does not cover international care. You’ll likely need to pay out of pocket without travel medical coverage.
You need a valid passport. U.S. citizens don’t need a visa to stay for less than 90 days. Check entry rules at Portugal’s Ministry of Foreign Affairs.
Yes, a valid passport is required. No visa is needed for U.S. tourists staying under 90 days.
As of 2025, no. However, COVID coverage is still included in most comprehensive plans, including trip cancellations and medical care related to the virus.
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Steven Benna, Lead Data Analyst: sbenna@squaremouth.com