Travel.State.Gov > International Travel > Learn About Your Destination > North Macedonia International Travel Information
See the Department of State’s Fact Sheet on North Macedonia for information on U.S.-North Macedonia relations.
You can contact the Embassy of North Macedonia in Washington, D.C. or the nearest consulate General for the most current visa information. North Macedonian’s Ministry of Foreign Affairs website contains additional information.
The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for visitors to or foreign residents of North Macedonia.
Terrorism: Terrorist groups and those inspired by such organizations are intent on attacking U.S. citizens abroad. Terrorists are increasingly using less sophisticated methods of attack – including knives, firearms, and vehicles – to target crowds more effectively. Frequently, their aim is unprotected or vulnerable targets, such as:
North Macedonia has not had any recent terrorist events, though there were some significant terrorism-related arrests in recent years. There are continuing concerns in the region of returning Foreign Terrorist Fighters (FTFs) and the potential for radicalization to violence. North Macedonia authorities assess that ISIS members and sympathizers maintain a presence in North Macedonia. In the past year, during a six month period, North Macedonia was subject to false bomb threats to local schools, transportation hubs, commercial centers, and hotels. Though all threats were found to be false, local authorities responded to every threat and continue to investigate the threats’ origin.
For more information, see our Terrorism page.
Crime: Violent crime against U.S. citizens is rare. Theft and other petty street crimes do occur, particularly in areas where tourists and foreigners congregate.
North Macedonia and the surrounding Balkan region continue to face challenges from corruption and from organized crime, particularly in connection with drug trafficking, money laundering, trafficking of migrants, extortion, and property crimes, as well as fraudulent documents.
For additional information, please refer to the Global Organized Crime Index which is a tool designed to measure levels of organized crime in a given country and assess its resilience to organized criminal activity.
Demonstrations occur sporadically and often result in traffic disruptions, particularly near the center of Skopje. They may take place in response to political or economic issues, on politically significant holidays, and during international events.
Information about demonstrations in North Macedonia can be found on the Embassy’s Security and Emergency Messages for U.S. citizens webpage.
Victims of Crime: U.S. citizen victims of sexual assault are encouraged to contact the U.S. Embassy for assistance. Report crimes to the local police at 112 (ambulance: 112) and contact the U.S. Embassy at +(389) (2) 310-2000. Be aware that police and medical professionals may speak little or no English. Remember that local authorities are responsible for investigating and prosecuting crimes.
See our webpage on help for U.S. victims of crime overseas.
Domestic Violence: U.S. citizen victims of domestic violence are encouraged to contact the Embassy for assistance.
Tourism: The tourism industry is unevenly regulated, and safety inspections for equipment and facilities do not commonly occur. Hazardous areas/activities are not always identified with appropriate signage, and staff may not be trained or certified either by the host government or by recognized authorities in the field. In the event of an injury, appropriate medical treatment is typically available only in/near major cities. First responders are generally unable to access areas outside of major cities and to provide urgent medical treatment. U.S. citizens are encouraged to purchase medical evacuation insurance. See our webpage for more information on insurance providers for overseas coverage.
Criminal Penalties: You are subject to local laws. If you violate local laws, even unknowingly, you may be expelled, arrested, or imprisoned. Individuals establishing a business or practicing a profession that requires additional permits or licensing should seek information from the competent local authorities, prior to practicing or operating a business.
Arrest Notification: If you are arrested or detained, ask police or prison officials to notify the U.S. Embassy immediately. See our webpage for further information.
Faith-Based Travelers: See our following webpages for details:
Note: North Macedonia is a multi-ethnic, multi-religious, and multi-lingual state. While there is little religious/ethnic violence in North Macedonia, inter-ethnic and inter-religious tensions do exist.
LGBTQI+ Travelers: Although same-sex relationships are not illegal in North Macedonia, LGBTQI+ individuals still face significant discrimination. There are no openly gay-friendly establishments in the country. Civil society organizations have reported a recent increase in transphobic and homophobic speech, and there have been numerous reported instances of physical violence against LGBTQI+ individuals. We advise exercising caution when attending LGBTQI+ events.
Travelers with Disabilities/Travelers Who Require Accessibility Assistance:
Individuals with disabilities may find accessibility and accommodation very different from the United States. North Macedonia’s law requires that only new buildings be accessible to persons with disabilities. Most public buildings are inaccessible and inconsistent inspection results in construction of new facilities that are not accessible. Public transportation for persons with disabilities is very limited. Although all buses the government has purchased for Skopje since 2013 have been accessible to persons with disabilities, public transportation remains largely inaccessible in other regions.
Review the State Department’s webpage on security for travelers with disabilities.
Women Travelers: See our travel tips for Women Travelers.
For emergency services in North Macedonia, dial 112 (general emergency line) or 194 (direct for ambulance).
Ambulance services are:
We do not pay medical bills. Be aware that U.S. Medicare/Medicaid does not apply overseas. Most hospitals and doctors overseas do not accept U.S. health insurance.
Medical Insurance: Make sure your health insurance plan provides coverage overseas. Most care providers overseas only accept cash payments. See our webpage for more information on insurance providers for overseas coverage. Visit the U.S. Centers for Disease Control and Prevention for more information on type of insurance you should consider before you travel overseas.
We strongly recommend supplemental insurance to cover medical evacuation.
Vaccinations: Be up to date on all vaccinations recommended by the U.S. Centers for Disease Control and Prevention.
Further health information:
Air Quality: Visit AirNow Department of State for information on air quality at U.S. Embassies and Consulates.
Air pollution is a significant problem in several major cities in North Macedonia. Consider the impact seasonal smog and heavy particulate pollution may have on you and consult your doctor before traveling if necessary.
The U.S. Embassy maintains a list of doctors and hospitals. We do not endorse or recommend any specific medical provider or clinic.
Health facilities in general
Medical Tourism and Elective Surgery
Always carry your prescription medicine in original packaging, along with your doctor’s prescription. Check with the Republic of North Macedonia Customs Administration to ensure the medication is legal in North Macedonia.
Assisted Reproductive Technology and Surrogacy
In many areas, tap water is not potable. Bottled water and beverages are generally safe, although you should be aware that many restaurants and hotels serve tap water unless bottled water is specifically requested. Be aware that ice for drinks may be made using tap water.
Road Conditions and Safety: In North Macedonia, road conditions differ significantly from those in the United States. Driving safely in North Macedonia requires excellent defensive driving skills.
Traffic Laws: U.S. citizens need a valid U.S. driver’s license and an International Driving Permit (available in the United States only) to drive in North Macedonia.
See traffic rules and legislation in North Macedonia for more details.
Public Transportation: Public transportation options are limited. Buses are available in Skopje and most are reliable. Taxis from established companies are considered to be safe. Use metered taxis to avoid conflicts about the fare. Most taxis accept cash payments only.
See our Road Safety page for more information.
Aviation Safety Oversight: As there is no direct commercial air service to the United States by carriers registered in North Macedonia, the U.S. Federal Aviation Administration (FAA) has not assessed the government of North Macedonia’s Civil Aviation Authority for compliance with International Civil Aviation Organization (ICAO) aviation safety standards. Further information may be found on the FAA’s safety assessment page.