Travel Tips for Older Americans

U.S. Department of State Publication 10337
Bureau of Consular Affairs
Revised August 1996

International travel can be a rich and rewarding adventure. Whether you have waited a lifetime to take the perfect trip or are an experienced world traveler, we would like to offer some advice to help you plan a safe and healthy trip.

American consuls at U.S. embassies and consulates abroad are there to help if you encounter serious difficulties in your travels. They are happy to meet you if you come in to register your passport at the Consular Section of the U.S. embassy or consulate. But it is also their duty to assist American citizens abroad in times of emergency--at hospitals or police stations, for instance.

PREPARATION FOR YOUR TRIP

Start Early

Apply for your passport as soon as possible. Three months before your departure date should give you plenty of time.

Learn About the Countries You Plan to Visit

Before you go, read up on the culture, people, and history for the places you will travel. Book stores and libraries are good resources. Travel magazines and the travel sections of major newspapers tell about places to visit and also give advice on everything from discount airfares to international health insurance. Many travel agents and foreign tourist bureaus provide free information on travel abroad.

For up-to-date travel information on any country in the world that you plan to visit, obtain the U.S. Department of State's Consular Information Sheet. They cover such matters as health conditions, unusual currency and entry regulations, crime and security conditions, drug penalties, and areas of instability. In addition, the State Department issues Travel Warnings when it recommends Americans defer travel to a country because of unsafe conditions. Travel Warnings are under continuous review by the U.S. Department of State and are removed when conditions warrant. The U.S. Department of State also issues Public Announcements as a means to disseminate information quickly about relatively short-term and/or trans-national conditions which would pose significant risks to the security of American travelers.

Passport

Pack an "emergency kit" to help you get a replacement passport in case yours is lost or stolen. To make a kit: photocopy the data page at the front of your passport; write down the addresses and telephone numbers of the U.S. embassies and consulates in the countries you plan to visit; and put this information along with two recent passport-size photographs in a place separate from your passport.

Leave a Detailed Itinerary

Give a friend or relative your travel schedule. Include names, addresses, and telephone numbers of persons and places to be visited; your passport number and the date and place it was issued; and credit card, travelers check, and airline ticket numbers. Keep a copy of this information for yourself in a separate place from your purse or wallet. If you change your travel plans--for example, if you miss your return flight to the United States or extend your trip--be sure to notify relatives or friends at home.

Don't Overprogram

Allow time to relax and really enjoy yourself. Even if this is your once-in-a-lifetime trip, don't feel you have to fill every available minute.

If you are visiting a country such as China, where physical activity can be quite strenuous and sudden changes in diet and climate can have serious health consequences for the unprepared traveler, consult your physician before you depart.

What to Pack

Carefully consider the clothing you take. Don't pack more than you need and end up lugging around heavy suitcases. Wash-and-wear clothing and sturdy walking shoes are good ideas. Consider the climate and season in the countries you will visit and bring an extra outfit for unexpectedly warm or cool weather. A sweater or shawl is always useful for cooler evenings and air-conditioned planes and hotels. Dress conservatively--a wardrobe that is flashy or too causal may attract the attention of thieves or con artists.

Include a change of clothing in your carry-on luggage. Otherwise, if your bags are lost, you could be wearing the same clothes you were traveling in during the entire time it takes to locate your luggage--an average of 72 hours.

Do not pack anything that you would hate to lose such as valuable jewelry, family photographs, or objects of sentimental value.

HEALTH

Health problems sometimes affect visitors abroad. Information on health precautions can be obtained from local health departments or private doctors.

Health Insurance

It is wise to review your health insurance policy before you travel. In some places, particularly at resorts, medical costs can be as high or higher than in the United States. If your insurance policy does not cover you abroad, it is strongly recommended that you purchase a policy that does. There are short-term health insurance policies designed specifically to cover travel. If your travel agent cannot direct you to a medical assistance company, look for information in travel magazines. The U.S. government cannot pay to have you medically evacuated to the United States.

The Social Security Medicare program does not provide for payment of hospital or medical services obtained outside the United States. However, some Medicare supplement plans offer foreign medical care coverage at no extra cost for treatments considered eligible under Medicare. These are reimbursement plans. You must pay the bills first and obtain receipts for submission them later for compensation. Many of these plans have a dollar ceiling per trip.

Review your health insurance policy

Obtaining medical treatment and hospital care abroad can be expensive. If your Medicare supplement or other medical insurance does not provide protection while traveling outside the United States, we strongly urge you to buy coverage that does.

Trip Insurance

One sure way to ruin a vacation is to lose money because an emergency forces you to postpone or cancel your trip. Except for tickets on regularly scheduled airlines, almost any travel package you purchase will have a penalty for cancellation and some companies will give no refund at all. Regularly scheduled airlines usually give a refund if an illness or death in the family forces you to cancel. Airlines require a note from the doctor or a death certificate. Take careful note of the cancellation penalty for any other large travel purchase you make, such as a tour package, charter flight, or cruise. Unless you can afford to lose the purchase amount, protect yourself by buying trip insurance. If you invest in trip insurance, make sure your policy covers all reasonable possibilities for having to cancel. For instance, if an emergency with a family member would force you to cancel, insure against that as well.

Some trip insurance policies will give a refund if the company goes out of business or otherwise does not make good on its offering. The best insurance against company default is to choose a reputable company that guarantees a refund if they do not provide the services procured. If, however, you are tempted to purchase a tour at a great bargain price and you can't find a guarantee of delivery in the fine print, protect yourself by purchasing trip insurance that covers company default.

Immunizations

Information on immunizations and health precautions for travelers can be obtained from local health departments, the Centers for Disease Control and Prevention's international travelers hotline at (404) 332-4559, private doctors, or travel clinics. General guidance can also be found in the U.S. Public Health Service book, Health Information for International Travel. Immunizations are normally recommended against diptheria, tetanus, polio, typhoid, and hepatitis A for travelers. Generally, these immunizations are administered during childhood.

Medical Assistance Programs

One strong advantage of medical assistance programs is that they also cover the exorbitant cost of medical evacuation in the event of an accident or serious illness. As part of the coverage, these companies usually offer emergency consultation by telephone. They may refer you to the nearest hospital or call directly for help for you. If you need an interpreter, they may translate your instructions to a health care worker on the scene. Another benefit that is normally part of such coverage is payment for the return of remains to the United States in case of death.

If your regular health insurance already covers you for medical expenses abroad, you can buy a medical assistance program that offers all the consultative and evacuation services listed above except for the health insurance itself. Cost of medical assistance coverage is usually inexpensive without health insurance coverage or a little more for the complete medical assistance program including health insurance. On the other hand, escorted medical evacuation can cost thousands of dollars.

If your travel agent cannot direct you to a medical assistance company, look for information on such services in travel magazines. Once you have adequate coverage, carry your insurance policy identity cards and claim forms with you when you travel.

Medication

If you require medication, bring an ample supply in its original containers. Do not use pill cases. Because of strict laws concerning narcotics throughout the world, bring along copies of your prescriptions and, if possible, carry a letter from your physician explaining your need for the drug. As an extra precaution, carry the generic names of your medications with you because pharmaceutical companies overseas may use different names from those used in the United States.

If you wear eyeglasses, take an extra pair with you. Pack medicines and extra eyeglasses in your hand luggage so they will be available in case your checked luggage is lost. To be extra secure, pack a backup supply of medicines and an additional pair of eyeglasses in your checked luggage. If you have allergies, reactions to certain medications, foods, or insect bites, or other unique medical problems, consider wearing a "medical alert" bracelet. You may also wish to carry a letter from your physician explaining desired treatment should you become ill.

Medical Assistance Abroad

If you get sick, you can contact a consular officer at the nearest U.S. embassy or consulate for a list of local doctors, dentists, and medical specialists, along with other medical information. If you are injured or become seriously ill, a consul will help you find medical assistance and, at your request, inform your family or friends.

Health Precautions

Air pollution abroad may sometimes be severe. Air pollution and high altitudes are a particular health risk for the elderly and persons with high blood pressure, anemia, or respiratory or cardiac problems. If this applies to you, consult your doctor before traveling.

In high altitude areas most people need a short adjustment period. If traveling to such an area, spend the first few days in a leisurely manner with a light diet and reduced intake of alcohol. Avoid strenuous activity, this includes everything from sports to rushing up the stairs. Reaction signs to high altitude are lack of energy, a tendency to tire easily, shortness of breath, occasional dizziness, and insomnia.

If possible, drink only bottled water or water that has been boiled for 20 minutes. Be aware of ice cubes that may not have been made with purified water. Vegetables and fruits should be peeled or washed in a purifying solution. A good rule to follow is if you can't peel it or cook it, do not eat it. Diarrhea may be treated with antimicrobial treatment which may be prescribed or purchased over the counter. Travelers should consult a physician, rather than attempt self-medication, if the diarrhea is severe or persists several days.

PRACTICAL SAFETY PRECAUTIONS

Respect the Local Laws and Customs

While abroad, you are subject to the laws and regulations of your host country and are not protected by the U.S. Constitution. If you should be detained by local authorities, ask them to notify a U.S. consular officer. Under international agreements and practice, you have a right to contact an American consul. Although U.S. consuls cannot act as your attorney or get you out of jail, they can provide you with a list of local attorneys and inform you of your rights under local laws. They will also monitor the status of detained Americans and make sure they are treated fairly under local laws.

Guard Your Passport

Your passport is the most valuable document you carry abroad. It confirms that you are an American citizen. Do not carry your passport in the same place as your money or pack it in your luggage. Remember to keep your passport number in a separate location in case it is lost or stolen. In some countries, you may be required to leave your passport overnight or for several days with the hotel management. This may be local practice--do not be concerned unless the passport is not returned as promised. If your passport is lost or stolen abroad, immediately report it to the local police, obtain a copy of the report, and contact the nearest U.S. embassy or consulate to apply for a new passport.

Be Alert

Move purposefully and confidently. If you should find yourself in a crowded area, such as in an elevator, subway, marketplace, or in busy tourist areas, exercise special caution to avoid theft.

Robbery

Help prevent theft by carrying your belongings securely. Carry purses tucked under an arm and not dangling by a strap. Carry valuables hidden in an inside front pocket or in a money belt, not in a hip pocket. You may wish to wrap your wallet with rubber bands to make it more difficult for someone to slip it from your pocket unnoticed. Money belts or pouches that fit around your shoulder, waist or under clothing are available through some luggage shops and department stores.

ASSISTANCE FROM U.S. EMBASSIES AND CONSULATES

Emergencies

If you encounter serious legal, medical, or financial difficulties or other problems abroad, contact the nearest U.S. embassy or consulate for assistance. Although consular officers cannot serve as attorneys, they can help you find legal assistance. Consular officers cannot cash checks, lend money, or act as travel agents. However, in an emergency, consular officers can help you get in touch with your family back home to inform them on how to wire funds to you and to let them know of your situation. Consular officers can also provide you with the latest information about adverse conditions abroad.

Nonemergencies

Consular officers also provide nonemergency services such as information on absentee voting and acquisition or loss of U.S. citizenship. They can arrange for the transfer of Social Security and other benefits to Americans residing abroad, provide U.S. tax forms, notarize documents, and advise U.S. citizens on property claims.

Safeguarding Your Health

If you are injured or become seriously ill abroad, a U.S. consular officer will assist you in finding a physician or other medical services, and, with your permission, will inform your family members or friends of your condition. If needed, consular officers can assist your family in transferring money to the foreign country to pay for your treatment.

Death Abroad

Each year, about 6,000 Americans die abroad. Two thirds of them are Americans who live overseas, but approximately 2,000 Americans per year die while visiting abroad. Consular officers will contact the next of kin in the United States and will explain the local requirements. It is a worthwhile precaution to have insurance that covers the cost of local burial or shipment of remains home to the United States (see information on medical assistance programs). Otherwise, this cost must be borne by your next of kin and can be extremely expensive. The U.S. government cannot pay for shipment of remains to the United States.