Health Insurance

Staying Healthy

In general, Italy is viewed as a "safe" destination, although problems, of course, can and do occur anywhere. You don't need to get shots; most foodstuff is safe and the water in cities and towns potable. If you're concerned, order bottled water. It is easy to get a prescription filled in towns and cities, and nearly all places throughout Italy contain English-speaking doctors at hospitals with well-trained medical staffs.

General Availability of Healthcare -- Contact the International Association for Medical Assistance to Travelers (IAMAT; tel. 716/754-4883, or 416/652-0137 in Canada; www.iamat.org) for tips on travel and health concerns in the countries you're visiting, and for lists of local, English-speaking doctors. The United States Centers for Disease Control and Prevention (tel. 800/311-3435; www.cdc.gov) provides up-to-date information on health hazards by region or country and offers tips on food safety. Travel Health Online (www.tripprep.com), sponsored by a consortium of travel medicine practitioners, may also offer helpful advice on traveling abroad. You can find listings of reliable medical clinics overseas at the International Society of Travel Medicine (tel. 770/736-0313; www.istm.org).

Healthy Travels to You -- The following government websites offer up-to-date health-related travel advice:

• Australia: www.dfat.gov.au
• Canada: www.hc-sc.gc.ca
• U.K.: www.dh.gov.uk
• U.S.: www.cdc.gov

What to Do If You Get Sick Away from Home -- Any foreign consulate can provide a list of area doctors who speak English. If you get sick, consider asking your hotel concierge to recommend a local doctor -- even his or her own.

For travel abroad, you may have to pay all medical costs upfront and be reimbursed later. Medicare and Medicaid do not provide coverage for medical costs outside the U.S. Before leaving home, find out what medical services your health insurance covers. To protect yourself, consider buying medical travel insurance.

Very few health insurance plans pay for medical evacuation back to the U.S. (which can cost $10,000 and up). A number of companies offer medical evacuation services anywhere in the world. If you're ever hospitalized more than 150 miles from home, MedjetAssist (tel. 800/527-7478; www.medjetassistance.com) will pick you up and fly you to the hospital of your choice. Annual memberships are $225 individual, $350 family; you can also purchase short-term memberships.

U.K. nationals will need a European Health Insurance Card (EHIC) to receive free or reduced-costs health benefits during a visit to a European Economic Area (EEA) country (European Union countries plus Iceland, Liechtenstein, and Norway) or Switzerland. The European Health Insurance Card replaces the E111 form, which is no longer valid. For advice, ask at your local post office or see www.dh.gov.uk/travellers.

For emergencies requiring an ambulance or immediate attention, call tel. 113.

If you suffer from a chronic illness, consult your doctor before your departure. Pack prescription medications in your carry-on luggage, and carry them in their original containers, with pharmacy labels -- otherwise they won't make it through airport security. Carry the generic name of prescription medicines, in case a local pharmacist is unfamiliar with the brand name.

Safety

The most common menace, especially in large cities, particularly Rome, is the plague of pickpockets and roving gangs of Gypsy children who surround you, distract you in all the confusion, and steal your purse or wallet. Never leave valuables in a car, and never travel with your car unlocked. A U.S. State Department travel advisory warns that every car (whether parked, stopped at a traffic light, or even moving) can be a potential target for armed robbery. In these uncertain times, it is always prudent to check the U.S. State Department's travel advisories at http://travel.state.gov .

Note. This information was accurate when it was published, but can change without notice. Please be sure to confirm all rates and details directly with the companies in question before planning your trip.