U.S. Embassy Skopje
Samoilova 21
1000 Skopje
Republic of North Macedonia
Telephone: +(389) (2) 310-2000
Emergency Phone: +389-7041-5550
Fax: +(389) (2) 310-2499

Email: SkopjeACS@state.gov

See the Department of State’s Fact Sheet on North Macedonia for information on U.S.-North Macedonia relations. 

For the most up-to-date visa information, you may reach out to the Embassy of North Macedonia in Washington, D.C., or the nearest Consulate General. North Macedonia’s Ministry of Foreign Affairs website contains more information.

• Valid U.S. passports are required for travel to North Macedonia.
• Visas are not required for tourist or business trips of less than 90 days within a six-month period. Persons who stay illegally over 90 days may face delayed departure. They may also be subject to a court hearing, a fine, or a re-entry ban.
• If you are planning to work, study, or stay longer than 90 days in North Macedonia, get the proper visa. You can get a visa from the Embassy of North Macedonia in your home country.
• All foreign citizens must register with local police within 48 hours of arrival.
  • Hotels register foreign guests.
  • You should register at the nearest police station if not staying in a hotel. The lodging owner should go with you. If you change addresses, you must register the new address at the nearest police station. Failure to do so could result in a misdemeanor, court procedures, a fine of up to 250 euros, and a delayed departure. If dual citizens of the United States and North Macedonia enter on a U.S. passport, they must register with the local police within 48 hours of arrival.
• Foreign citizens are required to present travel medical insurance upon entering the country.
• Unaccompanied minors who are U.S. citizens must have notarized consent from a parent or guardian to travel to North Macedonia. The consent should be notarized by an authorized entity in the minor's home country, or by an embassy or consulate of North Macedonia.
• Local authorities may request visitors’ identification. Visitors should carry copies of their passports, photo identification cards, and residence permits.
• U.S. citizens born in North Macedonia should consult the Greece Country Specific Information before traveling to Greece.
• Dual citizens of the U.S. and North Macedonia who have stayed outside of North Macedonia for more than three months should either report to the nearest embassy or consulate of North Macedonia before returning to North Macedonia, or report to the nearest police station after entering North Macedonia. Failure to notify may delay departure from North Macedonia.

The U.S. Department of State does not know of any HIV/AIDS entry restrictions for visitors or foreign residents in North Macedonia.

Find information about dual nationality, the prevention of international child abduction, and customs regulations on our websites.

Terrorism: Terrorist groups wish to harm U.S. citizens abroad. They sometimes use knives, firearms, or vehicles to target crowds. Possible terrorist targets are:

• Public events (sporting contests, political rallies, demonstrations, holiday events, celebrations, etc.)
• Hotels, clubs, and restaurants
• Places of worship
• Schools
• Parks
• Shopping malls and markets
• Subways, buses, trains, and flights

North Macedonia has not had any recent terrorist events. There were some significant terrorism-related arrests in recent years. There is concern about the heightened risk of radical extremists conducting lone-wolf terror attacks. Authorities in North Macedonia have determined that ISIS members and sympathizers are present within the country. For more information, see our Terrorism page. 

Crime: Violent crime against U.S. citizens is rare. Theft and petty street crimes occur in areas where tourists and foreigners gather.

Do not leave anything of value in plain view in unattended vehicles.

• Lock the windows and doors of your house when not at home.
• Organized crime is present in North Macedonia. Violent confrontations between rival organizations occur on occasion.
• ATM use is generally safe. Take standard safety precautions and be aware of your surroundings.
• Pickpockets are a problem in crowded areas of Skopje. You should:
  • Be aware of your belongings and surroundings.
  • Know that pickpockets use various diversionary tactics to distract victims. They may use groups of children swarming the victim.
  • If pickpocketed, report the crime to the police.
• Cancel your credit cards immediately.

North Macedonia and the neighboring Balkan region continue to face challenges related to corruption and organized crime. These challenges include drug trafficking, money laundering, migrant trafficking, extortion, and property crime.

For further details, please consult the Global Organized Crime Index.

Demonstrations occur sporadically. They often result in traffic disruptions, particularly near the center of Skopje. They may take place in response to political or economic issues, or during major holidays or international events.

• Event demonstrations intended to be peaceful can turn confrontational and become violent.
• Avoid areas around protests and demonstrations.
• Check local media for updates and traffic advisories.
• Always be aware of your surroundings.
• Follow the instructions of North Macedonia’s authorities.

Find information about demonstrations in North Macedonia on the U.S. Embassy’s Security and Emergency Messages.

International Financial Scams: See the Department of State and the FBI pages for information.

Victims of Crime: U.S. citizen victims of sexual assault are encouraged to contact the U.S. Embassy for help. 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.

We can:

• Help you find appropriate medical care.
• Assist you in reporting a crime to the police.
• Contact relatives or friends with your written consent.
• Provide information about the victim role during and after a local investigation.
• Provide a list of local attorneys.
• Provide our information on victim’s compensation programs in the United States.
• Provide an emergency loan for repatriation to the United States and/or limited medical support in cases of destitution.
• Help you find accommodation and arrange flights home.
• Replace a stolen or lost passport.

Domestic Violence: U.S. citizen victims of domestic violence are encouraged to contact the Embassy for help.

Tourism: The regulation of the tourism industry is inconsistent. Safety inspections for equipment and facilities are infrequent. Often, hazardous areas or activities lack proper signage. Staff training or certification by the host government or recognized authorities may be absent. In case of injury, suitable medical treatment is usually accessible only in or near major cities. First responders have limited ability to reach and provide immediate medical care outside of these areas. U.S. citizens are encouraged to buy medical evacuation insurance. See our webpage for more information on insurance providers for overseas coverage.

Criminal Penalties: You are subject to local laws. Violating local laws, even unintentionally, can lead to expulsion, arrest, or imprisonment. If you wish to start a business that requires permits or licensing, you must consult with the appropriate local authorities first.

Furthermore, some laws are prosecutable in the United States, regardless of local law. For examples, our website for information on crimes against minors abroad and the Department of Justice website.

Arrest Notification: If you are arrested or detained, ask the police or prison officials to contact the U.S. Embassy at once. See our webpage for further information.

• There are strict laws on exporting historically valuable or significant items. Exporting these things without the proper permit may lead to arrest, financial penalties, and imprisonment. North Macedonia's Customs Administration provides more information on customs regulations.
• Visitors should follow “no photography” signs. If you are in doubt, ask for permission before taking photographs. Do not photograph subjects that could be viewed as related to national security or military operations.
• Though major stores and restaurants typically accept credit cards, smaller establishments might not. It is recommended to have cash in the local currency (denar) on hand.
• Not declaring currency over 10,000 euros or its equivalent may lead to confiscation and legal proceedings. Penalties typically include a fine and a percentage of the undeclared amount.

Faith-Based Travelers: See our following webpages for details:

• Faith-Based Travel Information
• International Religious Freedom Report – see country reports
• Human Rights Report – see country reports
• Hajj Fact Sheet for Travelers
• Best Practices for Volunteering Abroad

Note: North Macedonia is a multi-ethnic, multi-religious, and multi-lingual state. Religious or ethnic violence is rare, but there are tensions between groups.

LGB Travelers: Same-sex relationships are legal in North Macedonia, but LGB individuals continue to encounter considerable discrimination. Same-sex marriages are not legal. The country lacks openly gay-friendly venues. Recent reports indicate a rise in transphobic and homophobic language, and physical violence targeting LGB persons. We recommend exercising caution when attending LGB events.

See our LGB Travel Information page and section 6 of our Human Rights report for further details.

Travelers with disabilities or those requiring accessibility assistance:

Individuals with disabilities may find levels of accessibility and accommodation very different compared to the United States. In North Macedonia, the law mandates accessibility for individuals with disabilities only for new buildings. New construction that does not always meet accessibility standards. Many public buildings remain inaccessible due to inconsistent inspections. Public transportation options for persons with disabilities are extremely limited. All buses acquired by the government for Skopje since 2013 are accessible. Public transportation in other areas continues to be largely inaccessible.

Review the State Department’s webpage on security for travelers with disabilities.

Students: See our Students Abroad page and FBI travel tips.

Women Travelers: See our travel tips for Women Travelers.

Medical care in North Macedonia varies in quality by location and provider. Skopje boasts four private hospitals providing a range of services, from cardiovascular surgery to pediatric intensive care. However, the quality of care does not match that of U.S. healthcare. Beyond Skopje, medical care generally falls below standard, except for trauma services available in Ohrid.

In case of emergencies in North Macedonia, you should dial 112 for the general emergency line.

Ambulance services are:

• Not widely available, except in Skopje and major tourist areas, such as Ohrid. Training and availability of emergency responders may be below U.S. standards.
• The government regulates the availability of prescription medications. Many medications approved in the United States are not approved in North Macedonia. Insulin is not available to non-citizens.
• Government-operated emergency services are substandard. Ambulances generally transport to state hospitals unless specifically requested to a private hospital. Private emergency services in Skopje, operated by private institutions, meet higher quality standards.

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. For more information on travel insurance, visit the U.S. Centers for Disease Control and Prevention.

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:

• World Health Organization
• U.S. Centers for Disease Control and Prevention (CDC)

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

• North Macedonia has adequate health facilities available nationwide. Health care in rural areas might not meet U.S. standards. Public medical clinics in rural areas lack basic resources and supplies.
• Hospitals and doctors may ask for proof of adequate insurance or for payment “up front” before service or admission. Credit card payment is not always available.
• U.S. citizens have raised concerns over unethical business practices. It is important to get information about payments, billing, and proposed medical procedures before consenting to care:
  • Certain hotels, resorts, or similar establishments may have exclusive contracts with medical providers. This could restrict your options if you need emergency medical care.
• Medical staff may speak little or no English.
• Generally, in public hospitals, only minimal staff is available overnight in non-emergency wards. Consider hiring a private nurse or have a member of your family spend the night with the patient, especially a minor child.
• Patients bear all costs for transfer to or between hospitals.
• The availability of psychological and psychiatric care is limited, even in larger cities. Hospital-based mental health care is generally via government institutions.

Medical Tourism and Elective Surgery

• Medical tourism is a rapidly growing industry. Medical systems are different than in United States. North Macedonia does not have the same rules and regulations. If you plan to travel for medical care consult with your physician before traveling. Also, visit the CDC website for information and risks.
• It is highly recommended to get supplemental insurance for medical evacuation in the event of unexpected medical emergencies.
• Your legal options in case of malpractice are very limited in North Macedonia.
• The quality of care varies in North Macedonia. When planning elective surgery in North Macedonia, ensure that emergency medical facilities are available. Additionally, verify that the professionals are accredited and qualified.
• People traveling to North Macedonia for medical reasons must have the correct “medical” visa. Check the Government of North Macedonia’s website for more information.

Pharmaceuticals

Carry your prescription medicine in original packaging, along with your doctor’s prescription. Check Republic of North Macedonia Customs Administration to ensure the medication is legal.

• Medication should be purchased from a reputable pharmacy. Do not purchase medication without consulting a medical professional. Exercise caution when purchasing medication overseas.
• Over the counter and prescription medications are often available for sale with minimal controls. Counterfeit medication is common. It could be ineffective, the incorrect strength, or contain dangerous ingredients. 
• The U.S. Customs and Border Protection (CBP) and the Food and Drug Administration (FDA) enforce regulations that govern the transportation of medication into the United States. Medications purchased abroad must follow their requirements to be legally brought back into the country. Medication should be for personal use and must be approved for usage in the United States. For more information, please consult the U.S. Customs and Border Protection and the Food and Drug Administration websites.

Assisted Reproductive Technology (ART) and Surrogacy

Surrogacy is legal in North Macedonia. There are strict procedures that must be followed. Individuals who attempt to circumvent local law may face criminal prosecution. Consult the Ministry of Health’s website, available in Macedonian and Albanian languages only.

• If you decide to have a child through ART or surrogacy, please see our ART and Surrogacy Abroad page.

Water Quality

Other than in the capital of Skopje, tap water is not potable in many areas, but bottled water and beverages are generally safe. Be aware that many restaurants and hotels serve tap water. Request bottled water. Be aware that ice for drinks may be made using tap water.

Adventure Travel

• For more information on Adventure Travel, refer to the U.S. Centers for Disease Control and Prevention's website.
• For detailed information on Resources for Travelers and specific issues in North Macedonia, refer to the U.S. Centers for Disease Control and Prevention website.

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. Consult your doctor before traveling. Consider the impact smog and pollution may have on you.
• The air quality varies and fluctuates with the seasons. It is worst in the winter season. The air pollution levels in Skopje range from double to triple that of the most polluted regions in the United States. People at the greatest risk from particle pollution exposure include:
  • Infants, children, and teens.
  • People over 65 years of age.
  • Individuals with lung diseases, such as asthma and chronic obstructive pulmonary disease (COPD), including conditions like chronic bronchitis and emphysema.
  • People with heart disease or diabetes.
  • People who work or are active outdoors.

Road conditions and safety: road conditions in North Macedonia are very different than those in the United States. Driving safely in North Macedonia requires excellent defensive driving skills.

• Most major highways are in good condition. Many secondary urban and rural roads are not maintained and are poorly lit. Mountain roads may be narrow, poorly marked, and lack guardrails.
• During the winter months, snow plowing is limited, and roads can be very treacherous.
• Many vehicles are old and lack front or rear lights.
• Horse-drawn carts, livestock, deceased animals, rocks, and various other objects frequently obstruct roadways.
• Roadside emergency services are limited.
• In an emergency, drivers can contact the police or ambulance service by dialing 112. Pedestrians should be careful when using crosswalks to cross streets. Often, local drivers do not slow down or stop for pedestrians.
• Do not drive at night in rural mountain areas. There is poor or nonexistent lighting.

Traffic Laws: U.S. citizens must have a valid U.S. driver's license and an International Driving Permit to drive in North Macedonia. This permit can only be obtained in the United States.

• In case of a traffic accident, you may contact the police (112). The authorities may keep a U.S. citizen's passport until the matter is settled. This depends on the seriousness and circumstances of the incident.
• Drivers should proceed with caution. Disregard for traffic laws is widespread. The number of traffic accidents and fatalities is much higher in North Macedonia than in other European countries.
• High fines can be incurred for speeding. The police issue tickets that include instructions for paying the fine online. The police are not authorized to collect fine payments.
• The maximum legal blood-alcohol limit for drivers is 0.05 ppm. There is a zero-tolerance policy for alcohol use for professional and student drivers (0.0 ppm). Failure to follow these limits may result in high fines.
• Using a cell phone while driving is illegal. All passengers are required to wear seat belts. All vehicles must have winter tires or universal tires and snow chains from November 15th to March 15th. Failure to follow these requirements will result in fines.
• Police: 112.

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.

• There are no commercial domestic flights.
• North Macedonia does not have a subway system. Uber is not present in the country and few, other reliable ridesharing options are available.
• There are intercity buses that run between most cities. These are widely regarded as reliable and safe.
• Rail conditions are poor, limited, and service is unreliable.

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.