Medical Insurance -- Although it's not required of travelers, health insurance is highly recommended. Most health insurance policies cover you if you get sick away from home -- but check your coverage before you leave.
International visitors to the U.S. should note that unlike many European countries, the United States does not usually offer free or low-cost medical care to its citizens or visitors. Doctors and hospitals are expensive, and in most cases will require advance payment or proof of coverage before they render their services. Good policies will cover the costs of an accident, repatriation, or death. Packages such as Europ Assistance's "Worldwide Healthcare Plan" are sold by European automobile clubs and travel agencies at attractive rates. Worldwide Assistance Services, Inc. (tel. 800/777-8710; www.worldwideassistance.com) is the agent for Europ Assistance in the United States. Though lack of health insurance may prevent you from being admitted to a hospital in nonemergencies, don't worry about being left on a street corner to die: The American way is to fix you now and bill the daylights out of you later.
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 in a medically equipped and staffed aircraft 24 hours day, 7 days a week. Annual memberships are $225 individual, $350 family; you can also purchase short-term memberships.
Canadians should check with their provincial health plan offices or call Health Canada (tel. 866/225-0709; www.hc-sc.gc.ca) to find out the extent of their coverage and what documentation and receipts they must take home in case they are treated in the United States.
Travelers from the U.K. should carry their European Health Insurance Card (EHIC), which replaced the E111 form as proof of entitlement to free/reduced cost medical treatment abroad (tel. 0845/606-2030; www.ehic.org.uk). Note, however, that the EHIC covers only "necessary medical treatment," and for repatriation costs, lost money, baggage, or cancellation, travel insurance from a reputable company should always be sought (www.travelinsuranceweb.com).
Travel Insurance -- The cost of travel insurance varies widely, depending on the destination, the cost and length of your trip, your age and health, and the type of trip you're taking, but expect to pay between 5% and 8% of the vacation itself. You can get estimates from various providers through InsureMyTrip.com. Enter your trip cost and dates, your age, and other information, for prices from more than a dozen companies.
U.K. citizens and their families who make more than one trip abroad per year may find an annual travel insurance policy works out cheaper. Check www.moneysupermarket.com, which compares prices across a wide range of providers for single- and multi-trip policies.
Most big travel agents offer their own insurance and will probably try to sell you their package when you book a holiday. Think before you sign. Britain's Consumers' Association recommends that you insist on seeing the policy and reading the fine print before buying travel insurance. The Association of British Insurers (tel. 020/7600-3333; www.abi.org.uk) gives advice by phone and publishes Holiday Insurance, a free guide to policy provisions and prices. You might also shop around for better deals: Try Columbus Direct (tel. 0870/033-9988; www.columbusdirect.net).
Trip Cancellation Insurance -- Trip-cancellation insurance will help retrieve your money if you have to back out of a trip or depart early, or if your travel supplier goes bankrupt. Trip cancellation traditionally covers such events as sickness, natural disasters, and State Department advisories. The latest news in trip-cancellation insurance is the availability of expanded hurricane coverage and the "any-reason" cancellation coverage -- which costs more but covers cancellations made for any reason. You won't get back 100% of your prepaid trip cost, but you'll be refunded a substantial portion. TravelSafe (tel. 888/885-7233; www.travelsafe.com) offers both types of coverage. Expedia also offers any-reason cancellation coverage for its air-hotel packages. For details, contact one of the following recommended insurers: Access America (tel. 866/807-3982; www.accessamerica.com); Travel Guard International (tel. 800/826-4919; www.travelguard.com); Travel Insured International (tel. 800/243-3174; www.travelinsured.com); and Travelex Insurance Services (tel. 888/457-4602; www.travelex-insurance.com).
One thing that sets New Mexico apart from most other states is its elevation. Santa Fe and Taos are about 7,000 feet above sea level; Albuquerque is more than 5,000 feet above sea level. The reduced oxygen and humidity can precipitate some unique problems, not the least of which is acute mountain sickness. In its early stages, you might experience headaches, shortness of breath, loss of appetite and/or nausea, tingling in the fingers or toes, lethargy, and insomnia. The condition can usually be treated by taking aspirin as well as getting plenty of rest, avoiding large meals, and drinking lots of nonalcoholic fluids (especially water). If it persists or worsens, you must return to a lower altitude. Other dangers of higher elevations include hypothermia and sun exposure, and these should be taken seriously. To avoid dehydration, drink water as often as possible.
Limit your exposure to the sun, especially during the first few days of your trip and, thereafter, between 11am and 2pm. Liberally apply sunscreen with a high protection factor. Remember that children need more protection than adults do.
It's important to monitor your children's health while in New Mexico. They are just as susceptible to mountain sickness, hypothermia, sunburn, and dehydration as you are.
Other things to be wary of are arroyos, or creek beds in the desert where flash floods can occur without warning. If water is flowing across a road, do not try to drive through it because chances are the water is deeper and flowing faster than you think. Just wait it out. Arroyo floods don't last long.
Visitors to the state should also be careful of contracting the plague and hantavirus, a few cases of each reported annually in the state. Both diseases can be fatal, and both are transmitted through exposure to infected rodent droppings. Though it's unlikely that you'll be exposed to such things while traveling, be careful anytime you note the presence of mice or other rodents.
Finally, if you're an outdoorsperson, be on the lookout for snakes -- particularly rattlers. Avoid them. Don't even get close enough to take a picture (unless you have a very good zoom lens).
General Availability of Health Care -- The most reliable hospitals in the area are St. Vincent's Hospital, 455 St. Michaels Dr. in Santa Fe (tel. 505/820-5250), and Presbyterian Hospital, 1100 Central Ave. SE in Albuquerque (tel. 505/841-1234, or 505/841-1111 for emergency service).
What to Do If You Get Sick Away from Home
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. Visitors from outside the United States should carry generic names of prescription drugs. For U.S. travelers, most reliable health-care plans provide coverage if you get sick away from home. Foreign visitors may have to pay all medical costs upfront and be reimbursed later.
Tourist areas as a rule are safe, but, despite recent reports of decreases in violent crime in Santa Fe, it would be wise to check with the tourist offices in Santa Fe, Taos, and Albuquerque if you are in doubt about which neighborhoods are safe.
Remember that hotels are open to the public, and in a large hotel, security may not be able to screen everyone who enters. Always lock your room door; don't assume that once inside your hotel you are automatically safe and no longer need to be aware of your surroundings.
Be aware that New Mexico has a higher-than-average reported incidence of rape. Women should not walk alone in isolated places, particularly at night.
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.