Portugal does not offer free medical treatment to visitors, except for citizens of certain countries, such as Great Britain, which have reciprocal health agreements. Nationals from such countries as Canada and the United States have to pay for medical services rendered.
You should encounter few health problems traveling in Portugal. The tap water is generally safe to drink, the milk is pasteurized, and health services are good. Occasionally, the change in diet can cause some minor diarrhea, so you might want to take along some antidiarrhea medicine.
Limit your exposure to the sun, especially during the first few days of your trip and thereafter from 11am to 2pm. Use a sunscreen with a high protection factor and apply it liberally. Remember that children need more protection than adults do.
What to Do if You Get Sick Away from Home -- Medical facilities are generally available in Portugal but, in many cases, might not meet U.S. standards. If a medical emergency arises, your hotel staff can usually put you in touch with a reliable doctor. If not, contact the American embassy or a consulate; each one maintains a list of English-speaking doctors. Medical and hospital services aren't free, so be sure that you have appropriate insurance coverage before you travel.
In most cases, your existing health plan will provide the coverage you need. But double-check; you might want to buy travel medical insurance instead. Bring your insurance ID card with you when you travel.
If you suffer from a chronic illness, consult your doctor before your departure. For conditions like epilepsy, diabetes, or heart problems, wear a MedicAlert Identification Tag (tel. 888/633-4298 in the U.S.; www.medicalert.org), which will immediately alert doctors to your condition and give them access to your records through MedicAlert's 24-hour hot line.
Pack prescription medications in your carry-on luggage, and carry prescription medications in their original containers, with pharmacy labels -- otherwise, they won't make it through airport security. Also bring along copies of your prescriptions in case you lose your pills or run out. Don't forget an extra pair of contact lenses or prescription glasses. Carry the generic name of prescription medicines, in case a local pharmacist is unfamiliar with the brand name.
Contact the International Association for Medical Assistance to Travelers (IAMAT; tel. 716/754-4883 in the U.S. or 416/652-0137; 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 Centers for Disease Control and Prevention (CDC; tel. 800/232-4636 in the U.S.; www.cdc.gov) provides up-to-date information on necessary vaccines and health hazards by region or country. 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. You can also try the emergency room at a local hospital; many have walk-in clinics for emergency cases that are not life threatening. You might not get immediate attention, but you won't pay the high price of an emergency room visit.
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 (www.istm.org).
Healthy Travels to You -- The following government websites offer up-to-date health-related travel advice.
- Australia: www.smartraveller.gov.au
- Canada: www.hc-sc.gc.ca/index_e.html
- U.K.: www.nhs.uk/nhsengland/Healthcareabroad/pages/Healthcareabroad.aspx
- U.S.: www.cdc.gov/travel
Though Portugal has a relatively low rate of violent crime, petty crime against tourists is on the rise in continental Portugal. Travelers can become targets of pickpockets and purse-snatchers, particularly at popular sites, in restaurants, and on public transportation.
Rental cars and vehicles with nonlocal license plates are targets for break-ins, and travelers should remove all luggage from vehicles upon parking. Drivers in continental Portugal should keep car doors locked when stopped at intersections.
In general, visitors to Portugal should carry limited cash and credit cards and should leave extra cash, credit cards, and personal documents at home or in a hotel safe. Travelers should also avoid using ATMs in isolated or poorly lit areas. While thieves can operate anywhere, the U.S. Embassy receives frequent reports of theft from the following areas:
Lisbon Area: Pickpocketing and purse-snatching in the Lisbon area occur in buses, restaurants, the airport, trains, train stations, and trams, especially tram no. 28 to the Castle of São Jorge. Gangs of youths have robbed passengers on the Lisbon-Cascais train. At restaurants, thieves snatch items hung over the backs of chairs or placed on the floor. There have been reports of theft of unattended luggage from the Lisbon Airport. Special care should be taken at the Santa Apolónia and Rossio train stations, the Alfama and Bairro Alto districts, the Castle of São Jorge, and Belém.
Other Areas: Thefts have been reported in Sintra, Cascais, Mafra, and Fátima. Automobile break-ins occur in parking areas at attractions and near restaurants. Special care should be taken in parking at the Moorish Castle and Pena Palace in Sintra, and at the beachfront areas of Guincho, Cabo da Roca, and Boca do Inferno.
Travel Insurance -- Because Portugal, for most of us, is far from home, and a number of things could go wrong -- lost luggage, trip cancellation, a medical emergency -- consider the following types of 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 multitrip policies.
Most big travel agencies 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 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 insurance traditionally covers such events as sickness, natural disasters, and Department of State 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. 800/729-6021; 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. 800/228-9792; www.travelex-insurance.com).
For travel overseas, most U.S. health plans (including Medicare and Medicaid) do not provide coverage, and the ones that do often require you to pay for services upfront and reimburse you only after you return home.
As a safety net, you may want to buy travel medical insurance, particularly if you're traveling to a remote or high-risk area where emergency evacuation might be necessary. If you require additional medical insurance, try MEDEX Assistance (tel. 800/732-5309; www.medexassist.com) or Travel Assistance International (tel. 800/821-2828; www.travelassistance.com; for general information on services, call Europ Assistance USA at tel. 800/777-8710; www.worldwideassistance.com).
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 overseas.
On international flights (including U.S. portions of international trips), baggage coverage is limited to approximately $9.05 per pound, up to approximately $635 per checked bag. If you plan to check items more valuable than what's covered by the standard liability, see if your homeowner's policy covers your valuables, get baggage insurance as part of your comprehensive travel-insurance package, or buy Travel Guard's "BagTrak" product.
If your luggage is lost, immediately file a lost-luggage claim at the airport, detailing the luggage contents. Most airlines require that you report delayed, damaged, or lost baggage within 4 hours of arrival. The airlines are required to deliver luggage, once found, directly to your house or destination free.
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.