South Africa

Best Travel Insurance for South Africa in 2025

A. Fruchard
A. Fruchard updated on June 18, 2025
Table of Contents
  • The best travel insurance for South Africa
  • Travel safety in South Africa
  • Is travel insurance required for a visa to South Africa?
  • Why take out travel insurance for South Africa?
  • The coverage included in travel insurance for South Africa
  • What is the cost of travel insurance for South Africa?
  • How to pay less for your travel insurance to South Africa
  • Can I rely on my current insurance to cover me in South Africa?
  • FAQ
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Travel insurance for South Africa: key takeaways

1. Definition: Travel insurance for South Africa covers medical emergencies, repatriation, and other unexpected incidents.

2. Key protection: Insurance is not required for entry but is vital for covering high private healthcare costs.

3. Healthcare cost: Private healthcare is expensive; a hospital night can cost foreign visitors over $800.

4. Price: A one-week travel insurance plan for South Africa typically costs between $40 and $80.

5. Good to know: Ensure your policy covers adventure activities like safaris, as standard plans often exclude them.

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Why trust HelloSafe?

HelloSafe is an international specialist in travel insurance comparison, advising over one million travelers every month. After analyzing 42 travel insurance policies available in the US, our experts share here everything you need to know to choose the best travel insurance for South Africa.

The best travel insurance for South Africa

Contract we recommendMedical reimbursement limitOur view
HelloTravel Premium$1MBest option for comprehensive safety in South Africa.
- high medical cap
- evacuation covered
- strong guarantees for emergencies
Cap Assistance 24/24$1MSolid choice for health risks and emergencies.
- 24/7 assistance
- no deductible
- robust hospital care
Tourist Card$500kValuable for those touring main sites.
- medical protection
- emergency help
- accessible cost
Travel Pass Monde$700kBalanced contract for adventurous trips.
- hospital and evacuation cover
- prompt claims
- broad travel support
Globe Partner$300kSuitable for longer stays or students.
- basic medical
- repatriation coverage
- civil liability included
Globe Traveller$500kPractical plan for shorter visits to South Africa.
- covers most medical emergencies
- fast reimbursement
- limited maximum
Comparison of recommended travel insurance contracts.
HelloTravel Premium
Medical reimbursement limit
$1M
Our view
Best option for comprehensive safety in South Africa.
- high medical cap
- evacuation covered
- strong guarantees for emergencies
Cap Assistance 24/24
Medical reimbursement limit
$1M
Our view
Solid choice for health risks and emergencies.
- 24/7 assistance
- no deductible
- robust hospital care
Tourist Card
Medical reimbursement limit
$500k
Our view
Valuable for those touring main sites.
- medical protection
- emergency help
- accessible cost
Travel Pass Monde
Medical reimbursement limit
$700k
Our view
Balanced contract for adventurous trips.
- hospital and evacuation cover
- prompt claims
- broad travel support
Globe Partner
Medical reimbursement limit
$300k
Our view
Suitable for longer stays or students.
- basic medical
- repatriation coverage
- civil liability included
Globe Traveller
Medical reimbursement limit
$500k
Our view
Practical plan for shorter visits to South Africa.
- covers most medical emergencies
- fast reimbursement
- limited maximum
Comparison of recommended travel insurance contracts.
πŸ‘‰ Compare the best travel insurance for freeI compare

Travel safety in South Africa

As of June 2025, the US Department of State advises travelers to South Africa to exercise increased caution, due to elevated crime rates, sporadic civil unrest, and a heightened risk of terrorism.

Here are their four main recommendations.

  • Security risks: violent crime, including robbery, carjacking, and kidnapping, is widespread in urban centers such as Johannesburg and Cape Town. For instance, β€œsmash-and-grab” attacks often occur at traffic lights after dark.
  • Health risks: while no specific vaccinations are required for entry, medical care quality varies. Hospitals are good in main cities but limited in rural areas, and evacuation may be necessary after road accidents or sudden illness.
  • Legal requirements: carry a copy of your passport and any required visa at all times. Police checks are common, and loss of original documentation may result in delays or fines.
  • Urban and transport hazards: avoid driving at night outside metropolitan areas because of increased risk of roadside crime and poorly lit roads. Townships should not be visited without a knowledgeable local, as U.S. government employees face access restrictions for safety reasons.

Although not required, travel insurance is strongly recommended by the US Department of State, particularly to cover medical expenses and emergency repatriation, which can be extremely costly in South Africa.

Is travel insurance required for a visa to South Africa?

No, travel insurance is not mandatory for US citizens visiting South Africa for tourism.

Travel insurance is still strongly recommended because South Africa has a high rate of violent crime, limited emergency support outside major cities, and many private clinics require advance payment for treatment. Evacuation and medical repatriation costs can also be extremely high in case of accident or serious illness.

According to our data, 80% of travelers purchase travel insurance before going to South Africa. This is due to the combination of personal safety risks and the high cost of private health care and medical evacuations.

Why take out travel insurance for South Africa?

It is an essential financial and medical protection for anyone going to South Africa.

In South Africa, private hospitals such as Netcare Christiaan Barnard Memorial Hospital in Cape Town or Life Fourways Hospital in Johannesburg are preferred by international travelers but can be very expensive. Public hospitals often experience overcrowding, lack advanced equipment, or have longer wait times, making private care the only timely option for many. Emergency or specialist treatment often requires advance payment and can reach high sums.

Travel insurance covers medical fees, hospitalization, medication, ambulance transport and emergency repatriation to the US in the event of a serious incident.

Here are some examples of healthcare costs in South Africa.

Example of medical treatmentCost at Netcare Christiaan Barnard Memorial HospitalCovered by travel insurance
I have to be hospitalized 48 hours after contracting an infectionZAR 38,000 (approx. $2,100)up to full reimbursement
I broke my tibia (X-ray, cast, and crutch rental)ZAR 18,000 (approx. $1,000)up to full reimbursement
I need to be repatriatedZAR 550,000 (approx. $30,500)up to full reimbursement
I have appendicitis (consultation and surgery)ZAR 95,000 (approx. $5,300)up to full reimbursement
Examples of medical costs and insurance coverage.
I have to be hospitalized 48 hours after contracting an infection
Cost at Netcare Christiaan Barnard Memorial Hospital
ZAR 38,000 (approx. $2,100)
Covered by travel insurance
up to full reimbursement
I broke my tibia (X-ray, cast, and crutch rental)
Cost at Netcare Christiaan Barnard Memorial Hospital
ZAR 18,000 (approx. $1,000)
Covered by travel insurance
up to full reimbursement
I need to be repatriated
Cost at Netcare Christiaan Barnard Memorial Hospital
ZAR 550,000 (approx. $30,500)
Covered by travel insurance
up to full reimbursement
I have appendicitis (consultation and surgery)
Cost at Netcare Christiaan Barnard Memorial Hospital
ZAR 95,000 (approx. $5,300)
Covered by travel insurance
up to full reimbursement
Examples of medical costs and insurance coverage.

These prices are given as an indication and may vary depending on the facilities and regions.

It is therefore essential to take out appropriate travel insurance to avoid unexpected and potentially high expenses.

The coverage included in travel insurance for South Africa

Main coveragesExplanations and recommendations
πŸ₯ Medical expensesCovers emergency hospital and doctor visits, treatment, and medications, often needed due to limited access to public hospitals for foreigners.
We recommend a reimbursement limit of at least $100,000.
πŸš‘ Medical evacuationPays for emergency transport to the US or the nearest suitable medical center if local care is insufficient.
A recommended minimum is $250,000.
✈️ Trip cancellation/interruptionReimburses unused travel costs if you cancel or interrupt your trip because of illness, accidents, or emergencies.
Recommended limit: $5,000–$10,000.
🧳 Lost or stolen baggageCovers your personal belongings in case of baggage loss, theft, or damage during your trip.
We recommend at least $2,000 per person.
πŸ€• Personal liabilityProtects if you accidentally injure someone or damage property during your stay.
Recommended limit: $200,000.
🏠 Emergency assistance24/7 helpline for translation, medical referrals, and help in crisis situations in South Africa.
No specific limit needed, but seek wide-ranging assistance services.
πŸ’Ό Legal expensesCovers basic legal costs if you encounter legal issues as a traveler.
Advised minimum: $10,000.
🦷 Emergency dental carePays for urgent dental treatment following an accident.
Suggested minimum: $1,000.
Main coverages and recommendations for travel insurance.
πŸ₯ Medical expenses
Explanations and recommendations
Covers emergency hospital and doctor visits, treatment, and medications, often needed due to limited access to public hospitals for foreigners.
We recommend a reimbursement limit of at least $100,000.
πŸš‘ Medical evacuation
Explanations and recommendations
Pays for emergency transport to the US or the nearest suitable medical center if local care is insufficient.
A recommended minimum is $250,000.
✈️ Trip cancellation/interruption
Explanations and recommendations
Reimburses unused travel costs if you cancel or interrupt your trip because of illness, accidents, or emergencies.
Recommended limit: $5,000–$10,000.
🧳 Lost or stolen baggage
Explanations and recommendations
Covers your personal belongings in case of baggage loss, theft, or damage during your trip.
We recommend at least $2,000 per person.
πŸ€• Personal liability
Explanations and recommendations
Protects if you accidentally injure someone or damage property during your stay.
Recommended limit: $200,000.
🏠 Emergency assistance
Explanations and recommendations
24/7 helpline for translation, medical referrals, and help in crisis situations in South Africa.
No specific limit needed, but seek wide-ranging assistance services.
πŸ’Ό Legal expenses
Explanations and recommendations
Covers basic legal costs if you encounter legal issues as a traveler.
Advised minimum: $10,000.
🦷 Emergency dental care
Explanations and recommendations
Pays for urgent dental treatment following an accident.
Suggested minimum: $1,000.
Main coverages and recommendations for travel insurance.

Travel insurance from local providers or bank cards usually has low limits and significant exclusions. Opt for a trusted insurer with comprehensive coverage for true peace of mind. Compare top options on HelloSafe and subscribe online for instant certification.

What is the cost of travel insurance for South Africa?

Trip durationTraveler’s ageIndicative price per person
1 week25 years old$15–$30
2 weeks45 years old$28–$50
1 month35 years old$45–$85
1 month70 years old$105–$190
1 week
Traveler’s age
25 years old
Indicative price per person
$15–$30
2 weeks
Traveler’s age
45 years old
Indicative price per person
$28–$50
1 month
Traveler’s age
35 years old
Indicative price per person
$45–$85
1 month
Traveler’s age
70 years old
Indicative price per person
$105–$190

These prices are indicative and may vary depending on the coverage chosen and the specifics of each insurer.

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Good to know

The price of your travel insurance policy will vary. Key factors that determine the cost include: the traveler's age, the duration of the trip, the destination, the desired coverage limits, and any optional add-ons like a cancellation waiver. Keeping these elements in mind is crucial for selecting the right coverage for your trip and budget.

πŸ’‘ It is always recommended to compare multiple offers to find the best value-for-money plan for you. You can use HelloSafe.

πŸ‘‰ Compare the best travel insurance for freeI compare

How to pay less for your travel insurance to South Africa

Here are some suggestions to optimize the cost of your travel insurance to South Africa while keeping good coverage:

CriteriaWhy it mattersExpert tip
πŸ“… Trip durationLonger stays in South Africa usually lead to higher premiums due to extended risk.Only insure the specific dates for your trip, not extra days before or after, to avoid paying more than necessary.
πŸŽ‚ Traveler’s ageInsurance for older travelers generally costs more, especially for South Africa where medical care can be needed.Heymondo does not increase its prices for people over 62, which can provide significant savings for older travelers.
πŸ₯ Level of coverageHigher limits are crucial for medical care and emergency evacuation, but excessive coverage increases costs.Select a benefit limit that matches realistic medical needs without opting for expensive unnecessary extras.
πŸ‘¨β€πŸ‘©β€πŸ‘§ Family or group planGroup travelers or families to South Africa can sometimes get better rates and consistent coverage.Request a group or family policy for possible per-person savings rather than buying individual insurances.
🌐 Policy provider typeLocal and online providers usually have more competitive prices for travel to South Africa.Get quotes and purchase insurance directly online, which can be cheaper than via traditional agents or brokers.
🏷️ Deductible levelA higher deductible reduces your insurance premium but means more out-of-pocket costs if you use your coverage.Increase your deductible to an amount you can comfortably pay if needed, in exchange for a lower premium.
🚫 Excluded activitiesAdventure and safari activities can increase premiums if included in South Africa insurance.Only add coverage for these activities if you specifically plan to participate, to avoid unnecessary extra costs.
πŸ“… Trip duration
Why it matters
Longer stays in South Africa usually lead to higher premiums due to extended risk.
Expert tip
Only insure the specific dates for your trip, not extra days before or after, to avoid paying more than necessary.
πŸŽ‚ Traveler’s age
Why it matters
Insurance for older travelers generally costs more, especially for South Africa where medical care can be needed.
Expert tip
Heymondo does not increase its prices for people over 62, which can provide significant savings for older travelers.
πŸ₯ Level of coverage
Why it matters
Higher limits are crucial for medical care and emergency evacuation, but excessive coverage increases costs.
Expert tip
Select a benefit limit that matches realistic medical needs without opting for expensive unnecessary extras.
πŸ‘¨β€πŸ‘©β€πŸ‘§ Family or group plan
Why it matters
Group travelers or families to South Africa can sometimes get better rates and consistent coverage.
Expert tip
Request a group or family policy for possible per-person savings rather than buying individual insurances.
🌐 Policy provider type
Why it matters
Local and online providers usually have more competitive prices for travel to South Africa.
Expert tip
Get quotes and purchase insurance directly online, which can be cheaper than via traditional agents or brokers.
🏷️ Deductible level
Why it matters
A higher deductible reduces your insurance premium but means more out-of-pocket costs if you use your coverage.
Expert tip
Increase your deductible to an amount you can comfortably pay if needed, in exchange for a lower premium.
🚫 Excluded activities
Why it matters
Adventure and safari activities can increase premiums if included in South Africa insurance.
Expert tip
Only add coverage for these activities if you specifically plan to participate, to avoid unnecessary extra costs.

Can I rely on my current insurance to cover me in South Africa?

It’s completely legitimate to wonder whether your current coverage, such as public health insurance or credit card insurance, could protect you on a trip to South Africa. Unfortunately, these are often limited or insufficient for international travel. Here is a summary table to help you review your current insurance and what it covers.

Type of insuranceValid in South Africa?What it coversWhy Travel Insurance is better
Public health insurance (Medicare, Medicaid)No, neverNo overseas reimbursement for health, hospital, or evacuation costs.Travel insurance reimburses $100,000+ in medical and emergency repatriation costs abroad.
Private health insurance (Blue Cross, Aetna, Cigna)Yes, partlyPossible coverage for emergencies only, usually capped at $10,000, no baggage or delays.Travel insurance covers $100,000+ for hospital, evacuation, and travel disruption costs.
Classic credit card (Visa Classic, Mastercard Standard)Yes, partlyEmergency medical coverage less than $15,000. No trip delay or luggage protection offered.Travel insurance offers $100,000+ for health, bags, trip delays, and cancellations.
Premium credit card (Chase Sapphire Preferred, Amex Gold, Citi Premier)Yes, partlyUp to $100,000 for emergencies. Limited trip delay coverage. Rarely supports evacuation.Travel insurance provides $250,000+ for health care plus $5,000+ for trip cancellation.
Public health insurance (Medicare, Medicaid)
Valid in South Africa?
No, never
What it covers
No overseas reimbursement for health, hospital, or evacuation costs.
Why Travel Insurance is better
Travel insurance reimburses $100,000+ in medical and emergency repatriation costs abroad.
Private health insurance (Blue Cross, Aetna, Cigna)
Valid in South Africa?
Yes, partly
What it covers
Possible coverage for emergencies only, usually capped at $10,000, no baggage or delays.
Why Travel Insurance is better
Travel insurance covers $100,000+ for hospital, evacuation, and travel disruption costs.
Classic credit card (Visa Classic, Mastercard Standard)
Valid in South Africa?
Yes, partly
What it covers
Emergency medical coverage less than $15,000. No trip delay or luggage protection offered.
Why Travel Insurance is better
Travel insurance offers $100,000+ for health, bags, trip delays, and cancellations.
Premium credit card (Chase Sapphire Preferred, Amex Gold, Citi Premier)
Valid in South Africa?
Yes, partly
What it covers
Up to $100,000 for emergencies. Limited trip delay coverage. Rarely supports evacuation.
Why Travel Insurance is better
Travel insurance provides $250,000+ for health care plus $5,000+ for trip cancellation.
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Example

On a South African safari, a venomous snake bite led to a $35,000 bill for emergency care and antivenom. His premium Visa Signature card’s travel insurance only covered $2,000. His domestic health plan wouldn't cover the private foreign hospital, leaving him to pay the remaining $33,000 out-of-pocket for his survival.

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Expert advice

Always check the terms, exclusions, and limits of your existing insurance. Essential situations, like trip interruption due to a relative’s illness, might be excluded. Read the conditions carefully to avoid unpleasant surprises abroad. In all cases, it is safer and more reassuring to subscribe a dedicated travel insurance tailored to the trip.

FAQ

Do I need a visa to travel to South Africa?

U.S. citizens visiting South Africa for tourism or business for up to 90 days do not need a visa. However, your passport must be valid for at least 30 days after your intended departure and have at least two blank pages for entry and exit stamps. Always verify requirements before traveling, as rules may change.

How do I purchase travel insurance for South Africa?

Start by comparing insurance plans with the HelloSafe travel insurance comparison tool. Next, check coverage details and exclusions, including those specific to South Africa such as emergency evacuation and theft. Buy your selected policy online. You will receive your insurance certificate by email right after purchase.

Are there specific risks in South Africa that I should consider when choosing travel insurance?

Yes. South Africa experiences higher rates of theft, robbery, and road accidents, especially at night. Choose a policy that includes emergency medical coverage, personal property protection, and emergency evacuation, as private care or repatriation costs can be significant.

Does travel insurance for South Africa include coverage for adventure activities?

Not all standard plans cover high-risk activities common in South Africa, such as safaris, shark diving, or hiking. Check if your plan includes or can add coverage for these activities. This ensures you are protected in case of injury or accident during your adventure.

Will my travel insurance cover prescribed medications or pre-existing medical conditions in South Africa?

Most travel insurance plans cover emergency medical care for unexpected illnesses or injuries. However, coverage for pre-existing medical conditions or ongoing prescription medications is limited unless specified in the policy. Read your policy carefully and consider a plan that offers a waiver for pre-existing conditions.

How early before my trip to South Africa should I arrange travel insurance?

It is advisable to purchase travel insurance soon after booking your trip. Early purchase protects you against trip cancellations or changes, plus ensures coverage for unforeseen events that may arise before your departure to South Africa.

Do I need a visa to travel to South Africa?

U.S. citizens visiting South Africa for tourism or business for up to 90 days do not need a visa. However, your passport must be valid for at least 30 days after your intended departure and have at least two blank pages for entry and exit stamps. Always verify requirements before traveling, as rules may change.

How do I purchase travel insurance for South Africa?

Start by comparing insurance plans with the HelloSafe travel insurance comparison tool. Next, check coverage details and exclusions, including those specific to South Africa such as emergency evacuation and theft. Buy your selected policy online. You will receive your insurance certificate by email right after purchase.

Are there specific risks in South Africa that I should consider when choosing travel insurance?

Yes. South Africa experiences higher rates of theft, robbery, and road accidents, especially at night. Choose a policy that includes emergency medical coverage, personal property protection, and emergency evacuation, as private care or repatriation costs can be significant.

Does travel insurance for South Africa include coverage for adventure activities?

Not all standard plans cover high-risk activities common in South Africa, such as safaris, shark diving, or hiking. Check if your plan includes or can add coverage for these activities. This ensures you are protected in case of injury or accident during your adventure.

Will my travel insurance cover prescribed medications or pre-existing medical conditions in South Africa?

Most travel insurance plans cover emergency medical care for unexpected illnesses or injuries. However, coverage for pre-existing medical conditions or ongoing prescription medications is limited unless specified in the policy. Read your policy carefully and consider a plan that offers a waiver for pre-existing conditions.

How early before my trip to South Africa should I arrange travel insurance?

It is advisable to purchase travel insurance soon after booking your trip. Early purchase protects you against trip cancellations or changes, plus ensures coverage for unforeseen events that may arise before your departure to South Africa.

A. Fruchard
A. Fruchard
Insurance expert
HelloSafe
Co-founder of HelloSafe and an experienced entrepreneur in the insurance and personal finance sector, Antoine uses his experience and in-depth knowledge of the market to help Internet users make the right choices. With an MBA in economics, he is a committed expert whose mission is to make personal finance and insurance issues simple and understandable. With a rich career marked by the creation of innovative companies, Antoine's ambition has always been to bring transparency to complex issues and to give power back to consumers. With HelloSafe, he continues to translate this vision by providing accurate advice, impartial comparisons and detailed explanations of travel insurance. He has analysed hundreds of contracts to reveal the best options available on the market.

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