After years of experience and research, here are the current best trekking travel insurance options for high-altitude hiking and expeditions covering your required altitude caps.
So, you’re planning an epic adventure, trek, or expedition, and you’ve just found out that your regular travel insurance won’t cover you above a certain altitude.
Yep, I’ve been there too.
It turns out that finding quality travel insurance that covers adventure sports like mountaineering or trekking at high altitudes is quite difficult. That’s because most regular & long-term travel insurance companies will void coverage above a certain altitude– usually in the range of 4,500-5,000 meters (14,760-16,400 feet).
Not convinced? Read the small print!
Update: Over the past few years, there have been dramatic changes in the price and availability of these policies due to numerous helicopter scams and claims in Nepal. More info below…

Overview: Best High Altitude & Trekking Travel Insurance & Current Updates
| Provider | Type | Max altitude | Helicopter evac | Price signal |
|---|---|---|---|---|
| Global Rescue + High-Altitude Package | Rescue/evac membership | No cap (air to ~7,010 m) | Yes, direct-billed | From US$139 + US$495 add-on |
| World Nomads Epic (US residents) | Full travel insurance | 8,000 m | Yes, if medically necessary | ~US$256 / week |
| World Nomads Explorer | Full travel insurance | 6,500 m | Yes, if medically necessary | ~US$140 / week |
| Garmin SAR High Altitude | SAR reimbursement (needs inReach) | No cap | Reimburses up to US$100k | US$999.95 / year |
| SafetyWing + Adventure Sports | Travel medical | 6,000 m | Evac yes, search & rescue no | ~US$10 / 4 weeks add-on |
| Austrian Alpine Club (non-US) | Membership: worldwide mountain rescue | No altitude limit | Yes, mountain rescue | Low annual fee |
| Heymondo (companion policy) | Travel medical, pair with a rescue plan | 5,000 m | Yes | Quote-based |
Know your trek and the altitude you'll reach? Use our free calculator to work out the best current insurance policy for your trip. Three quick questions on altitude, gear and cover, and it surfaces the options that actually fit.
In summary, there are five main options I'd consider for trekking and adventure sports above 4,500 m. Four of them I've used myself; the fifth, the Austrian Alpine Club, is a new one I was recently introduced to by a European. It requires a non-US passport. The table above breaks them down at a glance, and I cover each one in detail below.

Verdict: After trying several coverage options for long treks and expeditions in the Nepal Himalayas, Tanzania, and South America, I've concluded that Global Rescue still offers the best coverage for my trips at the best price.
That said, the best rescue and travel insurance for you will depend heavily on your trip specifics and destination—whether you're tackling the Everest Base Camp Trek in Nepal, the K2 Base Camp in the Karakoram, or exploring the peaks of the South American Andes.
Note: I'll break down each option below. I update this regularly, but always check the policy details yourself as things can change fast.
1. Global Rescue Membership
Global Rescue offers arguably the most popular and best-value rescue memberships on the high-altitude and trekking scene. There's a reason why most of the major expedition companies and travel agents in Nepal recommend this plan to their clients.
As part of their Travel Services membership, they provide coverage for:
- Worldwide Field Rescue - deployable teams standing by to rescue members in dangerous or remote environments
- Medical Evacuation - deployable medical teams capable of transporting members back to their home country hospitals anywhere in the world
- Medical & Security Advisory - Global Rescue's staff includes paramedics, nurses, and military special operations veterans who are on-call to advise on security and provide virtual medical assistance in an emergency
- Other travel assistance services - including visa and passport, hospital referrals, translation services, logistics management, and coordination
While this rescue and evacuation insurance for trekkers used to have no altitude cap, you now need to add the "High Altitude Evacuation" once you step above 15,000 ft (4,600 m). As of 2026 that add-on costs US$495 for an individual and US$995 for a family, on top of a membership that starts around US$139. One honest caveat: helicopters generally can't fly a rescue above about 23,000 ft (7,010 m), so above that the first leg is a ground evacuation. For trekking peaks and base camps, though, it covers you with no altitude cap.
Memberships are available on an annual or short-term basis (7, 14, or 30 days), which makes this plan very flexible and affordable. Global Rescue raised prices again on April 1, 2026, so if you're doing more than one hiking trip per year, I believe it's now worth getting the annual plan.
Get a Quote: Global Rescue
Important: Keep in mind that a Global Rescue membership is not a traditional travel insurance plan. This means that you won't be covered for things like trip cancellations, delays, baggage, or emergency medical and dental.
However, they do offer an add-on travel insurance policy with IMG (IMG Signature Travel Insurance), which will cover all of these things, on top of your high-altitude coverage and rescue/evacuation coverage.
Alternatively, a cheaper option is to consider an affordable general travel insurance provider like HeyMondo to complement your Global Rescue membership. HeyMondo offers insurance up to 5,000 meters in altitude and has an excellent Travel Assistance App available 24/7.
Student discount: Global Rescue offers student membership discounts which is great if you're taking a gap year or semester abroad.

2. World Nomads Epic Policy (New)
World Nomads is the traditional travel insurer I've recommended longest for adventure trips, and it's what I ran my own annual policies on when I first started traveling full-time. For years there was one catch: altitude.
Their top plan covered most treks, then quietly capped out right where the serious high-altitude stuff begins, so I'd always tell people to read the activities list twice before buying.
That's been fixed. US residents now get a dedicated high-altitude tier called Epic, and it covers trekking and mountaineering up to 8,000 m (26,247 ft). That's the highest altitude cap I've found on a regular travel insurance policy, and it's enough for almost any trekking peak short of an 8,000er summit push.
Here's how the three US plans stack up on altitude:
- Standard: trekking to 6,000 m (19,685 ft), but mountaineering only to 3,000 m (9,842 ft)
- Explorer: trekking and mountaineering to 6,500 m (21,325 ft)
- Epic: trekking and mountaineering to 8,000 m (26,247 ft)
On price, the Epic plan came to about US$256 for a one-week trip when I last checked a sample quote (a 50-year-old's quote out of Texas, and World Nomads prices single trips age-neutral, so a 30-year-old pays the same). Explorer was roughly US$140 for the same week. It scales with trip length and shifts a little by home state, so run your own dates for an exact figure.
What you get on Epic is a full travel insurance policy rather than a rescue membership: US$250,000 in emergency medical (altitude sickness included), US$700,000 in medical evacuation, US$15,000 trip cancellation, plus baggage, travel delay, and stolen-card cover. That medical limit also gives you a solid backstop against evacuation costs if something goes wrong high up.
One honest heads-up for Nepal. World Nomads runs a "pay and claim" model, so you front the cost and claim it back, and after the helicopter-fraud crackdown in the Khumbu their assistance team is strict about pre-authorization. Call them before you accept a chopper, not after. It's also why, for anything above Base Camp, I still pair a World Nomads policy with a Global Rescue membership that direct-bills the rescue.
Get a Quote: World Nomads Adventure Policies
Important regional note: Epic and the annual multi-trip plan are US-resident only. If you're in Australia, the UK, New Zealand or Canada, World Nomads runs just Standard and Explorer with a hard 6,000 m (19,685 ft) ceiling, so for higher peaks you'll want Global Rescue or one of the alpine-club options below.

Disclaimer: I receive a fee when you get a quote from World Nomads using my links. I do not represent World Nomads. This is not a recommendation to buy travel insurance.
3. Garmin Search & Rescue Insurance (With A Supported Device)
Garmin isn't a company that you'd traditionally expect to provide travel insurance or high altitude Search and Rescue coverage.
However, this global tech giant now offers Search and Rescue (SAR) Insurance plans to those who own one of their compatible satellite communication devices like the popular and affordable InReach Mini.
Here are their policies:
- SAR 100: $39.95 - no high-risk activities, only trekking at low altitudes
- SAR HR: $299.95 - covers high-risk activities like base jumping and wingsuits, but frustratingly no hiking above 5,000 m
- SAR High Altitude: $999.95 - high-risk activities & no altitude caps.
Important: You need to use a Garmin device to call the helicopter evacuation or search and rescue team. Because of this, the basic coverage is very cheap.
The way that this policy works is that Garmin will cover financial reimbursement of up to $100,000 USD for qualified search and rescue-related expenses (usually more than enough for heli-evac) when you use your Garmin satellite device for SOS, resulting in the Garmin IERCC coordinating your rescue.

Unfortunately, the basic policy for $39.95 per year has an altitude cap of 5,000 meters. While we used to be able to get coverage with no altitude caps on the SAR High Risk ($299.95), this has now been capped to 5,000 m as well.
Instead, if you're planning to trek at altitude, you'll need the SAR High Altitude Annual Plan, which costs $999.95– now much more expensive than the Global Rescue yearly plan with the high altitude add-on.

While the Garmin SAR High Altitude policy covers all adventure sports from rock climbing in remote areas to BASE jumping, to wingsuits– it's very frustrating that it will now not cover any trek or high-altitude mountaineering expedition above 5,000 m since 2025.
In the past, I used the SAR High Risk policy for my trek up to Mera Peak in Nepal (6,476 m) and while I didn't have to activate it, it provided me with one of the most cost-effective trekking travel insurance policies for mountains above 6,000 meters. These days, I stick to Global Rescue.
Bonus: The InReach lets me stay in contact with family members with basic SMS messaging over satellite, anywhere on Earth.
4. SafetyWing with Adventure Sports Add-On (6,000 m cap)
SafetyWing is a favorite among digital nomads for its affordable, flexible travel medical insurance. It’s very popular for long-term travelers, covering a wide range of general medical needs and I've been using them for years.
More recently, they introduced an Adventure Sports add-on, and surprisingly, it now covers mountaineering up to 6,000 meters. That’s huge for trekkers tackling popular routes like Kilimanjaro or the Andes, where altitude coverage is usually hard to find at this price point. SafetyWing now splits its cover into an Essential and a Complete plan, and the Adventure Sports add-on runs about US$10 per 4 weeks on Essential. Without it, anything at or above 4,500 m isn't covered, so it's on you to remember to tick the box.
Additionally, it's similar to a regular travel insurance policy, so you'll also get coverage for:
- Hospital treatment for illness or injury (inpatient and outpatient)
- Emergency medical evacuation to the nearest suitable facility
- Repatriation if needed for medical reasons
- Emergency dental treatment
- Ambulance and emergency transport
Note: I haven’t personally made a claim with SafetyWing for high-altitude rescue, but after reaching out to Carl from their support team, I was assured that helicopter rescues are covered with the Adventure Sports add-on. Still, it’s worth double-checking yourself as "search and rescue" is not covered, and there is a fine line between what is considered an evacuation and a search and rescue mission.
That said, if your trek stays under 6,000 meters, and you trust their sales team this is one of the most affordable options out there. Personally, I'm only adding this option as "technically" it is a sound option, but I wouldn't leave it up to the insurance company and personally stick with Global Rescue until proven otherwise.
Get a Quote: SafetyWing

5. Austrian Alpine Club Membership (Best for Non-US Trekkers)
Quick honesty note: this is the only option on the list I haven't personally used. But if I were trekking on a non-US passport, it's the first one I'd research, and here's why.
The Austrian Alpine Club (ÖAV) is the one I'd point most international trekkers to. Membership includes worldwide mountain rescue with no altitude limit for the first eight weeks of any trip, it's open to people living outside Austria, and it's cheap next to a dedicated high-altitude policy. It covers rescue and repatriation rather than full trip insurance, so you pair it with a normal travel policy.
Other Options Worth Knowing
UK and EU residents can also look at True Traveller, whose Extreme activity pack removes the altitude limit for trekking. It's residency-restricted to the UK and Europe, so it's no help to Aussie or US readers, but for Brits heading to the Himalaya it's one of the better-value picks.
And if you just want a cheap, reliable companion policy to sit alongside a rescue membership, Heymondo covers you up to 5,000 m and has one of the best 24/7 assistance apps I've used. It won't get you over the high passes on its own, but it's the budget travel-medical layer I'd pair with Global Rescue.
Why High-Altitude Insurance Got So Expensive
High-altitude insurance got pricey for one reason: helicopter-rescue fraud in Nepal. Since at least 2018, some trekking outfits on routes like Everest Base Camp pushed unnecessary heli-evacuations for fat commissions, and Traveller Assist found 35% of the 1,600 rescues in mid-2018 were fraudulent. It came to a head in early 2026, when Nepal's Central Investigation Bureau charged 32 people over a roughly US$19.7 million fake-rescue racket.
The fallout for you: premiums have jumped, altitude cover now usually costs an add-on, and insurers scrutinize Nepal heli claims hard, so pre-authorization is stricter than it used to be. Budget for it, and check whether your policy direct-bills the rescue or makes you pay and claim it back.

Why Choose Trekking Insurance Over General Travel Insurance?
Let's face it, there's a reason why a regular backpacking travel insurance provider will void coverage the minute you step over a certain altitude. That is, things can go wrong in the mountains.
The last thing any trekker or mountaineer wants is to fall into debt after a costly helicopter evacuation mission. Trust me, speaking from personal experience, I've seen people fall ill with altitude sickness to the point that they required evacuation.
In fact, these issues are likely more common than you think and happen all the time on popular trails like the EBC, Three Passes, or the Machu Picchu Trek.
However, with one of the above trekking travel insurance policies or rescue memberships, you should be covered for any medical emergency or evacuation as long as it falls within their policy schedules.
And, most importantly of all, choosing a dedicated trekking travel insurance, you should be covered for emergency evac. Many insurance providers don't cover "search and rescue"– and as I mentioned above, what constitutes evacuation from a search and recovery mission is a bit blurry. Remember, it's your duty to read the PDS and make your own decisions based on your trip.
Best Travel Insurance for Trekking Up to 6,000 m
If you're planning a trek or mountaineering expedition up to 6,000 meters, then you have the option of picking either Global Rescue, Garmin SAR High Altitude (with a supported device), a World Nomads travel insurance policy, or a SafetyWing plan with the Adventure Sports add-on.
Both Global Rescue and Garmin SAR High Altitude offer great cover and do not have an altitude cap. However, World Nomads and Safetywing will void the insurance if you step above 6,000 meters, including personal accident cover.
Popular trekking peaks below 6,000 meters where these plans will have you covered include:
- Summit of Kilimanjaro (5,895 m)
- Pico de Orizaba (5,636 m)
- Misti (5,822 m)
- Carihuairazo (5,020 m)
- Yala Peak (5,700 m)
- Many accessible peaks in Bolivia
So, if you're really planning on staying under 6,000 meters of elevation, any of the above will do just fine. And if you're trekking on a non-US passport, the Austrian Alpine Club is worth a look here too, since its worldwide mountain rescue carries no altitude limit at all.

Everest Base Camp Travel Insurance
No, there's no such thing as specific travel insurance for the Everest Base Camp trek. However, just like above, any of the options above will have you covered for the EBC since the highest elevation that you'll likely reach will be at Kala Patthar (5,644 m).

Machu Picchu Travel Insurance
Unlike Nepal's EBC or the popular Annapurna Circuit, the Machu Picchu trail leads to a maximum elevation of just 4,215 meters (13,823 feet). As a result, you'll have a lot more options available to you regarding insurance that will cover you for the trek and your travels in Peru or South America.
World Nomads will be one of the most comprehensive offerings for your trip, but SafetyWing (more affordable) will also cover you since their elevation limit is 4,500 meters or 6,000 if you choose their "Adventure Sports" add-on.
If you also plan on trekking in the Andes, where you will find higher altitudes, then it might be a good idea to purchase one of the above three insurance policies.
Key Things to Look For in High Altitude Trekking Insurance
I've done tonnes of travel insurance research for my own expeditions and treks at high altitude. After over five years on the road, I also have a personal experience of being forced to make travel insurance claims.
My best advice is to simply read the product disclosure statement (PDS) or policy schedule document outlining everything that is covered, and everything that isn't covered in case of an accident.
Altitude Limits
The first thing you'll want to look for in travel insurance for trekking is the altitude limit wording.
This is sometimes hidden quite deep in the small print, so be vigilant! Furthermore, you'll want to check special conditions like the use of rope or ice axe on mountains. Sometimes, travel insurance companies will limit their coverage from technical ascents with these types of disclosures– even if the rope is there for extra safety!
Medical Coverage
Of course, when choosing an insurance policy for high altitude, you'll want to consider whether or not you need things like medical coverage, including overseas hospital cover and emergency care.
That's because non-traditional search and rescue or evacuation memberships like Global Rescue or Garmin's SAR High Altitude will not include this.
Instead, in the event of a medical evacuation, they will transport you back to your home country's hospital. This means, if you need to get medical treatment in the country of travel, you will need to pay for the fees.
This can be a good thing, especially in remote regions or countries without high-quality medical care facilities, and if you have hospital fees and medical expenses covered at home through your government or medical insurance plans.
Pre-Existing Medical Conditions
Lastly, practically all travel insurance companies will have some kind of specific requirements and wording regarding pre-existing medical conditions.
If you do have a pre-existing medical condition, ensure you review this section thoroughly, as some insurers may have a problem if altitude sickness, HACE, or HAPE cause complications with your existing heart, brain, or lung issues.

I hope that this short guide to trekking travel insurance for high-altitude adventures has helped you get the peace of mind you need for your next big trip! Of course, this article provides only general advice and it might be best to speak to insurance experts before making a call.
However, just remember that AMS or a simply twisted ankle can cost you a lot of money in evacuation fees– even if it's not a serious injury. Personally, I never embark on any expedition or adventurous activities without being covered for at least search and rescue or evacuation.
If this article has been helpful or if you discover any extra cover options for trekkers at high altitudes, help out by letting me know below! I update this guide yearly, so if you find some new policies, let me know below and I'll review them too!




Matt G
Thursday 26th of February 2026
SafetyWing refused to directly answer my question about doing the Great Silk Run in Bartang Valley in Tajikistan. I told them the dates, the route and the region. They have a vague section on expeditions and said they exclude "remote areas". When I asked they said that the region would be evaluated during a claim. Not good enough! They should be able to tell me "yes" or "no" about the activity and region I am going to. still shopping...
Olly Gaspar
Monday 23rd of March 2026
Hey Matt, yeah Safetywing is great but in my experience doing any expedition style trip these days I usually go for Global Rescue. If you do a lot of travel the yearly plan might be worth it. Check the PDS.
Sarah
Tuesday 3rd of June 2025
SafetyWing states they would NOT cover helicopter evac from Kilimanjaro.
Jolo Villanueva
Wednesday 26th of February 2025
Hi, I would have to add that contrary to what the Safety Wing agent you talked to told you, the agent I talked to told me that apparently they would not cover helicopter evacuations if you get a major injury while trekking because it would be considered “search and rescue” which they don’t cover. You will have to slog your way to the nearest settlement with road access for your Safety Wing policy to cover anything. Strange how this is the case even if they did confirm that they cover trekking and mountaineering/climbing up to 6000m even with the use of ropes.
Sally Samsara
Wednesday 18th of December 2024
I'm planning a EBC trek. World Nomads has been very squirrely when I try to pin them down: "will you or will you not heli evac from the mountain". Read their 10 page policy very carefully vs what they say on their website.
They wrote this to me Fall 2024: "The EMERGENCY EVACUATION coverage does not include coverage for evacuation from the point where you are sick or injured." That sounds useless for getting hurt or injured high on the EBC.
Sally Samsara
Wednesday 18th of December 2024
Thanks for this article. Fyi,, safetywings website is very non-responsive -- not a great 1st impression if you are trusting this company with your life. Clicks, if they even work take forever to load. Who underwrites them, do you know?