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Holiday Insurance for Costa Rica
Holiday insurance for Costa Rica is essential for UK travellers to cover high private medical costs and potential emergency repatriation. Most standard policies include cover for medical emergencies, trip cancellation, and lost baggage as long as you declare all pre-existing conditions. This guide explains how to find the right level of protection for your trip to Central America. We cover local healthcare costs, adventure activity coverage, FCDO advice, and how to make a successful claim.



Key facts
- Typical cost range
- £25-£65 per person for a typical 2-week trip (UK-priced 2026)
- Medical cover recommendation
- Minimum £2 million for Central America
- FCDO status
- Generally safe; check gov.uk for latest crime/weather alerts
- GHIC validity
- Not valid; Costa Rica is outside the UK/EU agreement
- Policy type needed
- Worldwide (usually excluding USA/Canada)

TL;DR
UK travellers to Costa Rica need worldwide holiday insurance to cover high private medical costs and adventure activities. Ensure you declare all medical conditions and check that your policy includes any planned sports like zip-lining. Always follow FCDO advice to keep your cover valid and keep receipts for any local expenses.
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Why you need holiday insurance for Costa Rica
While Costa Rica is a popular destination for British wildlife lovers and surfers, the cost of private healthcare for tourists is high. There is no reciprocal healthcare agreement between the UK and Costa Rica, meaning your Global Health Insurance Card (GHIC) is not valid here. If you fall ill or have an accident, you will likely be treated in a private facility in San Jose, where costs can quickly escalate into the tens of thousands of pounds without adequate insurance. Furthermore, the distance from the UK means that emergency medical repatriation on a flight with a medical escort can cost over £50,000.
- Private hospital fees in San Jose are comparable to US prices
- No reciprocal health agreements exist for UK citizens
- High cost of emergency medical evacuation to the UK
- Protection against theft in tourist hotspots
- Cover for flight delays and cancellations on long-haul routes
What is typically covered
A standard comprehensive policy for Costa Rica should provide at least £2 million in medical cover, though many UK insurers now offer up to £10 million as standard. You will also be protected against financial loss if you have to cancel your trip due to unforeseen circumstances like illness or redundancy. Most policies include cover for your personal belongings, although you should check the single-item limit if you are carrying expensive camera gear for birdwatching or high-end smartphones.
- Emergency medical and surgical expenses
- 24-hour medical assistance helplines
- Cancellation and curtailment protection
- Baggage and personal money cover
- Personal liability insurance
- Legal expenses and advice
Common exclusions to watch out for
Insurance providers will not pay out for claims arising from undeclared pre-existing medical conditions. It is vital to be honest during the application process to ensure your policy remains valid. Additionally, many policies exclude incidents involving alcohol or illegal drugs. If you are planning to visit during the rainy season, check the wording regarding 'natural disasters' or 'acts of God', as some basic policies may limit cover for travel disruption caused by extreme weather events like hurricanes or tropical storms.
- Unlisted pre-existing medical conditions
- High-risk adventure sports without a premium add-on
- Incidents occurring while under the influence of alcohol
- Theft of unattended items in public places
- Travel to areas where the FCDO advises against all travel
Typical costs and pricing factors
The price of holiday insurance for Costa Rica depends on several factors, primarily your age, the duration of your stay, and your medical history. Because Costa Rica is outside of Europe, you will need a 'Worldwide' policy. Be aware that most insurers split worldwide cover into two categories: 'Worldwide including USA, Canada and the Caribbean' and 'Worldwide excluding' those areas. Costa Rica usually falls into the 'excluding' category, which is cheaper, but you must check the specific country list of your insurer to be certain.
Activity-specific considerations
Costa Rica is the world capital for adventure tourism, including zip-lining, white-water rafting, and scuba diving. Standard UK holiday insurance often excludes these 'high-risk' activities. Before you travel, verify that your policy includes an 'Adventure Sports' or 'Action' pack that specifically lists the activities you intend to do. If you are surfing, ensure your board is covered for theft or damage, as many policies exclude sports equipment while it is in use.
Claims and evidence requirements
To make a successful claim, you must provide documented evidence to your insurer. If you are a victim of theft, you must report it to the local 'Organismo de Investigacion Judicial' (OIJ) within 24 hours and obtain a written police report. For medical claims, keep all receipts, invoices, and medical reports. Always contact your insurer's 24-hour emergency line before agreeing to any major surgery or expensive treatments, as they may want to direct you to a specific preferred hospital.
FCDO advice and regulatory context
The Foreign, Commonwealth and Development Office (FCDO) provides essential safety updates for Costa Rica. Most UK insurance policies are only valid if you follow FCDO advice. If the FCDO advises against travel to a specific region and you go anyway, your cover will likely be void. British insurers are regulated by the Financial Conduct Authority (FCA), and if you feel a claim has been unfairly rejected, you have the right to take your case to the Financial Ombudsman Service (FOS) after exhausting the insurer's internal complaints process.
Practical travel insurance checklist
Before departing for San Jose or Liberia airport, ensure you have completed these final steps to secure your coverage. Having your documents organised can save significant stress during a medical emergency in a foreign country.
- Check that your policy covers the entire duration of your trip
- Print a physical copy of your policy summary and emergency number
- Confirm your 'Worldwide' zone includes Costa Rica
- Declare every medical condition, no matter how minor
- Verify the excess amount you will have to pay on a claim
- Ensure your passport has at least one day of validity for your stay
Policy checklist
- Medical cover limit at least £2 million (£5m+ for long-haul)
- Cancellation limit covers the full cost of your trip
- Excess you'd be willing to pay per claim
- Activity list includes everything you've planned
- Age limits and medical screening completed
- Cruise / winter sports / golf extras if needed
Insurance disclaimer: This page is general guidance, not regulated financial advice. Cover, limits, excesses and exclusions vary by insurer and policy. Always read the policy wording.
Affiliate disclosure: Holiday Insured may earn a commission when you click through to a provider and buy a policy. This does not affect what you pay or which policies we describe. Read our full affiliate disclosure.
Related guides
Frequently asked questions
Plain English answers to common holiday insurance questions.

Sources and further reading
Sources are independent UK authorities. Holiday Insured is not affiliated with any of the bodies listed. Read our editorial policy.
Written by
Holiday Insured Editorial Team
Reviewed by
Josh T.
Last updated
12 June 2026
Read our editorial policy. This content is general guidance and not regulated financial or medical advice.