U.S. State Dept. Facilities for tourism are not fully developed. U.S. citizens need a passport and can obtain entry permission at border points of entry. Health facilities in the Former Yugoslav Republic of Macedonia are limited.
Medicines are in short supply.
Doctors and hospitals usually expect immediate cash payment for health services. U.S. medical insurance is not always valid outside the United States. Travelers have found that in some cases, supplemental medical insurance with specific overseas coverage has proved to be useful. Emergency police assistance can be obtained by dialing 92. Response time varies, but is generally considered to be effective.