A fifth month requires special approval. Penalties for overstaying a visa may include fines and imprisonment. Public demonstrations and strikes are popular forms of political expression in Nepal and may occur from time to time on short notice. These demonstrations are usually nonviolent and not directed towards foreigners. During general strikes, many businesses are closed, and transportation and city services are sometimes disrupted.
Medical care is extremely limited.
Doctors and hospitals expect immediate cash payment for health services. In general, U.S. medical insurance is not valid in Nepal. Supplemental health insurance which specifically covers overseas treatment and evacuation to the nearest adequate medical facility is useful. Petty crime, especially theft of personal property, is common and reports of minor sexual harassment are increasing. While acts of violent crime in Nepal are rare, several attacks against lone foreign trekkers have been reported.