It is a protectorate of India. Facilities for tourism are limited. Tourists are admitted only in groups by prearrangement with Bhutan's Ministry of Tourism. A passport and visa are required. Medical facilities in Bhutan are limited.
Some medicine is in short supply.
Doctors and clinics often require immediate cash payment for health services. U.S. medical insurance is not always valid outside the United States. Supplemental medical insurance with specific overseas coverage, including medical evacuation, has proved helpful. However, some pickpocketing and purse snatching occurs. The loss or theft of a U.S. passport abroad should be reported immediately to local police and the nearest U.S. embassy or consulate.