Compare rates and coverage to find the best travel insurance for your Italy trip. MoneyGeek analyzed top insurers to help you choose the right plan for cost and peace of mind.
Discover top plans for cost, protection and peace of mind for your Italy trip.
Updated: December 8, 2025
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Travelex Insurance Services offers the best overall travel insurance for Italy, combining affordability, reliability and strong medical limits.
Tin Leg and AXA Assistance USA provide strong options for seniors and adventure travelers visiting Italy.
Allianz Global Assistance excels for frequent travelers and families needing comprehensive coverage.
Travel insurance protects your Italy trip from medical emergencies, lost luggage and cancellations. MoneyGeek analyzed verified premium data and coverage limits from five leading insurers to identify the best plans for U.S. travelers.
All recommended plans meet Italy's Schengen Visa requirement of €30,000 minimum medical coverage for trips to Rome, Venice, Tuscany and beyond.
MoneyGeek compared cost, coverage limits, medical benefits and customer service scores across multiple providers. The companies below delivered the best balance of value and protection for U.S. travelers headed to Italy.
1 | Travelex Travel Basic | Not scored by MoneyGeek | $74 (7-day trip, age 35) | $50,000/$500,000 | 100%/125% of trip cost |
2 | Tin Leg Economy | 79 | $112 | $100,000/$500,000 | 100%/150% |
3 | AXA Assistance Silver | 88 | $85 | $100,000/$250,000 | 100%/125% |
4 | Allianz OneTrip Basic | 91 | $97 | $50,000/$250,000 | 100%/150% |
*Premiums verified from Italy and Schengen-region quotes for seven- and 14-day trips, ages 30 to 65.
All listed plans meet or exceed the Schengen Visa requirement of €30,000 in medical coverage ($33,000).
Travelex Travel Basic costs $74 for a seven-day, $3,000 Italy trip (age 35) and provides $50,000 medical coverage with $500,000 evacuation protection. It covers 125% of trip costs for interruptions and maintains strong financial stability ratings. Travelex's 24/7 assistance network operates throughout Italy and the Schengen region.
Travelers under 60 pay $70 to $80 for week-long Italy vacations. Travelex's combination of competitive pricing, comprehensive evacuation coverage, and responsive claims support makes it the safest overall pick for most Italy trips.
MoneyGeek Score: 79/100
Tin Leg's Economy plan provides $100,000 medical coverage, $500,000 evacuation protection, and 150% trip interruption reimbursement. Seniors over 65 can add an optional pre-existing condition waiver when purchasing within 15 days of their first trip payment.
Seniors over 60 pay $112 for week-long trips, or roughly 50% more than younger travelers. Tin Leg's higher medical limits and pre-existing condition waiver justify the premium with stronger protection and customer support designed for older travelers' needs.
MoneyGeek Score: 88/100
AXA Silver costs $85 for seven-day Italy trips and provides $100,000 medical coverage with $250,000 evacuation limits. Travelers hiking the Dolomites or skiing near Cortina d'Ampezzo benefit from AXA's broader adventure coverage, which includes activities most standard plans exclude.
AXA's coverage exceeds Schengen minimums and includes optional Cancel for Any Reason protection, giving travelers more flexibility during Europe's unpredictable travel seasons. The CFAR option refunds up to 75% of trip costs for cancellations that don't meet standard policy requirements.
MoneyGeek Score: 91/100
Allianz OneTrip Basic costs $97 for seven-day trips and covers 100% of trip cancellation costs with 150% trip interruption reimbursement. It includes rental-car damage protection and travel delay coverage as standard benefits.
Allianz's responsive 24/7 claims network handles multi-traveler itineraries efficiently. Families taking multiple international trips annually benefit from Allianz's streamlined claims process and comprehensive add-on options for children's travel delays and rental car protection.
Solo Traveler (under 40) | Travelex Travel Basic | Affordable coverage with strong core benefits |
Family with Children | Allianz OneTrip Basic | Family-friendly coverage for shared trip costs and child travel delays |
Seniors 60+ | Tin Leg Economy | High medical and evacuation limits with pre-existing condition waiver |
Adventure or Sports Travelers | AXA Silver | Covers hiking, cycling and light sports common in Italy |
Luxury Traveler/Extended Stay | Travelex Travel Select (optional upgrade) | Higher limits and CFAR option for longer, costlier trips |
All standard Italy policies include these core protections:
Trip cancellation and interruption reimburses prepaid expenses if illness, weather, or emergencies disrupt your trip. Plans cover 100% of cancellation costs and 100% to 150% of interruption expenses, depending on the provider.
Emergency Medical Coverage pays for treatment abroad. Most U.S. health plans don't cover international care, making travel medical insurance essential for Italy trips. Our recommended plans provide $50,000 to $100,000 in medical coverage.
Medical Evacuation and Repatriation transfers you to a qualified facility or your home country. Evacuation from rural Italian regions or islands can cost $50,000 to $100,000 without insurance. Our recommended plans provide $200,000 to $500,000 in evacuation coverage.
Baggage and Personal Effects covers loss or theft of luggage. Italy's major tourist destinations (Rome, Venice, Florence) see high rates of pickpocketing and luggage theft. Standard coverage reimburses $500 to $1,500 per bag.
Travel Delay or Missed Connection reimburses lodging and meals during long delays. Italian train strikes and airport delays are common, especially during summer travel season. Plans reimburse $100 to $200 per day for delay-related expenses.
Accidental Death and Dismemberment provides financial protection for serious accidents during your trip. Standard policies include $25,000 to $50,000 in AD&D coverage.
Confirm medical coverage of at least €30,000 ($33,000) to meet Schengen visa requirements. U.S. citizens visiting Italy for under 90 days don't need a visa, but carrying proof of insurance that meets these minimums is recommended.
For mountain or island travel, choose plans with at least $250,000 evacuation coverage. Medical transport from Sicily, Sardinia or the Dolomites to major hospitals in Rome or Milan can exceed $100,000.
Adventure-sports coverage is useful for activities such as skiing, scuba diving or Vespa rentals. Standard policies exclude these activities. Choose AXA Silver or upgrade your base plan if you'll participate in adventure sports.
Lost luggage in Rome | Baggage reimbursement | All plans (standard) | $500–1,500 per bag |
Train strike causes 8-hour delay | Meals and lodging | Allianz OneTrip Basic | $100–200 per day |
Broken ankle hiking Cinque Terre | Medical treatment + evacuation | Tin Leg Economy | Up to $100K medical + $500K evac |
Skiing accident in Dolomites | Adventure sports coverage | AXA Silver | Up to $100K medical + sports coverage |
COVID positive, can't fly home | Trip interruption | Travelex Basic | 125% of remaining trip cost |
Vespa rental accident | Medical + liability | AXA Silver (with add-on) | Up to $100K medical |
Family emergency requires early return | Trip interruption | Tin Leg Economy | 150% of unused trip cost |
Food poisoning requires hospital visit | Emergency medical care | All plans (standard) | $50K–100K medical coverage |
Trip cancellation due to illness | Pre-existing conditions (without waiver) | Pre-existing conditions (with waiver) |
Emergency medical care | Routine medical care | Cancel for Any Reason |
Medical evacuation | High-risk sports (climbing, paragliding) | Adventure sports coverage |
Lost or stolen baggage | Losses due to illegal activities | Rental car damage |
Travel delays (strikes, weather) | Known events before purchase | N/A |
Accidental death and dismemberment | Alcohol/drug-related incidents | N/A |
Missed connections | Pandemic-related (varies by policy) | Some COVID coverage available |
Travelex Basic | Yes | $500,000 | Optional |
Tin Leg Economy | Yes | $500,000 | Optional |
AXA Silver | Yes | $250,000 | Optional |
Allianz OneTrip Basic | Yes | $250,000 | Not Standard |
All five plans exceed Schengen medical minimums, allowing visa applicants to submit these policies as proof of coverage.
Our verified pricing data shows premiums equal 4% to 8% of total trip cost, with age and trip length being the largest factors.
25–35 | $70–80 | $90–110 | $110–130 | Travelex Basic (value) |
36–50 | $70–85 | $90–110 | $110–130 | Travelex Basic (value) |
51–64 | $85–105 | $105–125 | $125–145 | Travelex Basic (balanced) |
65+ | $110–150 | $135–175 | $155–195 | Tin Leg Economy (seniors) |
*Based on verified quotes from five major insurers for Italy trips
Seven-day trips cost $20 to $40 less than 14-day trips for the same coverage. Seniors aged 65 and older pay about 50% more than travelers under 40 due to higher medical risk factors.
Traveler Age | Seniors 65+ pay around 50% more than travelers under 40 | Age 35: $74 vs. Age 65: $112 (same coverage) |
Trip Cost | Higher trip values increase premiums proportionally | $3,000 trip: $58-74 vs. $6,000 trip: $110–150 |
Trip Length | Each additional week adds $20-40 to premium | 7 days: $74 vs. 14 days: $95-115 |
Coverage Add-Ons | CFAR adds 10-40% to base premium | Base: $74 vs. With CFAR: $85-104 |
Destination Risk | Multi-country Schengen trips add 5-15% | Single-city Italy: $74 vs. Multi-country: $78-85 |
Most travel insurance plans exclude pre-existing medical conditions unless you purchase a waiver. A pre-existing condition is any illness, injury or medical condition for which you received treatment, diagnosis or medication within 60 to 180 days before buying your policy. Travelers with special health considerations, including pregnancy, should verify coverage details before purchasing.
Tin Leg Economy | Within 15 days | 180 days | Diabetes, heart disease, high blood pressure, asthma |
Travelex Basic | Within 14 days | 60 days | Most chronic conditions (verify specific condition) |
AXA Silver | Within 14 days | 90 days | Most chronic conditions with physician approval |
Allianz OneTrip | Within 14 days | 60 days | Limited conditions (restrictive terms) |
Seniors and travelers with chronic conditions should prioritize plans with pre-existing condition waivers and confirm their specific conditions are covered under the waiver terms.
Prices vary across providers. Get quotes from at least three insurers. MoneyGeek's analysis shows premiums for identical coverage can differ by $20 to $40 between companies.
Urban visitors exploring Rome, Florence and Venice may need less evacuation coverage than outdoor adventurers hiking the Dolomites or visiting Sicily. Choose evacuation limits based on your destinations.
Cancel for Any Reason coverage refunds up to 75% of trip costs for cancellations that don't meet standard policy requirements. This option costs 10% to 40% more but provides maximum flexibility.
Buying within 14 days of your first trip payment activates pre-existing condition waivers and maximizes your coverage options. Waiting longer may exclude important benefits.
Ensure coverage applies to the Schengen area and includes Italy's major regions. Confirm your planned activities aren't excluded and your trip duration falls within policy limits.
Choose at least $50,000 medical coverage and $250,000 evacuation protection. Higher limits provide better protection but cost more. Match limits to your risk tolerance and destinations.
Travel insurance is optional for U.S. visits under 90 days but mandatory for Schengen Visa applications, which require at least €30,000 medical coverage. U.S. citizens don't need visas for short Italy trips but should carry proof of insurance meeting Schengen minimums.
Expect to spend 4% to 8% of your total trip cost. A $3,000 one-week Italy trip costs $55 to $80 to insure, while a $6,000 two-week trip costs $110 to $150. Seniors pay about 50% more than younger travelers due to higher medical risk.
Most U.S. health plans don't cover international care. Medicare doesn't cover medical expenses outside the United States, and private insurance provides limited or no coverage abroad. A dedicated travel medical policy is essential for Italy trips.
Evacuation coverage is essential for Italy trips, especially if visiting rural areas, mountains or islands. Medical transport from Sicily, Sardinia, or the Dolomites to major hospitals can cost $50,000 to $100,000. Choose plans with at least $250,000 evacuation coverage.
Buy travel insurance within 14 days of your first trip payment to activate pre-existing condition waivers and maximize coverage options. Waiting longer may exclude important benefits like CFAR coverage.
MoneyGeek's travel insurance rankings are 100% data-driven. Our analysts reviewed verified pricing and coverage data from leading insurers, including Travelex, Tin Leg, AXA, and Allianz. We receive no compensation for placement, ensuring independent and unbiased recommendations for travelers.
MoneyGeek collected premium and coverage data for Italy trips across ages 30, 50, and 65 for seven-, 10- and 14-day durations. Trip cost ranges: $3,000 to $6,000. Metrics included average premium, medical limit, evacuation limit, and trip interruption percent. All figures were verified using insurer filings and MoneyGeek's internal dataset.
About Mark Fitzpatrick
Mark Fitzpatrick, a Licensed Property and Casualty Insurance Producer, is MoneyGeek's resident Personal Finance Expert. He has analyzed the insurance market for over five years, conducting original research for insurance shoppers. His insights have been featured in CNBC, NBC News and Mashable.
Fitzpatrick holds a master’s degree in economics and international relations from Johns Hopkins University and a bachelor’s degree from Boston College. He's also a five-time Jeopardy champion!
He writes about economics and insurance, breaking down complex topics so people know what they're buying.
