Residing or Retiring in Mexico

If you plan to live or retire in Mexico, consult a Mexican consulate on the type of long-term visa required. As soon as possible after you arrive in the place you will live, it is a good idea to register with the U.S. Embassy or the nearest U.S. consulate or consular agent. You may register on line at https://travelregistration.state.gov.

If you wish to register in person, bring your passport or other identification with you. Registration makes it easier to contact you in an emergency. (Registration information is confidential and will not be released to inquirers without your express authorization.)

For further information concerning entry and visa requirements, travelers may contact the Embassy of Mexico at 1911 Pennsylvania Avenue NW, Washington, DC 20006, phone (202) 736-1000, Internet site: http://portal.sre.gob.mx/usa/ or any Mexican consulate in the United States.

Returning to the United States – Caution!

Make certain that you can return to the United States with the proof of citizenship that you take with you. Although some countries may allow you to enter with only a birth certificate, U.S. law requires that you document both your U.S. citizenship and identity when you re-enter the United States.

The best document to prove your U.S. citizenship is a valid U.S. passport. Other documents that establish U.S. citizenship include an expired U.S. passport, a certified copy of your birth certificate, a Certificate of Naturalization, a Certificate of Citizenship, or a Report of Birth Abroad of a U.S. citizen. To prove your identity, either a valid driver's license or a government identification card with a photo is acceptable.

The following frequently-cited documents are NOT sufficient proof to enter the United States: US driver's license alone, Social Security Card, US military ID, a non-certified photocopy of a US birth certificate, a notarized Affidavit of Citizenship signed at the airport in the U.S., or even a voter's registration card. Travelers with only these documents may not be able to enter the U.S.

Without proof of both identity and citizenship, the traveler will not be allowed to board an airplane to the U.S. The airline faces a fine of $3,300 if a passenger that the airline boarded is not admitted to the U.S., and in addition the airline must bear the cost of flying the passenger back to the point of departure. Because of these penalties, most airlines will not board anyone – including probable U.S. citizens – without proof of citizenship and identity.

Health

Health problems sometimes affect visitors to Mexico.

For the most current information on immunizations and heath risks, the Centers for Disease Control and Prevention (CDC) maintains an international travelers hotline at 1-888-232-3228 and a travel health home page at http://www.cdc.gov/travel.

For information about outbreaks of infectious diseases abroad, consult the World Health Organization's web site at http://www.who.int/en. Further health information for travelers is available on the World Health Organization's International Travel and Health page at http://www.who.int/ith.

Immunizations are recommended against typhoid, hepatitis A and hepatitis B. Booster shots for tetanus-diphtheria and measles are also recommended. For visitors coming directly from the United States, no immunization certification is required to enter Mexico. If you are traveling from a part of the world infected with yellow fever, a vaccination certificate is required.

Malaria is found in some rural areas of Mexico, particularly those near the southwest coast. Travelers to malarial areas should consult their physician and take the recommended dosage of chloroquine, mefloquine (Lariam™), doxycycline, or atovaquone/proguanil (Malarone™) or other anti-malarial medication. Although these preventative drugs are not considered necessary for travelers to the major resort areas on the Pacific and Gulf coasts, travelers to those areas should use insect repellent and take other personal protection measures to reduce contact with mosquitoes, particularly from dusk to dawn when malaria transmission is most likely. Wear long-sleeved shirts, long pants, and hats, and, use insect repellents that contain DEET.

Air pollution in Mexico City is severe. It is most dangerous during thermal inversions that occur most often from December to May. Air pollution plus Mexico City's high altitude are a particular health risk for the elderly and persons with high blood pressure, anemia, or respiratory or cardiac problems. If this applies to you, consult your doctor before traveling to Mexico City.

In high altitude areas, such as Mexico City, most people need a short adjustment period. Spend the first few days in a leisurely manner, with a light diet and reduced intake of alcohol. Avoid strenuous activity, including everything from sports to rushing up the stairs. Reaction signs to high altitude are lack of energy, a tendency to tire easily, shortness of breath, occasional dizziness, and insomnia.

Drink only bottled water or water that has been boiled for 20 minutes. Beware of ice cubes that may not have been made with purified water. Vegetables and fruits should be peeled or washed in a purifying solution. If you can't peel it or cook it, do NOT eat it. Don't eat food purchased from street vendors. Don't eat dairy products unless you know for a fact that they have been pasteurized. Diarrhea sufferers may benefit from anti-microbial treatment that may be prescribed or purchased over the counter. Travelers should consult a physician, rather than attempt self-medication, if the diarrhea is severe or persists several days.

It is wise to review your health insurance policy before you travel.

In some places, particularly at resorts, medical costs can be as high or higher than in the United States. U.S. medical insurance plans seldom cover health costs outside the United States unless supplemental coverage is purchased. Further, U.S. Medicare and Medicaid programs do not provide payment for medical services outside the United States. However, many travel agents and private companies offer insurance plans that will cover health care expenses incurred overseas, including emergency services such as medical evacuations. If your insurance policy does not cover you in Mexico, it is strongly recommended that you purchase a policy that does. Short-term health insurance policies designed specifically to cover travel are available.

Medical facilities in Mexico differ from those in the United States. Adequate medical care can be found in all major cities. There are some excellent health facilities in Mexico City. Some remote areas or coastal islands may have few or no medical facilities. For these reasons, in addition to medical insurance that you can use in Mexico, consider obtaining insurance or joining a medical assistance program to cover the very high cost of medical evacuation in the event of an accident or serious illness. As part of the coverage, these programs usually offer emergency consultation by telephone. They may refer you to the nearest hospital or call for help on your behalf; they may translate your instructions to a health care worker on the scene. The cost of medical evacuation coverage is minimal for a trip of 30 days. Without this insurance, medical evacuation can cost thousands of dollars.

When making decisions regarding health insurance, consider that many foreign doctors and hospitals require payment in cash prior to providing service and that medical air evacuation to the U.S. may cost over $50,000. Uninsured travelers who require medical care overseas often face extreme difficulties. When consulting with your insurer prior to your trip, please ascertain whether payment will be made to the overseas healthcare provider or whether you will be reimbursed later for expense that you incur. Some insurance policies also include coverage for psychiatric treatment and for disposition of remains in the event of death.

If you become seriously ill, U.S. consular officers can assist in finding a doctor and in notifying your family and friends about your condition.

Useful information on medical emergencies abroad, including overseas insurance programs are listed in our publication, Medical Information for Americans Traveling Abroad, accessible at our Internet site at http://travel.state.gov/.

The U.S. government cannot pay to have you medically evacuated to the United States.

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