Recommended travel insurance for high-altitude trekking in Peru

If you’re planning to go trekking in Cusco — such as the Salkantay Trek, the Ausangate Trek, or the Inca Jungle Trek — your insurance must cover two key things:

👉 altitude and
👉 rescue/medical evacuation in remote areas.

On Salkantay, for example, the highest point reaches approximately 4,650 m (15,255 ft) — which already exceeds the limit of many standard travel insurance policies.

Below is a complete guide to choosing the right insurance plan ✅🏔️

1️⃣ The Minimum It Must Cover (The Essentials)

✅ A. Maximum Altitude Covered (With Margin)

Look for coverage above 4,650 m, ideally up to 5,000–6,000 m.

Why leave a margin?

  • Some routes or detours may go slightly higher.
  • It’s safer not to sit exactly at the limit (where insurers can be strict).

Examples for reference:

🌍 World Nomads
Often indicates trekking/hiking coverage up to 6,000 m, depending on the plan and options selected.

🧾 Allianz
In some “Adventure Travel” versions (varies by country), mentions trekking/hiking between 3,000 and 6,000 m without technical equipment.

🔎 Important tip:
If the policy only covers “up to 3,000 m” (very common), it is not suitable for Salkantay.

✅ B. Medical Evacuation & Rescue in Remote Areas 🚑

This is the most important element after altitude.

It must include:

  • Emergency evacuation to an appropriate medical facility
  • 24/7 emergency assistance

Repatriation if necessary

⚠️ Read the fine print:
Some policies cover medical expenses but impose strict conditions on evacuation — or exclude it entirely.

✅ C. Adventure Activities / Trekking Coverage

The policy must clearly state it covers:

  • Trekking / hiking / mountain hiking
  • That it is not excluded as an “extreme sport”

Some policies only cover trekking if:

  • No ropes or technical gear are used
  • The route is recognized
  • Certain conditions are met

Always check the “adventure activities” section carefully.

✅ D. High Medical Coverage Limits

Practical recommendation:
Choose coverage in the tens of thousands (or more) for medical emergencies.

Hospitalization or evacuation in remote areas can be expensive.

2️⃣ Extra Coverage Worth Considering

✅ Trip Interruption / Cancellation

Useful if:

  • You get sick before starting the trek
  • Weather forces changes
  • You must return early

✅ Equipment / Baggage Coverage

Not critical, but helpful if you lose:

  • Backpack
  • Camera
  • Phone

3️⃣ Common Mistakes (And How to Avoid Them) ❌

❌ “My credit card already includes insurance.”

Sometimes yes, but it may:

  • Have low limits
  • Exclude trekking
  • Exclude high altitude

✅ Solution: Download the official policy PDF and search for:

  • “Altitude limit”
  • “Trekking”
  • “Hiking”
  • “Adventure sports”

❌ Not Checking the Altitude Limit

Many standard travel insurance policies stop at 3,000 m.

That does not cover routes like:

  • Salkantay Trek
  • Ausangate

❌ Assuming “Trekking” Covers Any Trek

Some policies only cover trekking:

  • Without technical equipment
  • On established trails
  • Up to a specific altitude
  • Always read the exclusions.

4️⃣ Insurance Companies That Often Offer High-Altitude Trekking Options (Examples)

There is no “best for everyone.” It depends on:

  • Your country of residence
  • Age
  • Trip duration
  • These examples show what to look for:

🌍 World Nomads

  • Trekking/hiking coverage
  • Option up to 6,000 m (depending on plan)
    ✔️ Popular among adventure travelers

🧾 Allianz

  • “Adventure” versions in some countries
  • Trekking without technical gear up to certain altitudes
    ✔️ Suitable for those who prefer major insurers

🌐 SafetyWing

  • Popular among long-term travelers
  • Adventure/altitude coverage depends on plan or add-on
    ✔️ Useful for extended multi-country trips

📌 Important:
Products vary by country and plan. Always confirm details in the official policy document.

5️⃣ Quick Checklist (Copy This) ✅

Before paying, confirm your policy states:

✔ Trekking/Hiking covered
✔ Maximum altitude ≥ 5,000 m (ideally 6,000 m)
✔ Evacuation and repatriation included
✔ 24/7 emergency assistance
✔ High medical coverage limits
✔ Valid in Peru (Cusco region)
✔ No requirement for technical equipment (if you’re not doing technical climbing)

6️⃣ Mini Recommendation by Travel Type 🎒

  • Short trip (Salkantay / Inca Jungle only):
    → Choose an “Adventure” plan with altitude ≥ 5,000–6,000 m + evacuation.
  • Doing rafting, ziplining, or biking as well:
    → Make sure those activities are included or add the corresponding adventure package.
  • Long South America trip:
    → A “long-stay” or “nomad” plan may be suitable — but double-check altitude and rescue coverage carefully.

🏔️ Final Thought

For trekking in Cusco, the right insurance isn’t the cheapest — it’s the one that truly covers:

✔ Real altitude
✔ Rescue in remote areas
✔ Trekking activity

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