COVID-19 Information

COVID-19 Information

Last updated:   01/11/22

***UPDATE: U.S. citizens who are overseas and whose passports expired on or after January 1, 2020 may be able to use their expired passports to return directly to the United States until March 31, 2022.  Please see the Department of State’s website: https://travel.state.gov/content/travel/en/international-travel.html for more information.

Starting December 6, all air passengers two years of age or older are required to show a negative pre-departure COVID-19 viral test result taken within one (1) day of travel to the United States prior to boarding, or documentation of having recovered from COVID-19 in the past 90 days before they board their flight.  This applies to all travelers, regardless of nationality or vaccination status – U.S. citizens, lawful permanent residents (LPRs), and foreign nationals.  Additional information may be found on the CDC’s website.

All non-citizen, nonimmigrant (not a U.S. citizen, U.S. national, lawful permanent resident, or traveling to the United States on an immigrant visa) airline passengers traveling to the United States, must continue to demonstrate proof of vaccination as defined by the U.S. Centers for Disease Control and Prevention (CDC) Director Order prior to boarding a U.S. bound aircraft. More details regarding what constitutes full vaccination are available on this page of the CDC website.

Passengers will need to show their vaccination status, and airlines will need to:

  • Match the name and date of birth to confirm the passenger is the same person reflected on the proof of vaccination.
  • Determine that the record was issued by an official source (e.g., public health agency, government agency) in the country where the vaccine was given.
  • Review the essential information for determining if the passenger meets CDC’s definition for fully vaccinated such as vaccine product, number of vaccine doses received, date(s) of administration, site (e.g., vaccination clinic, healthcare facility) of vaccination.

Airlines must deny boarding to passengers who do not meet these requirements or those who test positive for COVID-19.

Travelers may request a waiver to the testing and vaccination requirements by sending an email to ConsularSkopje@state.gov.  Please note there are very limited exceptions according to the CDC’s criteria.  For additional information or if you have specific questions, please contact your airline, and visit the CDC’s website.

Effective December 31, travel restrictions which suspended entry into the United States of noncitizens who had been physically present in Botswana, Eswatini, Lesotho, Malawi, Mozambique, Namibia, South Africa, and Zimbabwe during the 14 days prior to their entry are revoked, per Presidential Proclamation.  All Centers for Disease Control (CDC) orders pertaining to vaccination and testing requirements still apply.  For more information visit the White House website.

Country-Specific Information

  • The Centers for Disease Control and Prevention (CDC) has issued a Level 4 Travel Health Notice for North Macedonia due to COVID-19, indicating a very high level of COVID-19 in the country. The risk of contracting COVID-19 and developing severe symptoms may be lower if travelers are fully vaccinated with an FDA authorized vaccine.  Before planning any international travel, please review the CDC’s specific recommendations for fully vaccinated and unvaccinated travelers.
  • All travelers ages eighteen and older entering and exiting North Macedonia must provide one of the following documents:
    • Vaccination certificate with two doses of the COVID-19 vaccine;
    • Negative PCR test taken within 72 hours prior to travel;
    • Negative rapid antigen test taken within 48 hours prior to travel; or
    • Certificate of COVID-19 recovery issued within the previous 45 days, counting from the day of recovery.
  • Foreign travelers transiting through North Macedonia will be allowed to remain within the country borders up to five hours and must sign a statement collected by the Border Police.
  • Citizens of North Macedonia and foreign citizens ages eighteen and older entering and exiting the country without a COVID-19 vaccination certificate, PCR test, antigen test, or certificate of recovery from COVID-19 must quarantine at home for seven days at their own expense. The quarantine period can be shortened to five days after presenting a negative PCR test taken after day five.
  • Individuals over the age of eighteen entering Skopje International Airport terminals are only allowed inside the airport by presenting one of the following:
    • COVID-19 vaccination certificate;
    • Certificate or proof of having recovered from COVID-19 in the last 45 days, counting from the day of recovery;
    • Negative PCR test taken within the previous 72 hours; or
    • Negative rapid antigen test within the previous 48 hours.
  • Individuals inside the airport must follow the following preventive measures against COVID-19 applied in the airport terminal building:
    • Wear a protective mask at all times.
    • Maintain physical distance.
    • Disinfect hands frequently.
    • Use contactless technologies to complete airport procedures.

The Government of North Macedonia has updated measures regarding large indoor events and vaccination requirements.

  • On October 26, the Government of North Macedonia lifted the ban on all indoor celebrations inside catering facilities, including restaurants, cafeterias, bars, nightclubs, and other venues holding large events. These businesses may now operate at a 50 percent indoor capacity.
  • Facilities holding private events, including seminars, trainings, workshops, and conferences are allowed to host indoor events at a 50 percent capacity.
  • Beginning November 15, individuals over the age of eighteen must present either a COVID-19 vaccination certificate proving they have received two vaccine doses or proof of recovery from COVID-19 within the previous 45 days upon entry into catering businesses (i.e., bars, cafes, and restaurants), indoor shopping malls, casinos, betting shops, and other venues allowing large gatherings.
  • Other COVID-19 measures approved by the Government of North Macedonia in response to the evolving epidemiological situation remain in place:
    • On October 19, the government lifted the seating capacity per table for catering businesses (i.e., bars, cafes, and restaurants). These facilities will continue operating at a 50 percent indoor and outdoor maximum capacity, following all public health protocols.
    • All catering businesses with capacity for over 30 people are required to employ security guards to conduct verification checks for COVID-19 vaccination certificates and/or proof of COVID-19 recovery. Catering businesses with capacity of less than 30 people may allow employees (i.e., waiters, bartenders) to conduct the verification checks for the required documentation.
    • Outdoor events may be held using 50 percent of the capacity of the available space and a maximum capacity of 1000 attendees.
    • Catering facilities may host weddings, celebrations, and open-air parties outdoors in accordance with the 50 percent capacity guidance above.
    • Sporting venues may resume outdoor events with an audience.
    • Individuals are no longer required to wear masks or face coverings outdoors, except when gathering in large groups. Individuals must continue wearing a protective face covering in all closed or indoor spaces, including markets, shops, banks, post offices, health facilities, taxis, and public transport.
  • The government has mandated a 14-day quarantine period for all travelers arriving from India to prevent the spread of a COVID-19 variant identified in this country. The government will reassess this measure based on the epidemiological situation in the country.
  • On December 7, Parliament extended the nationwide state of crisis through June 30, 2022 to effectively manage state resources during the coronavirus pandemic.
  • Current statistics on COVID-19 in the Republic of North Macedonia are available in the Macedonian language from the Institute of Public Health’s webpage and the Minister of Health’s official Facebook page.

 COVID-19 Testing

  • Are PCR and/or antigen tests available for U.S. citizens in North Macedonia? Yes
  • If so, are test results reliably available within 72 hours? Yes
  • U.S. citizens may obtain a COVID-19 test from the health care providers and laboratories in North Macedonia listed below. Testing fees must be paid by each patient.  Prices range from 1,200 – 5,000 denars, depending on the lab and type of test, and are subject to change.  Fees are payable in cash or credit card.  Patients are advised to contact each testing location directly for current prices.
    • Acibadem Sistina Hospital, Skupi 5A, acibademsistina.mk tel: +389-2-3099-500, open 24/7.
    • Avicena Laboratory, Bul. 8 Septemvri, 2-1, avicenalab.com.mk, tel: +389-2-3179-001.
    • Biotek Laboratory, Vasil Gjorgov 12, bioteklab.com.mk, tel: +389-2-5300-898, +389-78-394-820.
    • Zan Mitrev Clinic, Bledski dogovor 8, zmc.mk, tel: +389-2-3091-500.
    • Public Health Institute, Virology Department, 50 Divizija, no. 6, iph.mk, tel: +389-2-3125-044.
    • Skopje Public Health Center, III Makedonska Brigada 18, cph.mk, tel: +389-2-3298-667.
    • Macedonian Academy of Arts and Sciences, Bul. Krste Misirkov 2, P.S. 428, manu.edu.mk, tel: +389-2-3235-400.
    • Institute of Forensic Medicine, Majka Tereza 19, tel: +389-2-3177-044.
    • Clinic of Infectious Diseases and Febrile Conditions, Majka Tereza 17, infektivnaklinika.mk, tel: +389-2-3228-224.
    • Gynecology and Obstetrics Clinic, Majka Tereza 17, tel: +389-2-3228-440.
    • Bitola Public Health Center, Partizanska, b.b., 7000 Bitola, cjzbt.org.mk, tel: +389-47-208-100.
    • Private Health Institution Laboratory for Molecular Diagnostics LAOR, 29 Noemvri nr. 1, 1200 Tetovo, tel: +389-75-273-746.
    • Re-Medika Hospital, 16th Makedonska Brigada, no. 18, remedika.com.mk/re-medika-first-private-general-hospital/, tel: +389-2-2603-100.
    • SynLab Laboratory, Mother Theresa 35, Vodnjanska, synlab.mk, tel: +389-2-3107-144.
    • Zan Mitrev Clinic COVID-19 Testing Center at Ohrid St. Paul the Apostle Airport, https://zmc.mk/en/covid19/skopje-ohrid-airport-covid-19-testing-point/, tel: + 389-2-3091-484.
  • Testing laboratories provide COVID-19 test results via email. No physician order is required, and patients may request testing on their own.  English translation of COVID-19 test results is available at an extra cost.
  • The CDC will consider individual waivers of the pre-flight COVID-19 testing requirement in exigent circumstances where emergency travel is required to preserve health and safety and where pre-departure testing cannot be accessed or completed before travel. Travelers may find more information about the waiver process for the CDC Order on pre-flight testing here.  A list of FAQs on this topic are available on the Department of State’s webpage.
  • Zan Mitrev Laboratory has set up COVID-19 testing centers during limited hours at Skopje International Airport and Ohrid St. Paul the Apostle Airport to administer rapid antigen tests and rapid PCR tests for SARS-CoV-2 for passengers traveling to EU member countries and Schengen area countries. Results will be available within 20-60 minutes, depending on the test.  The rapid antigen test costs 1,500 denars and the rapid PCR test costs 12,000 denars paid in cash or with credit card. U.S. citizens traveling to the United States should not rely on the availability of these tests to provide proof of negative testing to enter the United States.  Additional information can be found on Zan Mitrev Clinic official webpage.  Travelers should contact their airline or Zan Mitrev Clinic (contact information listed above) for more specific information about testing requirements and availability.
  • The Government of North Macedonia has published a list of contact numbers for the Institute of Public Health in Skopje and Public Health Centers located throughout the country. Travelers can access this list here.

COVID-19 Vaccine Information:

  • The Ministry of Health has set up vaccination sites in health centers, hospitals, and sporting venues located throughout the country to receive COVID-19 vaccines for all citizens and legal residents.
  • Has the Government of North Macedonia approved a COVID-19 vaccine for use? No
    • Although there has not been approval through formal channels, the Government of North Macedonia will allow use of COVID-19 vaccines under emergency import, allowed by the Law on Medications. The Ministry of Health has received various vaccines so far, including Sputnik V, Pfizer, AstraZeneca, and Sinopharm, to allow for mass vaccination of the public to begin, and anticipates additional deliveries in the coming months.
  • Are vaccines available in North Macedonia for U.S. citizens? Yes
    • COVID-19 vaccines are currently available to legal residents of North Macedonia at walk-in sites in health centers, hospitals, and sporting venues upon presentation of their government-issued identification card. To access the list of places offering COVID-19 vaccination visit https://kovid19vakcinacija.mk/.
    • COVID-19 vaccination will be conducted in accordance with the official vaccination strategy of the Government of North Macedonia.
    • On October 13, the Immunization Committee and the Minister of Health announced that booster shots (third dose) of the Pfizer-BioNTech vaccine are available to all eligible citizens (ages twelve and older) regardless of risk for COVID-19 exposure and underlying medical conditions.
  • Which vaccines are available in North Macedonia?
    • Citizens of North Macedonia and foreign citizens who are eligible for vaccination may receive one of several vaccines, including Sputnik V, Sinopharm, AstraZeneca, or Pfizer.
  • The Ministry of Health announced on August 4 the digital health app CommonPass is available to citizens of North Macedonia to document their COVID-19 status. Through this app, individuals can access COVID-19 lab results and vaccination records to satisfy country entry requirements.
  • The Ministry of Health has launched an online platform to keep citizens informed with up-to-date and reliable information about COVID-19 vaccines. The website contains resources in Macedonian and Albanian, including a list of Frequently Asked Questions.
  • Persons living and travelling in North Macedonia may monitor the official government COVID-19 website for more news and updates regarding vaccines in North Macedonia.
  • Information from the CDC regarding COVID-19 vaccination.

Entry and Exit Requirements

  • Are U.S. citizens permitted to enter? Yes.
    • The Ministry of Foreign Affairs publishes current entry and exit requirements on its official website.
  • Are there quarantine requirements for U.S. citizens arriving in North Macedonia? Yes
    • All travelers arriving from India are required to observe 14 days of mandatory quarantine upon arrival.
  • Is a negative COVID-19 test (PCR and/or serology) required for entry and exit? Yes
    • Effective September 1, all travelers ages eighteen and older entering and exiting North Macedonia must provide one of the following documents:
      • Vaccination certificate with two doses of the COVID-19 vaccine;
      • Negative PCR test taken within 72 hours prior to travel;
      • Negative rapid antigen test taken within 48 hours prior to travel; or
      • Certificate of COVID-19 recovery issued within the previous 45 days, including the first day of recovery.
    • Are health screening procedures in place at airports and other ports of entry? No
      • No health screening is in place at airports or the land borders. Please note this might change as the epidemiological situation in the country evolves.
    • Visa extensions for residents and/or tourists should be directed to the local police station. These requests will be reviewed and processed by the Ministry of Interior.  The official standard regulation can be accessed here:  mvr.gov.mk/upravni-rab/25.
    • Effective June 22, individuals accompanying international travelers can enter the Skopje and Ohrid airports while following all protective measures established by the airport authorities.

Movement Restrictions

  • Is a curfew in place? No
  • Are there restrictions on intercity or interstate travel? No

 Quarantine Information

  • Are U.S. citizens required to quarantine? Yes
    • The Government of North Macedonia has announced quarantine requirements for travelers arriving from India. All travelers arriving from India must quarantine for a 14-day period upon arrival to prevent the spread of a COVID-19 variant identified in this country.
    • U.S. citizens entering North Macedonia without a COVID-19 vaccination certificate, negative PCR test taken within 72 hours prior to travel, negative antigen test taken within 48 hours prior to travel, or a certificate of recovery issued within the previous 45 days must quarantine for seven days at their own expense. The quarantine period can be shortened to five days after presenting a negative PCR test taken after day five.
    • There are no quarantine requirements for travelers arriving from other countries. 

Transportation Options

  • Are commercial flights operating? Yes
  • Is public transportation operating? Yes
    • Persons using public transportation must follow all public health measures, such as wearing face coverings to prevent the spread of COVID-19.

Fines for Non-Compliance

  • Individuals must practice two-meter social distancing in public and wear a protective face covering in all closed public spaces, including markets, shops, banks, post offices, health facilities, and public transport.
    • Failure to wear a mask will result in a fine of €20.
  • Self-isolation is mandatory when testing for COVID-19, from the time the test is scheduled, through the testing date, and will continue until test results are reported. This self-isolation continues if the result is positive.  The duration of self-isolation for persons testing positive is 10 days for asymptomatic patients and 20 days for symptomatic patients.  Patients with questions should consult with local authorities and health care providers.
    • People who violate self-isolation will receive a fine of €50.

Consular Operations

  • U.S. Embassy Skopje is currently providing limited American Citizen Services, including passports, consular reports of birth abroad, consular reports of death abroad, and notaries. For assistance, please contact us at SkopjeACS@state.gov.
  • U.S. Embassy Skopje is processing limited immigrant and nonimmigrant visa services, including:
    • Immigrant visas in all categories;
    • K-1 fiancée visas;
    • Nonimmigrant visas in the C1D, F, M, J, E, O, P, R, H, L categories; and
    • Emergency or mission critical B1/B2 visas.
  • Visit our website https://mk.usembassy.gov/visas/ for more information or contact us at consularskopje@state.gov for assistance.

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