Travel insurance for Adelaide and Australia is worth arranging before you fly into Adelaide Airport (ADL), and the picture depends partly on your nationality, because Australia has reciprocal health agreements with some countries but not others. Australia is a safe destination with excellent healthcare, but for visitors the costs of ambulances and private care, and the possibility of an expensive repatriation, make travel insurance worth having whatever your nationality.
Reciprocal health care agreements
Australia has Reciprocal Health Care Agreements with eleven countries, including the United Kingdom and New Zealand. If you are a resident of one of those countries, you can usually access some Medicare services for medically necessary treatment while in Australia, including free emergency treatment. Visitors from countries without an agreement, such as the United States, get no such cover and pay for all care. Either way, an agreement is not a substitute for travel insurance.
What the agreements do not cover
Even with a reciprocal agreement, Medicare does not cover everything. It does not cover treatment as a private patient or in a private hospital, ambulance transport, which can be expensive in Australia, dental care, or repatriation home. Those gaps are exactly what travel insurance fills, so a policy remains worthwhile even for eligible visitors, and it is essential for everyone else.
Choosing a policy
Read the medical, evacuation, and repatriation limits, then the exclusions, and confirm cover for ambulance transport and any activities you plan, such as diving, surfing, or outback travel. If you are heading to remote areas, confirm evacuation from those locations is included. Subscription-style cover such as SafetyWing suits long or multi-country trips, while a fixed per-trip policy is usually better value for a single visit. Buy the cover before you leave home, because most insurers will not sell or honour a policy once your trip has already started.

