Travel insurance for Tbilisi, Georgia, has become a formal requirement, so it is worth arranging before you travel rather than treating it as optional. Georgia is an increasingly popular destination in the Caucasus, easy to enter for most nationalities, but a rule change means insurance is now tied to entry, and the way its health system works makes cover genuinely important.
Insurance is now mandatory
As of 1 January 2026, health insurance is mandatory for foreign visitors entering Georgia, with a minimum coverage requirement of 30,000 Georgian lari that must cover your full period of stay. Georgia remains visa-free for most nationalities, but this insurance requirement applies alongside that, so buy a compliant policy for your whole trip before you arrive and keep proof with your documents.
Why cover matters here
Georgia's healthcare is effectively entirely private, and there is no public system that treats foreign tourists for free. The emergency ambulance number, 112, is free to call, but the treatment, hospitalisation, and surgery that follow are charged to the patient. Your EHIC or GHIC does not help, because Georgia is outside the EU system and has no reciprocal healthcare arrangement. Major Tbilisi hospitals, including the Evex network and MediClub Georgia, have English-speaking staff and accept international insurance, but usually only if you contact your insurer's assistance line first.
Evacuation and choosing a policy
Tbilisi has good private hospitals, but for a complex case or an incident in the mountains, evacuation can be needed. A helicopter evacuation within Georgia can run into the thousands of US dollars, and a medevac to Western Europe into the tens of thousands, entirely out of pocket without cover. Choose a policy that meets the mandatory minimum, then check it goes further with a solid evacuation and repatriation limit, and covers any trekking or skiing you plan. Subscription-style cover such as SafetyWing suits long trips through the Caucasus, while a fixed per-trip policy is simpler for a single visit. Buy the cover before you leave home, and confirm the policy satisfies Georgia's entry rule.