You will need a valid passport or national identity card during your stay in Madeira. Although not mandatory, possessing a European Health Insurance Card (EHIC) or equivalent health insurance coverage is recommended.
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Currency. Madeira uses the Euro, though major credit cards will work and ATMs are widely available. If you're flying direct to Madeira, currency can be exchanged at airports, banks, and hotels.
Please note: Portugal does not offer free medical treatment to visitors, and under European Union rules non-EU citizens are required to have travel medical insurance covering emergency medical, hospitalization, and repatriation (including the case of death).
Travellers from the United States are still permitted to enter Portugal, even for non-essential purposes such as tourism, as the latter's government will not tighten its travel requirements for American citizens, despite the Council of the European Union's recommendations...
There are plenty of options when it comes to medical care and hospitals in Madeira. The Regional Health Service is the network of public health institutions, being free for all residents of Madeira. There are multiple private health institutions as well.
The cost of seeing a general practitioner is usually less than 60 Euros. Basic dental cleaning starts at about 30 Euros. Visitors to Portugal are not covered under the country's public healthcare system and thus should carry their own private travel medical insurance.
ELECTRICITY AND WATERThe electric current in the archipelago is 220 volts. There is plenty of water in Madeira and it is all drinkable and of excellent quality.
Bugs (like mosquitoes, ticks, and fleas) can spread a number of diseases in the Madeira Islands. Many of these diseases cannot be prevented with a vaccine or medicine. You can reduce your risk by taking steps to prevent bug bites.
Madeira is a subtropical island that differs from other locations with similar climates in a very special way. The island has virtually no pests and is free of dangerous insects and bugs. Wild animals are limited to rabbits and birds. There are no snakes and no swarms of irritating mosquitoes!
Our prices do not include a tip. In Madeira Island tips are not compulsory. As is standard across the globe if you feel your driver has been friendly and courteous, then a small tip is the norm.
My little AA Essential Guide to Madeira suggests that, as Flowercity says, tipping is appreciated but not required in Madeira. If you do want to tip, the advice is 10% in restaurants and for taxi drivers and hairdressers. In bars it suggests just loose change but nothing for chambermaids in hotels.