US Citizens with a valid US passport can travel to the Schengen states up to a maximum of 90 days without the need of a Schengen visa.
Requirements for traveling to the Schengen region:
Americans visiting Europe for more than 90 days within a 180 day period should apply for an extended stay visa. A mandatory requirement for this extended stay visa is Travel Medical insurance with coverage up to 30,000€ (or the equivalent in USD) while living in Europe. A Visa Letter should be provided by the insurer clearly indicating that the traveler is insured for medical expenses, emergencies and hospitalization throughout the stay in Europe. It should also state any limit in the amount of coverage (or "unlimited" if there is no limit of coverage).
Even if insurance is not mandated and you do not need a visa (Americans do not need a visa to visit Europe for less than 90 days), travel medical insurance offered on this website are strongly recommended simply because health care is expensive in Europe and your US domestic insurance rarely travels beyond the US national borders. Medicare the other domestic US health insurance plans have very limited coverage outside the United States, and travel medical insurance is required to be financially safe while traveling.
Europe travel insurance for the citizens of the US is also called as the Schengen Visa Insurance. The requirements of the coverage for visitor insurance as per the Schengen Visa guidelines are medical benefits of at least €30,000 (the equivalent being about $50,000 USD) with coverage for accidents, sudden illness, repatriation. The insurance company must have a representative office in the Europe.
Group of travelers visiting European countries on the same schedule
Annual multi-trip insurance for US citizens travelling frequently to Europe
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The best months to travel in Europe is May, June and September. December with Christmas and New Year is always busy especially in cities like London, Paris, Prague, Vienna, Barcelona, Madrid, Amsterdam and in German cities.