Why Getting Tested for Covid-19 Can Include a Headache

Coronavirus testing prices vary widely and can reach into the hundreds of dollars, making it hard for some travelers to budget for the added expense.For those who have been traveling internationally during the pandemic, getting a coronavirus test has become an integral part of the process. Many countries, including the United States, require a negative test result for entry, which has forced travel agents, hoteliers and others to establish testing and authentication procedures and, in many cases, to work together to ease the process for travelers.As testing requirements have become more ubiquitous, so have testing centers and services catering to them, with little or no current regulation on what they charge. Depending on where they are going, travelers can find tests for free or must pay up to hundreds of dollars — an expense for which they haven’t necessarily budgeted.For Princess François-Estévez, 32, an assistant principal at a Brooklyn high school, the cost of testing was a consideration when choosing the destination for her bachelorette party. Ms. François-Estévez said her group of friends weighed the cost of airfare, lodging and testing to narrow down their choices. They considered going to Antigua before learning that a test at the affordable hotel they had found would cost them $200 per person.“You can have a cheaper flight and hotel, but then if the Covid test is so expensive, then you’re like, ‘Does it actually balance itself out?’” she said. “Especially when you’re traveling in a group, not everybody is willing to pay those costs.” They ended up going to Jamaica, staying at a resort that provided free testing.It is unclear to what extent American travelers have been deterred by the cost of testing, but a recent survey of 1,200 British adults by YouGov, a research data and analytics group, found that 47 percent named coronavirus testing prices as a main barrier to international travel.Julia Simpson, the chief executive officer of the World Travel & Tourism Council, an industry group that works with governments to raise awareness about the travel industry, said that testing requirements have “really affected people’s confidence and also their pockets in terms of traveling.”Ms. Simpson said that in the United States, some clinics charge fees ranging from $100 to $400 for polymerase chain reaction, or P.C.R. tests, considered the gold standard for detecting the virus.“One of the concerns we’ve had is these big price discrepancies,” Ms. Simpson said. “If you’re a family of four, or even a solo traveler, if you know what you’re going to pay, then at least you can budget for it. But for P.C.R.s, it can be very, very variable.” Gerald Kominski, a professor of health policy and management at the University of California, Los Angeles, said that the reason for the vast difference in pricing is a lack of government oversight, which “creates an opportunity for a company to, in some cases, exploit the fact that prices are not regulated.”In New York City, residents can get a free P.C.R. test at one of the city’s Express Covid-19 testing centers, with results promised within 24 hours or less. But many clinics offer the tests at a cost in exchange for expedited results. ProHealth Pharmacy, in Manhattan, charges $100 for a 24- to 48-hour turnaround for a P.C.R. test, or $200 to get results in 15 minutes. Adams Health Services offers express P.C.R. testing in Terminal One of Kennedy International Airport for $220, with results delivered within a couple of hours.Janine Aranya, the business development director for Adams Health Services, said in an email that their prices reflect the “cost of hiring airport employees and having responsibilities for the Department of Health.” She added that their advanced testing machines allow them to run each swab on site, as opposed to in batches like other laboratories, often returning results in less than an hour.“Most of our customers need the Covid-19 test when they are denied from check-in due to governmental regulation changes about Covid-19 constantly,” she said. “Our existence is a big advantage for passengers to catch their flights on the same day or next.”Clear-19 Rapid Testing, which has a location in Midtown Manhattan and is opening another in Downtown Manhattan, charges $389 to deliver P.C.R. results in two hours, or $175 for a 24-hour turnaround.“You’re basically paying for guarantees with us,” said Sandy Walia, a spokeswoman for the testing center. “We charge something that is predictable, affordable, with guaranteed results.”Some travelers do not mind paying a fee for peace of mind. When Amartya Zarate, a 32-year-old program manager, was getting ready to head to Portugal in September, she considered going to one of the many free testing sites in Cambridge, Mass., where she lives. But she was “really nervous” about getting her results within the 72-hour window that country requires.“It is a free service. It’s not like you can say, ‘I need this today,’” she said, so she opted to pay a $75 rush fee to get her results guaranteed in 48 hours. “I didn’t want to stress out about getting my results on time.”While testing is guaranteed in the United States to be free for patients who are symptomatic, some insurers may deny virus testing claims meant to clear people for work or travel.“Travel is not considered an essential activity for most people,” Dr. Kominski said. “We’re seeing people paying, and paying some high prices, when you’re required to have a negative test for reasons that are unrelated to symptoms, per se, but are for safety purposes.”Diane Sherer, the owner of Beyond Travel, an agency based in Los Angeles, Calif., said that Covid-19 testing prices have not deterred her clients. Many of the luxury resorts and hotels Ms. Sherer works with provide testing at no cost, she said, and she’s found when there is an added cost — usually around $150 — “people are willing to pay that little bit extra,” she said. “I haven’t had anyone cancel because of cost.”In the United States, it can be easy to shop around online for the best price or access affordable local options. But this can be more difficult in other countries, where tourists often do not know the language or how to navigate a foreign health care system.Limor Decter, a luxury travel advisor at Embark Beyond, a New York City-based agency, said that prices have dropped significantly since the beginning of the pandemic, in part because in May, the Centers for Disease Control and Prevention approved for travel the use of self-administered “at-home” tests that met its requirements, such as a video supervision by a lab technician and an emergency use authorization from the Food and Drug Administration.52 Places to Love in 2021We asked readers to tell us about the spots that have delighted, inspired and comforted them in a dark year. Here, 52 of the more than 2,000 suggestions we received, to remind us that the world still awaits.Available tests include the BinaxNOW Covid-19 Home Test, an antigen test that costs $70 for two kits or $99 for three. Other tests are pricier, with some requiring that the sample be sent to a laboratory for a P.C.R. test, and do not include a video conference with a lab technician, which is required for C.D.C. approval.Vault, a P.C.R. test, offers an at-home test kit for travel from Jamaica, Mexico and the Dominican Republic to the United States. The kits cost $119 and include a video session with a qualified professional; there are drop-off points for samples across these countries’ major cities, with results of the P.C.R. test returned 12 to 48 hours after being received by the lab.Antigen tests, rapid tests that can be processed within minutes, like an at-home pregnancy test, are cheaper but less reliable than P.C.R. tests, which are handled by a laboratory and include amplifying the virus’s genetic material many times, allowing it to detect even small traces of the virus. Both are accepted for travel to the United States, but some countries require a P.C.R. test for entry.Ms. Decter said that BinaxNOW is “very cost-effective,” adding that Embark Beyond purchased the kits in bulk for its clients, many of whom use it for their return trips back to the United States. The tests, which clients can get shipped to their home or pick up at a local Walgreens, can be packed in a suitcase and self-administered with the supervision of a lab technician, over video chat.Because such a cost-effective method is available, as well as the availability of no- or low-cost testing at many hotels worldwide, Ms. Decter said she does not believe that pricing is hindering travel at this point — for those who want to travel.“Clients are either comfortable, and they’ll do whatever it takes. Or they’re very patient and they say, I’d rather wait,” Ms. Decter said. “But we don’t have people in the gray zone.”Dr. Kominski, of U.C.L.A., said that pricing is likely particularly a deterrent for families, who have to consider the cost of multiple people when planning a trip.Jennifer P. Tejada, 32, a special-education teacher in Brooklyn, went to Cartagena, Colombia, with her husband and two daughters in August. The family budgeted around $20 per person to get tested before heading back to the United States. A friend who had gone recently recommended a clinic there.But when Ms. Tejada arrived at the clinic, the cost was more than double that amount, an expense she “wasn’t expecting.” The price, she was told, had gone up in the two weeks since her friend had visited.Ms. Tejada had hoped to visit the National Aviary of Colombia, but she decided to skip it. “I had in mind that we needed to use that money to get Covid-19 testing,” she said, “so it did keep us from doing an excursion that I really, really wanted to do.”Allison Brown, 71, who is retired and lives in Portland, Maine, said that testing is one of many things that makes traveling now “a pain in the neck.” Over the summer, she and her husband spent $475 on coronavirus tests to enter Scotland and visit their adult children living there. For the tests required to return to the States, Ms. Brown would have paid an additional $225 had it not been for a relative who works at a local clinic and helped them get tested free of charge.“If I was just going on a leisure vacation, I wouldn’t go,” said Ms. Brown, “but I want to see my children.”Follow New York Times Travel on Instagram, Twitter and Facebook. And sign up for our weekly Travel Dispatch newsletter to receive expert tips on traveling smarter and inspiration for your next vacation. Dreaming up a future getaway or just armchair traveling? Check out our 52 Places list for 2021.

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Traveling This Summer? Here’s What You Should Know About the Delta Variant.

It’s the most contagious form of the coronavirus so far. Here’s what you need to know before traveling.With vaccinations on the rise and mortality rates related to Covid-19 going down in Europe and other parts of the world, many people are making plans to travel this summer and beyond. But experts say the quickly circulating Delta variant is a new concern for travelers, particularly those who are unvaccinated.The European Union said on June 18 that the United States would be added to its “safe list” of countries, a decision that should allow even unvaccinated visitors from the U.S. (who can provide proof of a negative coronavirus test) to enter its 27 member states for nonessential travel. These countries, however, can impose their own restrictions and requirements for entry.The E.U. decision comes the same week that the Centers for Disease Control and Prevention elevated the Delta variant of the coronavirus to a “variant of concern” as it appears to spread more quickly and may affect people more severely than earlier forms of the virus.If you’re wondering how the variant will affect your travel plans, here is everything you need to know before booking a flight.Where is the Delta variant spreading?So far, the variant, first identified in India, has spread to more than 80 countries as of June 16, according to the World Health Organization. In a news conference on June 10, Dr. Hans Kluge, W.H.O.’s regional director for Europe, said that the variant was “poised to take hold” in Europe.Jennifer Nuzzo, an epidemiologist at Johns Hopkins Bloomberg School of Public Health, said this will probably be the case in other countries, as well.“If you’re out and about this summer, chances that you’re going to encounter the Delta variant, either in the U.S. or in Europe or other parts of the world, are pretty high,” she said.The Delta variant currently makes up between six and 10 percent of cases in the United States, said Dr. Ashish Jha, the dean of Brown University’s School of Public Health, adding that it will probably will be the dominant strain in the United States by August.If you are fully vaccinated, particularly with a two-dose vaccine, “don’t worry about the Delta variant,” Dr. Jha said.Millions of Americans have received either Pfizer-BioNTech or Moderna vaccines; both are two-dose vaccines. Studies have shown their efficacy drops only slightly when encountering variants.“People who have been vaccinated still do quite well against this variant,” Dr. Jha said, “but it is one where you need a high degree of immunity to ward off, so you really need to have both of your doses of your vaccine.”52 Places to Love in 2021We asked readers to tell us about the spots that have delighted, inspired and comforted them in a dark year. Here, 52 of the more than 2,000 suggestions we received, to remind us that the world still awaits.Where can I find vaccination or infection rates for the places I want to travel?The C.D.C. has a global variant map that shows the countries where different variants have been identified, though it does not list infection rates. It also lists the risk level by country.Using information from government sources compiled by the Our World in Data project at the University of Oxford, The New York Times has been tracking global vaccinations, showing the percentage of people vaccinated in individual countries.You may also look online to the national health department websites for the country you are planning to visit to get more specific data.In Britain, for instance, where the Delta variant is already the most widespread strain, the National Health Service publishes information on the spread of the variant and vaccination rates in the country.Unequal access to the vaccine across the world has meant that poorer countries are less adequately protected, with cases continuing to rise in parts of South America, Southeast Asia and Africa. According to the W.H.O., 75 percent of vaccine doses have gone to just 10 nations.Dr. Jha said it’s important to look at not just vaccination rates for the country, but also the vaccine that is being used there. Brazil, Turkey and other countries are relying on one or both of the two main vaccines manufactured by Chinese companies to inoculate their citizens. “We don’t have data that the Chinese vaccines, for instance, are quite as good in general, and particularly around the Delta variant,” Dr. Jha said.I’m fully vaccinated. What would it mean if I traveled to a place that had low vaccination numbers?A recent study by the C.D.C. shows that the Pfizer-BioNTech or Moderna vaccines reduce the risk of infection from any form of the virus by 91 percent for fully vaccinated people. The single-dose Johnson & Johnson vaccine is about 66 percent effective at preventing infection.“Is it complete? No,” Dr. Nuzzo said. “But is it pretty darn good to the point that I personally would relax? Yes.”It’s possible for vaccinated people to still be infected, she said, but the cases of this happening are quite low, and even if they get infected, they are unlikely to become ill. She added that those who have symptoms are more likely to spread the virus, so “if the vaccines did a good job at keeping you without symptoms, the likelihood that you’re going to spread it is quite low.”If you want to further improve your odds of not getting infected, she recommends continuing to follow safety protocols like wearing a mask, social distancing and avoiding crowded, poorly ventilated indoor spaces.If you are vaccinated but your immune system is compromised, because of a medical condition or because of certain medications you take, you should heed caution. You may not be fully protected, she said.What if I’m unvaccinated?“If you’re an unvaccinated person, that, I think, makes your travel prospects much riskier,” Dr. Nuzzo said. “I really would not advise people traveling in an era of the increasing spread of these, not only more transmissible but possibly more severe, forms of the virus.”Dr. Jha adds that “the simple answer” for protecting yourself as a traveler is to get vaccinated. This, he said, makes the prospect of encountering the Delta virus much less risky.“But if you are unvaccinated or with unvaccinated people, then it really does pose a substantial risk,” he said.He adds that travelers can use other safety measures to protect themselves, like wearing masks or social distancing, “but if you’re going to be vacationing this summer, that’s a less fun way to vacation.”Dr. Nuzzo suggests thinking about vaccination and safety measures as different layers of protection against the virus. “Each layer adds something,” she said. “Vaccination is the thickest layer of protection against all forms of the virus.”What about my children?If your kids are over 12, get them vaccinated, said Dr. Jha. But for children under 12, who cannot yet get vaccinated in the United States, he suggests continuing to follow mask-wearing and social distancing rules. He also said that getting vaccinated yourself can help protect your children.“The single biggest thing we can do to protect kids under 12 is to make sure everybody around them, all the adults, are vaccinated,” he said. “There’s very good evidence that when adults are vaccinated, kid infection numbers go down.”He said that he plans to travel with his children this summer, one of whom is too young to be vaccinated.Dr. Nuzzo, who has two young unvaccinated children, said she will, as well. “We are in a phase where we have to gauge the risks and benefits of everything that we do,” she said. “Everybody’s going to make those calculations differently.”How is the variant affecting travel restrictions?When the initial version of the coronavirus swept the globe last spring, much of the world hunkered down, restricting domestic movement, and many countries shut their borders to nonessential travel.Now, many nations are opening up, but concern remains about the virus, particularly about the Delta variant. Some countries are making specific changes to their entry decisions because of the variant, while others are ordering emergency lockdowns.On June 18, Italy’s health minister said that the nation would require a mandatory five-day quarantine and testing for people coming from Britain, even if they are vaccinated, over concerns about the Delta variant. It also extended the ban on arrivals from India, Bangladesh and Sri Lanka.On the same day, Portugal ordered a weekend lockdown for the capital region of Lisbon, as a way to curb a surging number of virus cases. Roughly half of the reported cases stem from the Delta variant.Rules around testing and requirements to enter another country are evolving and can change quickly from one day to the next. Make sure to check the requirements for your destination country before booking your flight, but also in the days before to you travel make sure you are following the most updated rules.THE WORLD IS REOPENING. LET’S GO, SAFELY. Follow New York Times Travel on Instagram, Twitter and Facebook. And sign up for our Travel Dispatch newsletter: Each week you’ll receive tips on traveling smarter, stories on hot destinations and access to photos from all over the world.

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Covid Vaccine Card: What You Need to Know

For now, the best way to show that you’ve been inoculated against the coronavirus is a simple white card. Here, your key questions are answered.As vaccinations become more widely available for people in the United States and travel starts picking up, many people have started sharing their simple white vaccination cards on social media as prized new possessions.With some destinations, cruise lines and venues already requiring travelers to provide proof of vaccination against Covid-19, keeping that record is key. In New York, for example, which reopened in May, proof of vaccination or a recent negative test may be required for entry into some large venues or catered events. Those unvaccinated will be instructed to wear a mask, practice social distancing and depending on the venue, could be assigned to a section specific to their vaccination status. There are already a number of vaccination “passport” initiatives underway that would make vaccination status easy to share digitally. Clear, a biometric screening program used in airports across the country, and the technology company IBM have created their own passes, for instance. And in March, New York became the first state to introduce a digital tool, called Excelsior Pass, to allow people to easily show that they have either tested negative or been inoculated against the virus in order to gain entry into some events and venues.But until such measures are taken more widely across the country, you’ll want to hang onto that little white card.Here’s everything you need to know about your vaccine record, why it’s important and how to keep it safe.A newly inoculated patient reviewed a Covid-19 vaccination record card at Dodger Stadium in Los Angeles in January.Ryan Young for The New York TimesWhat’s on a vaccine card?The vaccine card, given after your first shot and then updated if your vaccine requires a second one, includes the vaccine manufacturer, the dose numbers and the date and location each was administered, according to Alex Brown, a spokeswoman for Walgreens, which is administering vaccinations at more than 5,000 stores nationwide.Walgreens, like other providers, is looking to make its records digital, Ms. Brown said, but for now it is still handing out cards.Walmart and Sam’s Club are already offering their patrons digital access to their vaccine records through both the Health Pass by Clear and the CommonHealth and CommonPass apps from the Geneva-based nonprofit, the Commons Project Foundation.“Our goal is to give customers vaccinated at Walmart free and secure digital access to their vaccine record and enable them to share that information with third parties seeking to confirm their vaccination status,” John Furner, the chief executive officer and president of Walmart U.S., said in a statement.What happens if I lose my card?Getting a new card is easy enough if you got vaccinated at a pharmacy like Walgreens. Ms. Brown said that anyone who loses their card should return to where they were vaccinated and a pharmacy employee can print out a new card from the patient’s electronic records.A member of the Walgreens vaccination team prepared vaccination cards for the staff and residents of Clove Lakes Nursing Home in Staten Island in January.Christopher Occhicone for The New York TimesVaccinations are also tracked by state health departments, so you can reach out to your state’s agency to get a replacement card, according to the Centers for Disease Control and Prevention. The agency lists contact information for the Immunization Information System in each state, which tracks vaccinations, on its website.How should I safeguard my card?Start by taking a picture of it with your phone, so you’ll have the information in your photo library, and emailing it to yourself as backup, said Dr. Uchenna Ikediobi, an assistant professor of general internal medicine and infectious diseases at Yale University.Laminating your card will make it more durable if you’re planning to carry it around in your wallet, though there has been some concern about lamination because it would prevent information from future booster shots from being added. But Dr. Ikediobi said that this “may be a moot point if new cards are issued after a booster shot, as would seem likely.”A number of companies have jumped in to offer free lamination. Staples is offering free lamination of vaccine cards for those who have gotten their doses, according to Jocelyn Moruzzi, a spokeswoman for the office goods retailer. The offer is valid at all of the company’s United States locations with the offer code 81450 and will end on July 31.“Customers began seeking out ways to protect their Covid-19 vaccine record cards, knowing they will likely be important to have on hand in the future,” Craig Grayson, vice president of print and marketing services for Staples, said in an email. “Leveraging our existing capabilities in store felt like a natural way to provide a free solution.”People can also get their completed vaccine cards laminated for free at Office Depot and OfficeMax stores nationwide using the code 52516714 through July 25.Dr. Ikediobi also recommends keeping the card in a safe place, as you would your passport, rather than carrying it around. “It does not necessarily need to be on your person at all times,” she said.Do I need my card to travel?In some cases, yes. Border entry requirements are set by governments, not by airlines or by the International Air Transport Association, the trade association for the world’s airlines. Some destinations and cruise lines have started requiring that travelers be fully vaccinated before they travel. As of March 26, fully vaccinated Americans who can present proof of vaccination can visit Iceland, for example, and avoid border measures such as testing and quarantining, the country’s government said.The cruise line Royal Caribbean is requiring passengers and crew members 16 or older to be vaccinated in order to board its ships. Virgin Voyages, Crystal Cruises and others are requiring guests to be vaccinated as well. These companies will restart cruise operations this spring and summer. For the moment, airlines are not requiring vaccinations for travel, but some international destinations are requiring vaccination for entry. The idea has been much talked about in the industry. In an interview with NBC Nightly News, Ed Bastian, the chief executive officer of Delta Air Lines, said that proof of vaccination will likely eventually be required on international flights, but whether that is paper proof or a digital vaccine passport, is unclear.Perry Flint, a spokesman for the I.A.T.A., said that the agency does not support a mandatory vaccine requirement for air travel because it “risks discriminating against those markets where vaccines may take longer to become widely available” or against those “who are not able to get vaccinated for medical reasons, or who are unwilling to do so owing to ethical or other concerns.”Still, the agency has developed its own vaccine pass called Travel Pass, which travelers can use to share Covid-related health information with governments or airlines that require it, Mr. Flint said.Will New York require a vaccine passport?In March, Gov. Andrew Cuomo announced the launch of Excelsior Pass, a free app that will allow businesses to scan a code to confirm whether someone has been vaccinated or tested negative for the coronavirus. To sign up, New York residents should visit the Excelsior Pass website, where they will be asked to enter their name, date of birth and ZIP code. A pass — a QR code that can be scanned by businesses — will automatically be generated using data from state vaccination records or testing lab data.No one is required to download Excelsior Pass, according to a spokesman for the governor’s office. The pass generated on the website can be printed out, or you can show your vaccine card or evidence of a negative test result instead.Will the Biden administration require a vaccine passport?Among the Biden administration’s executive orders aimed at curbing the pandemic is one that asked government agencies to “assess the feasibility” of producing digital versions of vaccination documents. But while the government is involved in these efforts, the administration has said that it would not be passing a federal mandate or distributing its own vaccine passport.The Krispy Kreme chain is offering one free glazed doughnut a day to anyone who presents proof of Covid-19 vaccination. Timothy A. Clary/Agence France-Presse — Getty ImagesIn a White House Covid-19 news conference in March, Andy Slavitt, a senior White House pandemic adviser, said that “unlike other parts of the world, the government here is not viewing its role as the place to create a passport, nor a place to hold the data of citizens.”“We view this as something that the private sector is doing and will do,” he said. “What’s important to us — and we’re leading an interagency process right now to go through these details — are that some important criteria be met with these credentials,” including equitable access and privacy and security concerns.Are there other benefits?Yes. Aside from the health benefits of getting the vaccine, there are also other perks that come with your vaccine card. Businesses across the country, from bars to marijuana dispensaries, have been offering perks to those with a Covid-19 vaccination card. Krispy Kreme, for instance, said that for the rest of the year, it would give one free glazed doughnut per day to anyone who presents proof of a Covid-19 vaccination.Michael Tattersfield, the company’s chief executive, told Fox News that as vaccinations have accelerated across the country, “We made the decision that, ‘Hey, we can support the next act of joy,’ which is, if you come by, show us a vaccine card, get a doughnut any time, any day, every day if you choose to.”Follow New York Times Travel on Instagram, Twitter and Facebook. And sign up for our weekly Travel Dispatch newsletter to receive expert tips on traveling smarter and inspiration for your next vacation. Dreaming up a future getaway or just armchair traveling? Check out our 52 Places list for 2021.

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What to Know About Testing and Vaccine Requirements for Travel

Do you need to be vaccinated or have a negative Covid-19 test for your next trip? Check this guide before traveling domestically or abroad.As vaccinations ramp up and regulations loosen for people in the United States, many are planning travel for summer and beyond, with experts predicting that July 4 will be the biggest travel weekend since the beginning of the pandemic.But with regulations shifting, people might have questions about testing or vaccination requirements for their trips. The Centers for Disease Control and Prevention recently eased travel recommendations to more than 100 countries. Some countries are completely open to vaccinated travelers, while others require a negative coronavirus test result in order to enter.In the United States, the C.D.C. has advised that vaccinated people no longer need to wear masks in most places and released new travel guidelines that said domestic travel is safe for them. But travelers must take note of local advice and regulations, as these can vary state by state.Here’s everything you need to consider about testing and vaccinations before you travel within the U.S. or internationally.Are there testing and vaccination requirements for domestic travel?For most places, no. You do not need to be vaccinated for any domestic travel. Hawaii is the only state that requires a negative test for travel.In Hawaii, the test must be administered within 72 hours of arrival and the results uploaded to its Safe Travel platform to avoid a mandatory quarantine when entering the state or for some inter-county travel, though the latter restrictions are set to end on June 15.Alternatively in Hawaii, you can also provide proof that you’ve recovered from Covid-19 in the past 90 days, including both a positive test result and a letter from a doctor clearing you to travel.The state’s governor, David Ige, said this month that people who received their vaccination in the state of Hawaii may bypass testing and quarantine requirements starting on June 15, and that anyone vaccinated in the U.S. will be able to enter Hawaii without testing once the state has reached a 60 percent vaccination rate.If you are unvaccinated, you should continue to adhere to social distancing and mask-wearing protocols while traveling domestically, the C.D.C. said. You can use the C.D.C.’s Travel Planner to check guidelines by state.What are the testing and vaccination rules for international travel?While testing and vaccination requirements vary by destination country, everyone arriving in the U.S. — even vaccinated Americans — must present a negative test result upon entry.Many nations are still closed to American travelers. Those that are open may require a negative test, proof of vaccination or evidence of recovery (or a combination of these) to enter.The United Kingdom, for instance, requires that American travelers, regardless of vaccination status, provide proof of a negative test taken within 72 hours of departure, quarantine upon arrival and take two additional tests during their stay. Children under 11 are exempt from these requirements, as are some other people depending on their reason for travel.Some European countries are allowing in Americans who are vaccinated or who can show a negative test, with more expected to follow suit.Canada is still closed to Americans, with few exceptions, and will remain so until at least early July, said Patty Hajdu, the country’s minister of health, in a news conference in June. The U.S.-Mexico land border is closed for nonessential travel until at least June 21, but air travel is allowed and the country does not require a negative test for entry. Because of its high risk level, the C.D.C. recommends that travelers be fully vaccinated before traveling to Mexico.Consult the C.D.C.’s inventory of international travel health notices for more information on regulations by country.“Travelers should always check with their airline and the embassy of the country they are visiting to ensure they have the proper documentation required to enter the country,” said Perry Flint, a spokesman for The International Air Transport Association, a global airline industry group.What test should I take, and where and when?To enter the U.S., travelers must show a negative result to a nucleic acid amplification test (NAAT) — PCR is a type of NAAT test — or an antigen test, also known as a rapid test, taken in the three days before departure, according to the C.D.C.Some airports offer on-site testing, such as Heathrow Airport in England, or Rome’s Fiumicino International Airport in Italy.Josh Alexander, a New York-based luxury travel agent for Protravel International, said that many international hotels, including most Four Seasons hotels and resorts, are offering on-site rapid tests for free or at a nominal cost.Testing at local clinics is also available in many places, though you should check availability at your destination ahead of time and book if you can. It may also come at a high cost. Mr. Alexander said that PCR tests abroad can range from $50 to $150.The C.D.C. said that it allows for a three-day time frame rather than 72 hours to allow flexibility in the time of day the test can be taken. For instance, if you are flying out on a Friday, the test may be taken at any time on Tuesday.But, when it comes to international destinations, Mr. Alexander recommends erring on the side of caution when timing your test by calculating it based on time of arrival at your destination.“Rules are constantly changing,” he said, “so we’re just trying to always tell people they should always be as conservative as possible to eliminate any gray area.”What are the requirements for minors?The C.D.C. testing recommendations apply to all children 2 years and older, which means your toddler also needs to deliver a negative Covid-19 test to enter the U.S. from abroad. When traveling, children should wear masks, practice social distancing and wash hands often, the C.D.C. said.“If the kids are age 12 and older, get ’em vaccinated,” said William Schaffner, an infectious disease expert at Vanderbilt University, in an email.If you’re traveling to a country within the European Union that is open to travelers from the U.S., children who cannot be vaccinated should have a negative PCR test taken no more than 72 hours before arrival at your destination, and additional testing may be required upon arrival.Travelers should check with their airline or destination country website for relevant requirements.What if I want to go on a cruise?Rules vary from one cruise line to another, with some planning to require that all passengers and crew be vaccinated, and others adopting a hybrid model.But recent laws passed in Florida and Texas banning businesses from requiring proof of vaccination to use their services may complicate this plan.Celebrity Cruises, set to be the first U.S. cruise ship to restart operations on June 26 from Fort Lauderdale, Fla., said it’s optimistic that a resolution would be reached in time. It is requiring that guests 16 years and older be vaccinated, while children will be tested at the terminal.Carnival Cruises said on Monday that its first ship would set sail from the Port of Galveston, in Texas, on July 3 and would be available only for vaccinated passengers. Norwegian, which will begin to operate cruises from Miami in August, said it will require the same through October 31 and has threatened to skip Florida ports if the state does not allow cruise lines an exemption from the law banning vaccine requirements.Christine Duffy, the president of Carnival Cruise Line, said in a statement on June 7 that “the current CDC requirements for cruising with a guest base that is unvaccinated will make it very difficult to deliver the experience our guests expect, especially given the large number of families with younger children who sail with us.”“As a result, our alternative is to operate our ships from the U.S. during the month of July with vaccinated guests,” she said.But even if you are vaccinated, you must also consider the requirements of the country where the cruise is disembarking. The Caribbean island of St. Maarten, for instance, where Celebrity Cruises started sailing on June 5, requires a negative test in addition to proof of vaccination.What documents should I bring with me if I travel?This will also depend on where you’re going, but a good rule of thumb is to carry your physical vaccine card, if you have it, and proof of a negative test, if it is required.Mr. Alexander, the travel agent, recommends people bring the original documents. While a number of digital health certificates — which show vaccine status and test results — are in the works, he said, they are not yet widely accepted. You should check, also, that your document is in the correct language. The United Kingdom, for instance, requires that test results be in English, Spanish or French. CommonPass, from the Geneva-based nonprofit the Commons Project Foundation, and the I.A.T.A. Travel Pass are two apps providing digital access to vaccine and testing records for travel. The European Union will be releasing its own digital Covid certificate for E.U. citizens by July 1, though it is unclear whether Americans will be able to use it.You should check with your airline to see if the app you want to use will be accepted at your destination. Both the CommonPass and I.A.T.A. websites list destinations and airline partners accepting the digital health certificates.Mr. Alexander added that some countries, such as Croatia, may also require proof of a return flight or confirmation of your hotel booking or other accommodation, though this is rare. In South Africa, which has implemented a curfew, travelers may need to show their flight ticket to law enforcement officers to show they are allowed to be in transit.But these shifting regulations should not dissuade people from traveling, Mr. Alexander said.“If you’re vaccinated and you’re following safe precautions, you can still have a great experience,” he said.

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Covid-19 Vaccine Card Guide: Keeping it Safe, Travel, Information, Passport and Benefits

For now, the best way to show that you’ve been inoculated against the coronavirus is a simple white card. Here, your key questions answered.As vaccinations become more widely available for people in the United States and travel starts picking up, many people have started sharing their simple white vaccination cards on social media as prized new possessions.With some destinations, cruise lines and venues already requiring travelers to provide proof of vaccination against Covid-19, keeping that record is key. In New York, for example, proof of vaccination or a recent negative test will be required for entry into large venues or catered events when they are allowed to reopen at reduced capacity on April 2. Proof will be required at events with more than 100 people, so anyone having a wedding or Sweet 16 with more attendees will have to ask guests for evidence that they are complying with the rules.There are already a number of vaccination “passport” initiatives underway that would make vaccination status easy to share digitally. Clear, a biometric screening program used in airports across the country, and the technology company IBM have created their own passes, for instance. And last week, New York became the first state to introduce a digital tool to allow people to easily show that they have either tested negative or been inoculated against the virus in order to gain entry into some events and venues.But until such measures are taken more widely across the country, you’ll want to hang onto that little white card.Here’s everything you need to know about your vaccine record, why it’s important and how to keep it safe.A newly inoculated patient reviewed a Covid-19 vaccination record card at Dodger Stadium in Los Angeles in January.Ryan Young for The New York TimesWhat’s on your vaccine card?The vaccine card, given after your first shot and then updated if your vaccine requires a second one, includes the vaccine manufacturer, the dose numbers and the date and location each was administered, according to Alex Brown, a spokeswoman for Walgreens, which is administering vaccinations at more than 5,000 stores nationwide.Walgreens, like other providers, is looking to make its records digital, Ms. Brown said, but for now it is still handing out cards.Walmart and Sam’s Club are already offering their patrons digital access to their vaccine records through both the Health Pass by Clear and the CommonHealth and CommonPass apps from the Geneva-based nonprofit, the Commons Project Foundation.“Our goal is to give customers vaccinated at Walmart free and secure digital access to their vaccine record and enable them to share that information with third parties seeking to confirm their vaccination status,” John Furner, the chief executive officer and president of Walmart U.S., said in a statement.What happens if I lose my card?Getting a new card is easy enough if you got vaccinated at a pharmacy like Walgreens. Ms. Brown said that anyone who loses their card should return to where they were vaccinated and a pharmacy employee can print out a new card from the patient’s electronic records.A member of the Walgreens vaccination team prepared vaccination cards for the staff and residents of Clove Lakes Nursing Home in Staten Island in January.Christopher Occhicone for The New York TimesVaccinations are also tracked by state health departments, so you can reach out to your state’s agency to get a replacement card, according to the Centers for Disease Control and Prevention. The agency lists contact information for the Immunization Information System in each state, which tracks vaccinations, on its website.How should I safeguard my card?Start by taking a picture of it with your phone, so you’ll have the information in your photo library, and emailing it to yourself as backup, said Dr. Uchenna Ikediobi, an assistant professor of general internal medicine and infectious diseases at Yale University.Laminating your card will make it more durable if you’re planning to carry it around in your wallet, though there has been some concern about lamination because it would prevent information from future booster shots from being added. But Dr. Ikediobi said that this “may be a moot point if new cards are issued after a booster shot, as would seem likely.”A number of companies have jumped in to offer free lamination. Staples is offering free lamination of vaccine cards for those who have gotten their doses, according to Jocelyn Moruzzi, a spokeswoman for the office goods retailer. The offer is valid at all of the company’s United States locations with the offer code 81450 and does not yet have an end date.“Customers began seeking out ways to protect their Covid-19 vaccine record cards, knowing they will likely be important to have on hand in the future,” Craig Grayson, vice president of print and marketing services for Staples, said in an email on Wednesday. “Leveraging our existing capabilities in store felt like a natural way to provide a free solution.”People can also get their completed vaccine cards laminated for free at Office Depot and OfficeMax stores nationwide using the code 52516714 through July 25.Dr. Ikediobi also recommends keeping the card in a safe place, as you would your passport, rather than carrying it around. “It does not necessarily need to be on your person at all times,” she said.Do I need my card to travel?In some cases, yes. Some destinations and cruise lines have started requiring that travelers be fully vaccinated before they travel. As of March 26, fully vaccinated Americans who can present proof of vaccination can visit Iceland, for example, and avoid border measures such as testing and quarantining, the country’s government said.The cruise line Royal Caribbean is requiring passengers and crew members 18 or older to be vaccinated in order to board its ships, as are Virgin Voyages, Crystal Cruises and others. These companies will restart cruise operations this spring and summer. None of the companies are yet operating cruises out of United States ports, because the C.D.C. has yet to give them the guidelines they’ll need to follow.For the moment, airlines are not requiring vaccinations for travel. But the idea has been much talked about in the industry. In an interview with NBC Nightly News recently, Ed Bastian, the chief executive officer of Delta Air Lines, said that proof of vaccination will likely eventually be required on international flights, but whether that is paper proof or a digital vaccine passport, is unclear.Will New York require a vaccine passport?Gov. Andrew Cuomo last week announced the launch of Excelsior Pass, a free app that will allow businesses to scan a code to confirm whether someone has been vaccinated or tested negative for the coronavirus. To sign up, New York residents should visit the Excelsior Pass website, where they will be asked to enter their name, date of birth and ZIP code. A pass — a QR code that can be scanned by businesses — will automatically be generated using data from state vaccination records or testing lab data.No one is required to download Excelsior Pass, according to a spokesman for the governor’s office. The pass generated on the website can be printed out, or you can show your vaccine card or evidence of a negative test result instead.Will the Biden administration require a vaccine passport?Among the Biden administration’s executive orders aimed at curbing the pandemic is one that asked government agencies to “assess the feasibility” of producing digital versions of vaccination documents. But while the government is involved in these efforts, the administration has said that it would not be passing a federal mandate or distributing its own vaccine passport.In a White House Covid-19 news conference on Monday, Andy Slavitt, the acting director for the Centers for Medicare and Medicaid Services, said that “unlike other parts of the world, the government here is not viewing its role as the place to create a passport, nor a place to hold the data of citizens.”“We view this as something that the private sector is doing and will do,” he said. “What’s important to us — and we’re leading an interagency process right now to go through these details — are that some important criteria be met with these credentials,” including equitable access and privacy and security concerns.The Krispy Kreme chain is offering one free glazed doughnut a day to anyone who presents proof of Covid-19 vaccination. Timothy A. Clary/Agence France-Presse — Getty ImagesAre there other benefits?Yes. Aside from the health benefits of getting the vaccine, there are also other perks that come with your vaccine card. Businesses across the country, from bars to marijuana dispensaries, have been offering perks to those with a Covid-19 vaccination card. Krispy Kreme, for instance, said last week that for the rest of the year, it would give one free glazed doughnut per day to anyone who presents proof of a Covid-19 vaccination.Michael Tattersfield, the company’s chief executive, told Fox News that as vaccinations have accelerated across the country, “We made the decision that, ‘Hey, we can support the next act of joy,’ which is, if you come by, show us a vaccine card, get a doughnut any time, any day, every day if you choose to.”Follow New York Times Travel on Instagram, Twitter and Facebook. And sign up for our weekly Travel Dispatch newsletter to receive expert tips on traveling smarter and inspiration for your next vacation. Dreaming up a future getaway or just armchair traveling? Check out our 52 Places list for 2021.

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