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Travel insurance and the COMESA yellow card in Malawi

Travel insurance in Malawi

Visitors, residents abroad and the COMESA Yellow Card

Short answerChecked 31 October 2026
Under the Ministry of Health's Health Sector Strategic Plan III, non-residents staying less than six months need comprehensive health insurance to use public health services in Malawi. A visitor driving in Malawi must have third party motor cover like any driver (Road Traffic Act, section 141), and the COMESA Yellow Card — recognised in Malawi and 12 other countries of the region — provides third party cover across borders. Residents travelling abroad buy travel cover from a licensed insurer: the Insurance Act forbids placing insurance business outside Malawi without the Registrar's written approval (section 18).
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Answers come from the law, the regulator and the insurers' own documents, with the source under each answer. General information, not advice.

On this page · 5 sections
  1. Visitors to Malawi
  2. Driving in the region: the COMESA Yellow Card
  3. Residents travelling abroad
  4. FAQ
  5. Sources

Visitors to Malawi

  • Health: non-residents staying less than six months need comprehensive health insurance to access public health services; non-nationals resident six months or more show a residence permit, insurance cover or proof of exemption (HSSP III 2023–2030).
  • Driving: third party cover is compulsory on public roads (section 141 of the Road Traffic Act); the certificate must be in the vehicle (section 151).

Driving in the region: the COMESA Yellow Card

The Digital Yellow Card system describes the Yellow Card as the regional third party insurance, recognised in Burundi, Djibouti, the DR Congo, Eritrea, Ethiopia, Kenya, Malawi, Rwanda, Sudan, Tanzania, Uganda, Zambia and Zimbabwe; it adds that motorists from South Africa, Mozambique and South Sudan now use it too. The system issues and verifies Yellow Cards and handles claims.

The Yellow Card covers third party liability in the countries named on it. It does not cover your own vehicle or your medical costs: those need your own comprehensive and travel health policies.

Residents travelling abroad

Section 18 of the Insurance Act: no insurer, broker, agent "or any other person" may place insurance business, other than reinsurance, outside Malawi unless the Registrar approves it in writing; the Registrar publishes guidelines on applying to externalise insurance business. The Classes Directive 2017 has no separate travel class; personal accident and medical insurance are general insurance classes. Ask a licensed insurer or broker for a policy that meets the visa rules of your destination.

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Frequently asked questions

Do I need travel insurance to visit Malawi?

Under the Ministry of Health's HSSP III, non-residents staying less than six months need comprehensive health insurance to use public health services. Check your visa requirements with Malawi's immigration authorities.

Is the COMESA Yellow Card valid in Malawi?

Yes. The COMESA Digital Yellow Card system lists Malawi among the 13 countries where the Yellow Card is recognised.

Sources

  1. Ministry of Health — Health Sector Strategic Plan III 2023–2030: Reforming for Universal Health Coverage (FAOLEX copy)
  2. Road Traffic Act, Cap. 69:01 (in force 15 January 1998), Part XIV: compulsory third party insurance — MalawiLII consolidated text, Web Archive copy
  3. COMESA — Digital Yellow Card: the regional third party insurance system (countries where the Yellow Card is recognised)
  4. Insurance Act, Cap. 47:01 (Act 9 of 2010, in force 1 October 2010) — MalawiLII consolidated text, Web Archive copy
  5. Reserve Bank of Malawi — Pensions and insurance regulation: directives and guidelines
  6. Insurance (Classes of Insurance Business) Directive, 2017 — Government Notice No. 43, Gazette of 11 August 2017
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Regulator in Malawi: the Registrar (RBM)

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