Global options

International Options

International travel for healthcare is a real option for many people, and some countries offer strong long-term immigration pathways. Below are destinations with accessible reproductive healthcare for US citizens, whether as a tourist or as a longer-term resident. Each country card includes detailed immigration pathways if you are considering a longer move.

No travel required for medication abortion: Several international services ship directly to US addresses. This is often faster, more private, and less expensive than traveling.
Aid Access (ships to US addresses)

Ships medication abortion (mifepristone + misoprostol) to all US addresses including restrictive states. Based in Europe. Operates on a sliding-scale donation model.

Women on Web

International telemedicine service providing medication abortion to people in countries where access is restricted. Online consultation with a doctor.

Plan C — Pills by Mail

Comprehensive US guide to getting abortion pills by mail, including international sources. Updated regularly with legal status by state.

Countries with accessible care

All costs are approximate self-pay estimates and change frequently. Contact clinics directly for current pricing and to confirm they accept international patients.

Canada

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No federal restrictions on abortion at any stage. Covered by provincial health insurance for residents. Americans can access care as self-pay patients; costs vary by province but are generally lower than US out-of-pocket rates.

As a tourist

Immediate (tourist)

Where to go

Available in all major cities. Planned Parenthood and independent clinics.

Approximate cost

CAD $400–$850 self-pay (medication abortion); CAD $500–$1,200 (procedural). No cost for provincial residents.

United Kingdom

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Legal through 24 weeks on NHS for UK residents; private clinics serve international patients. Medication abortion legal and widely available through 10 weeks. BPAS (British Pregnancy Advisory Service) is a major provider.

As a tourist

Immediate (tourist)

Where to go

BPAS clinics nationwide; private clinics in London and major cities.

Approximate cost

GBP £300–£1,500 private depending on gestational age.

France

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Constitutional right to abortion since March 2024. Legal through 14 weeks. Covered by national health insurance (Sécurité Sociale) for residents; EU visitors get partial coverage. Non-EU visitors can access private care.

As a tourist

Immediate (tourist)

Where to go

Available at hospitals and licensed clinics throughout France.

Approximate cost

Free for residents; EUR €300–€800 self-pay for non-residents.

Netherlands

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Legal through 22 weeks. One of Europe's most accessible systems — no mandatory counseling delays. English widely spoken. Several clinics serve international patients specifically.

As a tourist

Immediate (tourist)

Where to go

Specialist abortion clinics (abortusklinieken) in Amsterdam, Rotterdam, The Hague.

Approximate cost

EUR €300–€700 self-pay. Covered by Dutch health insurance for residents.

Mexico

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Since 2023 Supreme Court rulings, abortion has been decriminalized at the federal level. Legal in at least 12 states including Mexico City, Oaxaca, Baja California, and others. Close proximity to US border states makes this accessible for many.

As a tourist

Immediate (tourist)

Where to go

Reproductive health clinics in Mexico City, Tijuana, Monterrey, and other cities.

Approximate cost

MXN $1,500–$5,000 (USD $75–$250) — significantly lower than US costs.

Spain

Legal through 14 weeks (up to 22 weeks with medical indication). No waiting period for residents. Public healthcare covers costs for residents. Private clinics serve international patients; wait times are typically short.

As a tourist

Immediate (tourist)

Where to go

Clinics across Spain; major cities (Madrid, Barcelona) have multiple options.

Approximate cost

EUR €250–€700 private.

Germany

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Legal through 12 weeks following mandatory counseling. The counseling law has been under legislative review as of 2024. Public healthcare covers costs for insured residents. English-speaking clinics available in major cities.

As a tourist

Immediate (tourist) — note 3-day counseling requirement

Where to go

Licensed clinics in Berlin, Munich, Hamburg, Frankfurt.

Approximate cost

EUR €300–€700 private.

New Zealand

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Legal on request through 20 weeks; available up to birth with practitioner approval. New Zealand decriminalized abortion completely in 2020. One of the most progressive frameworks in the world.

As a tourist

Immediate (tourist)

Where to go

Family Planning clinics nationwide.

Approximate cost

Free for residents; NZD $400–$900 private for visitors.

Also consider: If you are considering relocation within the United States, see our US relocation guide for states with the strongest protections. For travel funds if you need to travel for care now, see travel assistance.