This guide provides clear and practical details to make your car rental experience in Macedonia hassle-free and enjoyable. Towards the end, you'll find a summary to quickly review key details.
Yes, US travelers can legally drive in North Macedonia with the proper documentation. Age restrictions and additional document requirements may apply.
Form of ID:
A valid passport
Driving licence:
Accepted driving licence include:
• Original driving licence
• Original driving licence + International Driving Permit (IDP)
Accepted cards:
Physical credit cards in the full name of the main driver. Accepted cards include Visa, Master, DinersClub, and AMEX.
Age requirements:
Drivers must be aged between 18 and 99. Young drivers aged 18-21 may incur an additional fee of US$ 5.86 per day.
Requirements may vary between rental companies. Always confirm details when booking.
Explore reliable car rental options in MK, from global chains to local providers, ensuring a seamless and convenient experience.
Global Chain Companies
Local Brands

Alamo
Locations:
15Prices:
$$Key Advantages
Best for
Leisure travelers and families
SIXT
Locations:
29Prices:
$$Key Advantages
Best for
Travelers seeking affordable luxury options
Europcar
Locations:
33Prices:
$$Key Advantages
Best for
Leisure travelers and business professionals
Hertz
Locations:
0Prices:
$$$Key Advantages
Best for
Business travelers and premium vehicle needs
Enterprise
Locations:
18Prices:
$$Key Advantages
Best for
Leisure travelers and business rentals
AVANTCAR
Locations:
2Prices:
$$Key Advantages
Best for
Budget-conscious travelers and families
GOLDCAR
Locations:
8Prices:
$-$$Key Advantages
Best for
Budget-conscious travelers looking for reliable options
INTERWAYS
Locations:
9Prices:
$-$$Key Advantages
Best for
Budget-conscious travelers and local needs
Surprice Rent A Car
Locations:
5Prices:
$$Key Advantages
Best for
Budget-conscious travelers and long-term rentals
Autounion
Locations:
7Prices:
$$Key Advantages
Best for
Budget-conscious travelers and local rentalsChoosing the right rental car can make your journey in North Macedonia more comfortable, safe, and enjoyable. Think about your travel group, the destinations on your route, and the type of driving you'll be doing. With QEEQ, you can compare multiple car types and policies to find the one that best suits your journey.
Consider your travel group size and luggage needs
Economy cars (2-4 people, 1-2 suitcases)
Perfect for city driving and short trips
Compact cars (4-5 people, 2-3 suitcases)
Good balance of space and fuel efficiency
Mid-size cars (5 people, 3-4 suitcases)
Comfortable for longer distances
Full-size/SUV (5-7 people, 4+ suitcases)
Ideal for families and group travel
Choose between automatic and manual transmission
Automatic transmission
Easier for city driving and traffic, more common in the US
Manual transmission
Often cheaper, better fuel economy, more control
Consider your comfort level with driving on Balkan roads
Check what insurance coverage comes with your rental
Basic liability
Covers damage to other vehicles and property, usually included
Collision Damage Waiver (CDW)
Covers damage to your rental car, often optional
Theft protection
Protects against car theft, may be included or additional
Personal insurance
Check if your US insurance or travel insurance covers rentals
Understand booking flexibility and fees
Free cancellation
Usually available up to 24-48 hours before pickup
Prepaid vs. Pay-at-counter
Prepaid often cheaper but less flexible
Change fees
Cost to modify dates, locations, or car type
Travel insurance
Consider coverage for trip cancellations or delays
Check distance restrictions and additional charges
Unlimited mileage
Best for exploring North Macedonia and neighboring countries
Limited mileage
Cheaper daily rate but extra charges for excess miles
Consider your planned route distance and potential detours
Factor in mileage costs when comparing total rental prices
Understand fuel requirements and costs
Full-to-Full
Return with the same fuel level, most economical option
Full-to-Empty
Pay upfront for a full tank, convenient but often more expensive
Same-to-Same
Return with the same level as pickup, fair pricing
Pre-purchase fuel options
Compare costs with local gas station prices
Quick Decision Guide
Compact/Economy car with manual transmission, full-to-full fuel policy
Skopje, Bitola, OhridMid-size/Full-size car with unlimited mileage, flexible cancellation
cross-country routes in North Macedonia and neighboring countriesSUV or Convertible with comprehensive insurance, prepaid fuel option
Lake Ohrid, Pelister National Park, MavrovoCompare with Confidence on QEEQ
North Macedonia features a variety of must-visit cities and regions, from the capital Skopje to the tranquil Lake Ohrid. Each destination offers unique cultural, historical, and natural experiences perfect for travelers from the US.
To legally drive in Macedonia (MK), you must have basic insurance. Additional coverage options are highly recommended for extra peace of mind during your trip. Insurance policies may vary based on the rental company, so understanding what's offered and selecting appropriate coverage is crucial.
Protects against financial liability for damage to the rental vehicle caused by collision or theft.
Provides coverage in case the rental vehicle is stolen.
Covers costs related to damage or injury caused to other people or their property.
Covers medical expenses for you and your passengers in case of an accident.
Perfect for travelers who want comprehensive protection without the complexity. One price covers everything, and AXA's trusted network ensures reliable claims processing throughout North Macedonia. Get comprehensive coverage online for about 50% less than counter rates.
Fully Covered
Fully Covered
Fully Covered
Fully Covered
Fully Covered
Travelers from the US to North Macedonia (MK) can save significantly on car rentals by following these practical tips. Utilize advanced booking, comparison tools, and smart rental choices to keep costs low.
Essential considerations for travelers from the US renting a car in Macedonia (MK).
Being prepared and knowing what to expect can save you hundreds of dollars and prevent stressful situations. Take time to understand all terms and inspect your rental thoroughly.
US and North Macedonia traffic regulations differ primarily in speed limits, right-on-red rules, and alcohol tolerance levels, while sharing seatbelt and mobile phone usage guidelines.
Right Turn on Red
Prohibited unless explicitly indicated by a sign
Allowed after a complete stop unless prohibited by a sign
Speed Limits
Limits are in kilometers per hour (e.g., 50 km/h in urban areas)
Limits are in miles per hour (e.g., 30 mph in urban areas)
Blood Alcohol Limit
0.05% BAC tolerance
0.08% BAC tolerance (varies by state)
Seatbelt Laws
Mandatory for all occupants
Mandatory for all occupants in most states
Mobile Phone Use
Permitted only with a hands-free device
Permitted only with a hands-free device in most states
Common questions for travelers from United States renting a car in North Macedonia