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Trekking in Nepal is a very risky business. If you don't have a travel insurance then it will end up costing your bank account or even your life. There are various problems you can face during your travels. Sprained ankles, Altitude sickness, food poisoning, skin infections and respiratory infections. A helicopter evacuation in Nepal costs you upwards $5,000, not including the bed charge, service charges and medical charges. Without the right travel insurance, your medical bills can be very high! Many travel insurance companies do not cover people over 4,000 meters or adventure activities. So make sure the fine print in you policies cover these two factors. Please check with your insurance company for trekking in Nepal.