by Cristina Zohil-Morton
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by Cristina Zohil-Morton
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IRCC Medical Inadmissibility and the Excessive Demand Threshold
Applicants for Canadian immigration may face IRCC medical inadmissibility excessive demand threshold if their medical condition is expected to cause excessive demand on health or social services. Understanding this rule is essential for applicants seeking permanent residence or temporary status in Canada.
What Is Medical Inadmissibility in Canada?
Medical inadmissibility in Canada occurs when an applicant’s health condition could endanger public health or safety, or cause an excessive demand on health and social services. This rule ensures the sustainability of Canada’s publicly funded healthcare system. IRCC assesses most immigration applicants through a mandatory medical exam.
IRCC Excessive Demand Threshold Explained
The IRCC excessive demand threshold determines whether an applicant’s anticipated medical costs exceed the Canadian average per capita cost. If the projected cost is higher than this limit, IRCC may find the person medically inadmissible to Canada.
IRCC Excessive Demand Cost Thresholds (2025)
IRCC updates the medical inadmissibility thresholds annually. The current threshold for 2025, set by IRCC, is $135,810 over 5 years (or $27,162 per year), which is based on the average Canadian per capita health and social services cost. If an applicant’s estimated care needs exceed the applicable threshold, they may be deemed medically inadmissible unless they can demonstrate alternative funding or mitigation plans, or are exempt from the medical threshold criteria.
Who Is Exempt From The Excessive Demand Rule?
- Refugees and their dependants
- Protected persons
- Certain people being sponsored by their family, such as dependant children, spouses and common-law partners
Common Medical Conditions Reviewed by IRCC
- Chronic kidney disease or the need for dialysis
- HIV infection requiring ongoing treatment
- Developmental or intellectual disabilities requiring support services
- Conditions requiring long-term institutional care or rehabilitation
How to Address Potential Medical Inadmissibility
If you receive a procedural fairness letter (PFL) from IRCC about possible medical inadmissibility, you will have an opportunity to respond. A strong response should include:
- Updated medical assessments from specialists
- A cost mitigation plan showing private funding or alternative care
- Support letters from caregivers or community programs
Responding thoroughly to a PFL can help you demonstrate that your condition will not cause excessive demand under IRCC’s rules. Contact us for assistance in responding to a PFL.
Overcoming Medical Inadmissibility in Canada
Each case is unique. Working with an experienced Canadian immigration lawyer can help you prepare the necessary documentation, medical evidence, and financial plans to overcome inadmissibility findings.
At Zohil-Morton Law, we provide trusted legal advice to help you navigate complex Canadian immigration processes.
Still have questions? Book a consultation today with Cristina Zohil-Morton and the team at Zohil-Morton Law.
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This article is for informational purposes only and does not constitute legal advice. Please consult a licensed immigration professional regarding your specific situation.
Frequently Asked Questions: IRCC Medical Inadmissibility Excessive Demand Threshold
What is IRCC’s excessive demand threshold?
It is the annual cost limit IRCC uses to decide whether an applicant’s medical care needs exceed the average per capita health and social services cost in Canada.
What is the Threshold for 2025?
The threshold is $135,810 over 5 years (or $27,162 per year) for 2025.
Who is exempt from the excessive demand rule?
Refugees and their dependants, protected persons, and certain people being sponsored by their family, such as dependant children, spouses and common-law partners are exempt from medical inadmissibility based on excessive demand.
How can I respond to a medical inadmissibility concern?
You can submit medical reports, cost mitigation plans, and legal arguments to show that your case will not cause excessive demand under IRCC’s thresholds.
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