Published on January 6, 2026

Canada Raises Excessive Demand Health Cost Limit for Immigration in 2026

Ottawa, January 06, 2026 — Canada has officially increased the excessive demand cost threshold used in immigration medical assessments for 2026. This change affects how Immigration, Refugees and Citizenship Canada evaluates whether an applicant’s health condition could place an unreasonable burden on publicly funded health or social services.

Medical inadmissibility remains one of the most complex and misunderstood aspects of Canadian immigration law. While many applicants focus on eligibility points, work experience, or language scores, health admissibility quietly plays a decisive role in both temporary and permanent residence applications.

This article explains what the excessive demand rule means, what changed in 2026, who is affected, and how applicants can respond if concerns are raised by IRCC.

Table of Contents

  1. Medical Inadmissibility Under Canadian Immigration Law
  2. Excessive Demand Explained in Simple Terms
  3. Canada’s New Excessive Demand Cost Threshold for 2026
  4. Comparison of Excessive Demand Thresholds by Year
  5. Why the Cost Threshold Matters for Immigration Applicants
  6. Who Can Be Found Medically Inadmissible
  7. Health Services vs Social Services Under IRCC Rules
  8. How IRCC Assesses Medical Excessive Demand
  9. Cost Based Test vs Wait Time Impact Test
  10. Practical Examples Using the 2026 Threshold
  11. Applicants Exempt From Excessive Demand Rules
  12. Procedural Fairness Letters and What They Mean
  13. Mitigation Plans and Their Legal Limits
  14. Common Myths About Medical Inadmissibility
  15. Key Takeaways for Applicants in 2026
  16. Frequently Asked Questions

1. Medical Inadmissibility Under Canadian Immigration Law

Anyone applying to visit, study, work, or immigrate to Canada must be admissible under the Immigration and Refugee Protection Act. Admissibility includes criminal, security, and health grounds.

Under Canadian law, a foreign national may be found medically inadmissible if their health condition is likely to:

GroundDescription
Danger to public healthRisk of spreading communicable diseases
Danger to public safetyRisk of sudden incapacity or violent behavior
Excessive demandLikely high cost or strain on public health or social services

Among these, excessive demand is the most common reason for refusal in economic immigration streams.

2. Excessive Demand Explained in Simple Terms

Excessive demand does not mean that a person is unhealthy or incapable of working. It is a financial and system capacity assessment.

IRCC evaluates whether the medical services an applicant is expected to need would:

  • Cost more than the national benchmark over a defined period
  • Increase wait times for Canadians and permanent residents in a harmful way

The focus is on publicly funded services, not private spending or personal wealth.

3. Canada’s New Excessive Demand Cost Threshold for 2026

For 2026, IRCC has raised the excessive demand cost threshold used in medical assessments.

Official 2026 Threshold

Assessment PeriodCost Limit
Annual limit$28,878
Five year limit$144,390

This threshold represents three times the average Canadian per capita cost of health and social services over five years, as defined by regulation.

4. Comparison of Excessive Demand Thresholds by Year

The increase for 2026 reflects inflation and rising healthcare costs across Canada.

YearAnnual ThresholdFive Year Threshold
2025$27,162$135,810
2026$28,878$144,390
Increase$1,716$8,580
Percentage changeAbout 6.3 percentAbout 6.3 percent

While the increase is modest, it can make a difference for applicants whose projected costs fall near the margin.

5. Why the Cost Threshold Matters for Immigration Applicants

The excessive demand threshold is not a fee and cannot be paid to avoid refusal. It is a decision making benchmark used by medical officers.

Applicants may still be refused even if their projected costs are below the threshold if the services required would significantly worsen wait times.

IRCC can refuse an application through two pathways:

  1. Cost based excessive demand
  2. System impact through increased wait times

Both pathways are assessed independently.

6. Who Can Be Found Medically Inadmissible

Medical inadmissibility can affect a wide range of applicants.

Applicants Who May Be Affected

CategoryImpact
Temporary residentsVisitors, students, workers requiring a medical exam
Permanent residence applicantsExpress Entry, PNP, business streams
Family membersAccompanying and sometimes non accompanying dependants

Importantly, a family member’s medical inadmissibility can affect the entire application in many immigration categories.

7. Health Services vs Social Services Under IRCC Rules

Many applicants misunderstand what services are included in excessive demand assessments.

Services That Count Toward Excessive Demand

TypeDefinition
Health servicesPublicly funded physician care, diagnostics, hospital services, funded medications
Social servicesInstitutional or residential care recommended by a health professional and publicly funded

Not all social support programs are included. The definition is narrower than commonly assumed.

8. How IRCC Assesses Medical Excessive Demand

IRCC relies on immigration medical exams and supporting evidence. Medical officers assess:

  • Diagnosis and severity
  • Prognosis over time
  • Treatment plan and service requirements
  • Expected publicly funded costs

Officers must follow regulations that restrict what they can consider.

Factors Officers Cannot Consider

Not AllowedReason
Applicant incomeNot a wealth based test
Willingness to payIntent alone is irrelevant
Employment prospectsNon medical factor

This ensures a standardized assessment across all applicants.

9. Cost Based Test vs Wait Time Impact Test

Excessive demand decisions are not limited to cost alone.

Test TypeExplanation
Cost threshold testWhether projected costs exceed $144,390 over five years
Wait time impact testWhether services would worsen wait lists and health outcomes

An applicant may pass the cost test but still face refusal under the wait time assessment.

10. Practical Examples Using the 2026 Threshold

The new threshold helps illustrate how assessments work in practice.

Example Scenarios

Estimated Annual CostFive Year ProjectionLikely Outcome
$30,000$150,000High risk of excessive demand
$25,000$125,000Lower cost risk but wait times still assessed
$15,000$75,000Unlikely excessive demand

Actual assessments use detailed service breakdowns rather than rough estimates.

11. Applicants Exempt From Excessive Demand Rules

Canadian law provides clear exemptions for certain groups.

Exempt Applicants

CategoryExemption Scope
Refugees and protected personsFully exempt from excessive demand
Sponsored spouses and partnersCost threshold not applied
Dependent childrenCost threshold not applied

These applicants can still be assessed for public health or safety concerns.

12. Procedural Fairness Letters and What They Mean

Before refusing an application, IRCC often issues a procedural fairness letter.

This letter outlines concerns and allows the applicant to respond with additional evidence.

Typical Response Timeline

StageTimeframe
Letter issuedDay 0
Response deadlineUsually 90 days
ExtensionPossible upon request

Applicants should treat this as a legal opportunity, not a refusal notice.

Mitigation plans are allowed only when IRCC invites them.

A mitigation plan explains how certain costs will be managed without relying on public services where legally permitted.

Important Limitation

Applicants generally cannot opt out of publicly funded healthcare services. Private insurance cannot replace core public health services.

What a Valid Mitigation Plan Must Include

RequirementDescription
Service explanationWhat care is required
Cost coverageHow eligible costs will be paid
Financial proofDocuments for entire care period
Signed declarationAbility and willingness statement

14. Common Myths About Medical Inadmissibility

Many refusals stem from misunderstandings.

MythReality
Being able to work prevents refusalWork capacity is irrelevant
Private insurance avoids excessive demandLimited impact only
Promising not to use services is enoughIntent is not considered

Understanding these distinctions is critical for applicants and families.

15. Key Takeaways for Applicants in 2026

The increase in the 2026 excessive demand threshold offers some relief, especially for borderline cases. However, it does not eliminate risk for conditions that require high ongoing public funding.

Applicants should:

  • Understand which services count toward excessive demand
  • Prepare evidence early if medical concerns exist
  • Respond carefully and thoroughly to procedural fairness letters
  • Avoid assumptions about private insurance or personal finances

Medical admissibility is a legal assessment, not a judgment of personal worth or capability.

16. Frequently Asked Questions

What medical conditions most often lead to refusal?

IRCC does not refuse based on diagnoses alone. Risk depends on projected public service use and system impact.

Can I be refused even if I feel healthy?

Yes. Medical admissibility is not based on how you feel or your ability to work.

What should I do if I receive a procedural fairness letter?

Submit updated medical evidence, clarify actual service needs, and provide accurate cost information that directly addresses IRCC’s concerns.

Can one family member’s condition affect everyone?

Yes. In many immigration streams, one person’s inadmissibility can lead to refusal of the entire application, unless exemptions apply.

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