If your parents or grandparents are applying for permanent residence through Canada’s Parents and Grandparents Program (PGP), or for a long-term visit through a Super Visa, it’s important to understand the risk of medical inadmissibility, a common reason for refusal.
What is Medical Inadmissibility?
Immigration, Refugees and Citizenship Canada (IRCC) may deem an applicant medically inadmissible if their health condition is expected to:
- Endanger public health or safety; or
- Cause excessive demand on Canadian health or social services.
In 2025, “excessive demand” means healthcare or social service costs exceeding $27,162 per year, or $135,810 over five years.
Common Medical Conditions That May Raise Concerns
Each case is assessed individually, but certain conditions are more likely to raise red flags:
- Chronic illnesses (e.g., diabetes, kidney disease)
- Psychiatric conditions (e.g., bipolar disorder, schizophrenia)
- Disabilities requiring long-term care or special education
- Contagious diseases (e.g., tuberculosis)
- Other high-cost or complex medical needs
Note: A diagnosis alone does not automatically lead to inadmissibility. The decision depends on severity, management, and cost projections.
How to Reduce the Risk
If your parent or grandparent has a health condition:
- Submit detailed medical records showing their condition is stable and well-managed.
- Include doctor statements confirming ongoing treatment and prognosis.
- Demonstrate that medications or services are affordable or covered privately.
If IRCC Raises Medical Concerns
If IRCC suspects medical inadmissibility, they’ll send a procedural fairness letter before rejecting the application. At this stage, you can:
1. Respond to the Procedural Fairness Letter
You have 90 days to:
- Submit updated medical reports
- Explain how the condition is managed
- Propose less expensive or private treatment options
- Request an extension if needed
2. Submit a Mitigation Plan
If offered, you can present a plan showing how your parent or grandparent will cover their healthcare needs without burdening Canada’s system. This plan must include:
- Sources of private care
- Proof of financial ability
- A signed declaration accepting responsibility
3. Apply for a Temporary Resident Permit (TRP)
If PR or Super Visa is denied, a TRP might allow temporary entry. This is granted in exceptional cases where the reason to enter Canada outweighs the medical concern. TRPs may be valid from one day up to three years.
