Canada has updated its rules for permanent residence applications under Express Entry. Starting August 21, 2025, applicants must complete a medical exam before submitting their application.
Previously, applicants submitted their full application and waited for IRCC to request a medical exam. This change affects only Express Entry applications. Non-Express Entry permanent residence applications are not impacted. Applications submitted before August 21, 2025, are exempt.
Why Medical Admissibility Matters
The principal applicant and all family members must be medically admissible to Canada. This requirement applies even if family members do not accompany the applicant.
A foreign national may be deemed medically inadmissible if their condition is likely to place an excessive demand on public health services. Excessive demand is defined as exceeding three times the national average per capita healthcare cost—currently $27,162 per year.
Chronic conditions like diabetes are less likely to affect admissibility if properly managed and controlled. Applicants may also be found inadmissible if they carry infectious diseases that could pose a danger to public health.
What Is an Immigration Medical Exam (IME)?
Immigration medical exams must be done by IRCC-approved physicians, known as panel physicians. Applicants must schedule the IME directly with a panel physician in their country or territory.
The exam typically costs between $140 and $280 per person. Additional costs may include specialist visits, tests, or treatments required during the exam.
Components of a Medical Exam
An IME may include the following:
- A review of previous medical history, including surgeries, treatments, and chronic illnesses
- A full-body physical exam covering eyes, heart, lungs, and more
- X-rays, often chest x-rays to screen for tuberculosis
- Blood and urine tests
- Mental health assessment
- Immunization record verification
Applicants should bring current medications, medical reports, proof of previous vaccinations, identification (passport or national ID), and four recent photographs.
Using a Previous IME
Applicants already in Canada may use a previous IME if it was completed within the last five years (for example, for a work permit or study permit). Providing the IME number or unique medical identifier may satisfy IRCC.
Those previously deemed low-risk or no-risk to public health may be exempt from another medical exam. IRCC will inform applicants if a new exam is required.
Tips for a Smooth Medical Exam
- Schedule Early: Book your exam well in advance to avoid delays in your application.
- Bring Documents: Carry all medical records, medications, vaccination proof, ID, and photos.
- Manage Chronic Conditions: Show that any long-term illness is stable and controlled.
- Follow Instructions: Complete any tests or follow-up visits recommended by the panel physician.
- Know Costs: Be prepared to pay for the exam, tests, and specialist visits.
- Stay Informed: Check IRCC updates regularly to know if any changes affect medical exam rules.
Why This Change Matters
Completing a medical exam before submitting an Express Entry application helps IRCC process applications more efficiently. Applicants with health concerns can address issues early, reducing delays.
It also ensures public health safety by confirming all applicants meet Canada’s medical standards before entering the country. This upfront approach can prevent unexpected application refusals due to medical issues, which may take months to resolve otherwise.
Conclusion
The new medical exam requirement is a key step for Express Entry applicants. By completing the IME upfront, candidates can avoid delays and ensure they meet Canada’s health standards.
To prepare, schedule your exam with an approved panel physician, gather all medical records, and manage any chronic conditions carefully. Staying organized and proactive with medical documentation can make your Express Entry process smoother and faster, increasing your chances of approval.