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Applying Through Express Entry with a Pre-Existing Medical Condition

ICC Immigration Inc > Blogs > Announcement > Applying Through Express Entry with a Pre-Existing Medical Condition

Applying for Canadian Permanent Residence (PR) through Express Entry is a life-changing opportunity, but for applicants with pre-existing medical conditions, the process comes with added challenges. Immigration, Refugees and Citizenship Canada (IRCC) has clear rules around medical admissibility, and failure to meet these requirements could result in refusal of your PR application.

This article explains the latest updates to medical requirements, the three main reasons IRCC may find you inadmissible, and the steps you can take to reduce risks. We’ll also share how ICC Immigration can help you navigate the process and secure your future in Canada.

New Medical Exam Requirement for Express Entry

As of August 21, 2025, all new Express Entry applicants must submit an upfront Immigration Medical Exam (IME) with their PR application. Before this change, applicants only completed medical exams after submitting their applications.

This update means you now need to plan ahead, ensuring your medical documentation is ready before applying to Express Entry.

The Three Reasons for Medical Inadmissibility

IRCC may find an applicant medically inadmissible under three categories:

1. Excessive Demand on Health or Social Services

This is the most common reason for refusal. If IRCC determines your condition could cost more than the excessive demand cost threshold—set at $27,162 per year (or $135,810 over five years for 2025)—your application may be refused.

Examples of conditions that may trigger review include:

  • Chronic illnesses (diabetes, kidney disease, heart conditions)

  • Psychiatric disorders (bipolar disorder, schizophrenia)

  • Developmental conditions (autism, Down syndrome)

  • Infectious diseases needing ongoing treatment (hepatitis, TB)

What you can do:

  • Provide private health insurance coverage details

  • Submit updated medical reports and test results

  • Show evidence of effective treatment and positive prognosis

  • Present a mitigation plan to demonstrate reduced demand on public health resources

2. Danger to Public Health

Your application may be refused if your medical condition poses a risk of spreading infectious diseases.

IRCC considers:

  • IME results

  • Specialist reports

  • Evidence of exposure to infectious diseases

What you can do:

  • Submit specialist reports proving your condition is non-contagious

  • Provide lab results showing effective treatment

  • Include documentation of compliance with medical care

3. Danger to Public Safety

Conditions that may cause sudden incapacity (such as seizures) or violent behaviour tied to neurological or psychiatric issues could lead to refusal.

What you can do:

  • Provide documentation showing your condition is stable and managed

  • Submit specialist assessments confirming you are not a risk

  • Include proof of treatment compliance (e.g., prescriptions, therapy reports)

Overcoming Medical Inadmissibility

If IRCC raises concerns, you will likely receive a Procedural Fairness Letter. This letter explains the issue, requests additional documentation, and gives you 90 days to respond.

Your response may include:

  • Updated medical records

  • Proof of cost-effective care (private insurance, generic medication)

  • Specialist reports showing stability of your condition

In cases of excessive demand, IRCC may also invite you to submit a mitigation plan. This plan demonstrates how you’ll privately cover healthcare costs while meeting Canada’s medical standards.

How ICC Immigration Can Help You Secure Your Future in Canada

Navigating Express Entry medical inadmissibility can feel overwhelming—but you don’t have to face it alone. At ICC Immigration, we specialize in helping applicants manage complex immigration issues, including medical challenges.

Here’s how our team supports you:

  • Permanent Residency Applications: Whether through Express Entry, Provincial Nominee Programs (PNPs), or other immigration pathways, we ensure your application is strong and compliant.

  • Work Permits & Study Permits: We help you build a pathway to PR through temporary permits that align with your career or education goals.

  • Family Sponsorships: Reunite with loved ones in Canada while securing permanent status.

  • Expert Legal Advice: Our experienced consultants and legal experts provide guidance on IRCC rules, medical admissibility, and strategic documentation.

Instead of relying on uncertain options like asylum claims, ICC Immigration helps you take a stable, secure pathway toward Canadian Permanent Residence.

Final Thoughts

Having a pre-existing medical condition doesn’t mean your Express Entry PR application will be refused. By preparing medical documentation, responding effectively to IRCC concerns, and working with an experienced immigration consultant, you can strengthen your chances of approval.

At ICC Immigration, we are committed to helping you every step of the way—whether you’re in Canada already or preparing to immigrate. Our team will assess your profile, create a strategy tailored to your situation, and guide you toward a successful PR application.