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PR FSW Ulcerative Colitis + Infliximab (Biosimilar)

brenoalves

Newbie
Aug 11, 2024
6
0
Hello everyone, I got an ITA on 15/08 and sent my PR application 30/08. I am going crazy here thinking about the medical inadmissibility. Does anyone here went through a similar application lately and got the results of the medical exam?

I calculated my costs to be arround 23,992 CAD:

36x Infliximab CAD 528,00 / CAD 19,008 (I used to take 3 vials every month but actually changed that recently to every 8 weeks, but it's too recent).
2x GP Consultation CAD 157,00 / CAD 314,00 per year
1x Colonoscopy CAD 2,000 per year
2x Blood Tests CAD 100 / CAD 200,00 per year
12x Infusions CAD 2,400 per year (In here I pay nothing just guessed a value).

Don't know if the numbers are close to reality, but here in Brazil I go to the doctor every 6 months only, 2 blood tests and the infusions are covered by Celtrion (The company that makes the medication).

I fought hard for this invitation... Just need some good news. Thank you all.
 

canuck78

VIP Member
Jun 18, 2017
55,581
13,516
Hello everyone, I got an ITA on 15/08 and sent my PR application 30/08. I am going crazy here thinking about the medical inadmissibility. Does anyone here went through a similar application lately and got the results of the medical exam?

I calculated my costs to be arround 23,992 CAD:

36x Infliximab CAD 528,00 / CAD 19,008 (I used to take 3 vials every month but actually changed that recently to every 8 weeks, but it's too recent).
2x GP Consultation CAD 157,00 / CAD 314,00 per year
1x Colonoscopy CAD 2,000 per year
2x Blood Tests CAD 100 / CAD 200,00 per year
12x Infusions CAD 2,400 per year (In here I pay nothing just guessed a value).

Don't know if the numbers are close to reality, but here in Brazil I go to the doctor every 6 months only, 2 blood tests and the infusions are covered by Celtrion (The company that makes the medication).

I fought hard for this invitation... Just need some good news. Thank you all.
Yes approval is possible although not guaranteed. The bigger issue is you may not be able to see a GI for 6+ months and you may not be able to find a GP like millions of other Canadians. This will be problematic given the rigorous nature of your treatment. Canada doesn’t have a national pharmacare system so depending on your job and whether it provides extended health benefits and the province you live in your drug costs could be pretty high. There tends to be provincial coverage if you surpass a certain percentage of your income but it is still a decent deductible. Some provinces also have an up to 3 month wait period before you qualify for provincial healthcare.
 

brenoalves

Newbie
Aug 11, 2024
6
0
Yes approval is possible although not guaranteed. The bigger issue is you may not be able to see a GI for 6+ months and you may not be able to find a GP like millions of other Canadians. This will be problematic given the rigorous nature of your treatment. Canada doesn’t have a national pharmacare system so depending on your job and whether it provides extended health benefits and the province you live in your drug costs could be pretty high. There tends to be provincial coverage if you surpass a certain percentage of your income but it is still a decent deductible. Some provinces also have an up to 3 month wait period before you qualify for provincial healthcare.

Hi canuck78, thank you for you answer.

Wow, this is really concerning. I can't really go that long without seeing a doctor and restarting my treatment. I have predicted 6 months without medication so I would cover that cost for that long if necessary, but can't really go much further without help of the goverment. I have been thinking about going to Alberta and the AHCIP is effective shortly after you apply, there's no waiting period for those arriving from abroad. There is also health benefits from Alberta blue cross that helps with the costs of the medication.

I don't really expect the province to fully cover the costs you know... I just want to be able to continue my treatment and provide a better life for my family.

Well... Let's see how it goes haha.
 

canuck78

VIP Member
Jun 18, 2017
55,581
13,516
Hi canuck78, thank you for you answer.

Wow, this is really concerning. I can't really go that long without seeing a doctor and restarting my treatment. I have predicted 6 months without medication so I would cover that cost for that long if necessary, but can't really go much further without help of the goverment. I have been thinking about going to Alberta and the AHCIP is effective shortly after you apply, there's no waiting period for those arriving from abroad. There is also health benefits from Alberta blue cross that helps with the costs of the medication.

I don't really expect the province to fully cover the costs you know... I just want to be able to continue my treatment and provide a better life for my family.

Well... Let's see how it goes haha.
Alberta healthcare is a disaster at the moment although most of healthcare in Canada is a mess. If you arrive and use healthcare right away then you essentially become stuck in that province for quite a while since typically when you move provinces the previous province covers your healthcare costs for 3 months. If you didn’t meet the residency requirements to qualify for healthcare in the first province they may refuse to cover the 3 months and want you to repay for the months you received a care in their province. These rules are partially in place to prevent people from moving to a province where they can access healthcare immediately and then move to another province.

Just an idea what to expect. May actually by 9-12 months after a referral.

https://www.reddit.com/r/alberta/comments/1b0n848
 

brenoalves

Newbie
Aug 11, 2024
6
0
Alberta healthcare is a disaster at the moment although most of healthcare in Canada is a mess. If you arrive and use healthcare right away then you essentially become stuck in that province for quite a while since typically when you move provinces the previous province covers your healthcare costs for 3 months. If you didn’t meet the residency requirements to qualify for healthcare in the first province they may refuse to cover the 3 months and want you to repay for the months you received a care in their province. These rules are partially in place to prevent people from moving to a province where they can access healthcare immediately and then move to another province.

Just an idea what to expect. May actually by 9-12 months after a referral.

https://www.reddit.com/r/alberta/comments/1b0n848
Well it's worse than I thought then... even if I can pay for the meds, there's no way getting them because I wouldn't be able to see a doctor to prescribe them... If that really happens, I guess the only solution would be flying back to Brazil every two months to get the medication while I wait for an appointment. That's crazy, but doable, since the costs to travel here and back would be the same as buying the medication.
 

canuck78

VIP Member
Jun 18, 2017
55,581
13,516
The unemployment rate in Canada and in most of Alberta is pretty high especially for newcomers so unless you have employment lined up it may be really tough. Would add that in many jobs getting time off to attend regular medical appointments especially as a new employee can be extremely difficult. Not sure how you would get time off to go to Brazil if you can’t get time off to go to a medical appointment. You may be unable to secure a family doctor at all which is problematic as well. I have medical background, was very aware of how the Canadian healthcare system worked, have a GP (even though she is pretty useless I fear for the day she retires) and when I developed a chronic condition I found the system difficult to deal with and I essentially manage my own care, can police for errors, live in a large centre, have realistic expectations, have a flexible schedule, etc. I have zero idea how others manage. The sad part is they likely don’t and people don’t get access to care in a timely manner, go without certain treatments because it is too expensive or not covered, etc. Between the economy, the housing market and our healthcare crisis this is a very tough time to move to Canada especially if you have health issues. Sadly I expect it will get worse not better.

https://www.albertadoctors.org/advocacy/strategic-priorities/system-leadership-and-partnership/abs-family-medicine-crisis/#:~:text=Across the province, upwards of,the point of effective treatment.
 

brenoalves

Newbie
Aug 11, 2024
6
0
I don't think work will be much of a problem. I am a software engineer and I don't have to leave my work here in Brazil right after moving away. Already had some contact with companies in Canada, but sadly, because I wasn't allowed to work in Canada, I wasn't able to secure any jobs from here. But your answers here are really concerning. It makes me feel sad because I put a lot of effort in this process. Had to learn languages, raise a lot of money because the canadian dollar is 4.2x times the Brazilian currency, worked like crazy, not even sure I will get my PR and now this health issue.

Would you recommend thinking about another province?
 

canuck78

VIP Member
Jun 18, 2017
55,581
13,516
I don't think work will be much of a problem. I am a software engineer and I don't have to leave my work here in Brazil right after moving away. Already had some contact with companies in Canada, but sadly, because I wasn't allowed to work in Canada, I wasn't able to secure any jobs from here. But your answers here are really concerning. It makes me feel sad because I put a lot of effort in this process. Had to learn languages, raise a lot of money because the canadian dollar is 4.2x times the Brazilian currency, worked like crazy, not even sure I will get my PR and now this health issue.

Would you recommend thinking about another province?
Realistically there are healthcare issues across Canada although certainly worse in certain areas. The IT market has softened quite a bit so even getting a job as a software engineer may be difficult. Is there a reason you want to move to Canada especially if you have a good standard or life and assume extended family in Brazil?
 

brenoalves

Newbie
Aug 11, 2024
6
0
Hi Canuck,

Sorry I didn't see your last message... I understand your point of view of Canada right now, but in the same way, I know a lot of people with excelent lives living there and with good thoughts about the country. I know everyone's experience is different and I fought hard for this invitation and I need to try. Even if things don't work out, I can't live with the thought "what if" if I decide not to go.

I do have a "confortable" life here in Brazil, but sadly there's no way forward for this nation, the current president was incarcerated and was set free, the election was stolen and these are signs that things will not get better. Prices don't go up by 6 months or a year, they change week after week and sometimes even faster than that. Taxes are all time high and increasing everyday. We pay like 40% taxes in salaries and 33% taxes in everything we buy. It's just insane.
I would like to raise a family but I want my children to have better opportunities and not be poisoned by the brasilian culture. Can you imagine you walking by a park with your family and a car crosses you with a music talking about pornography as loud as they can put it? It's just sad dude, I told myself my whole life that I don't belong to this place.

Since 2023, when I started this plan to go to Canada, I had 0 dollars in my bank account, I had no knowledge of french, I had not enough points for any program. I fought hard... Studied, learned and worked day and night to get this invitation. I am not hoping for Canada to be perfect, I know I will see a lot of things I won't like, I will face difficulties for a few months, but I gotta see it through, you know?

I just got through my medical examination yesterday, the doctor said that my condition is not something that hinders my application. I thought it was weird, but let's see how it goes...
 

canuck78

VIP Member
Jun 18, 2017
55,581
13,516
Hi Canuck,

Sorry I didn't see your last message... I understand your point of view of Canada right now, but in the same way, I know a lot of people with excelent lives living there and with good thoughts about the country. I know everyone's experience is different and I fought hard for this invitation and I need to try. Even if things don't work out, I can't live with the thought "what if" if I decide not to go.

I do have a "confortable" life here in Brazil, but sadly there's no way forward for this nation, the current president was incarcerated and was set free, the election was stolen and these are signs that things will not get better. Prices don't go up by 6 months or a year, they change week after week and sometimes even faster than that. Taxes are all time high and increasing everyday. We pay like 40% taxes in salaries and 33% taxes in everything we buy. It's just insane.
I would like to raise a family but I want my children to have better opportunities and not be poisoned by the brasilian culture. Can you imagine you walking by a park with your family and a car crosses you with a music talking about pornography as loud as they can put it? It's just sad dude, I told myself my whole life that I don't belong to this place.

Since 2023, when I started this plan to go to Canada, I had 0 dollars in my bank account, I had no knowledge of french, I had not enough points for any program. I fought hard... Studied, learned and worked day and night to get this invitation. I am not hoping for Canada to be perfect, I know I will see a lot of things I won't like, I will face difficulties for a few months, but I gotta see it through, you know?

I just got through my medical examination yesterday, the doctor said that my condition is not something that hinders my application. I thought it was weird, but let's see how it goes...
I have family who lives in Brazil. This is possibly the worst time to move to Canada. Many Canadians are leaving it is so bad. Think your expectations of Canada and the reality may be very different.
 

GandiBaat

VIP Member
Dec 23, 2014
3,704
2,990
NOC Code......
2173
App. Filed.......
26th September 2021
Doc's Request.
Old Medical
Nomination.....
None
AOR Received.
26th September 2021
IELTS Request
Sent with application
File Transfer...
11-01-2022
Med's Request
Not Applicable, Old Meds
Med's Done....
Old Medical
Interview........
Not Applicable
Passport Req..
22-02-2022
VISA ISSUED...
22-02-2022
LANDED..........
24-02-2022
Hello everyone, I got an ITA on 15/08 and sent my PR application 30/08. I am going crazy here thinking about the medical inadmissibility. Does anyone here went through a similar application lately and got the results of the medical exam?

I calculated my costs to be arround 23,992 CAD:

36x Infliximab CAD 528,00 / CAD 19,008 (I used to take 3 vials every month but actually changed that recently to every 8 weeks, but it's too recent).
2x GP Consultation CAD 157,00 / CAD 314,00 per year
1x Colonoscopy CAD 2,000 per year
2x Blood Tests CAD 100 / CAD 200,00 per year
12x Infusions CAD 2,400 per year (In here I pay nothing just guessed a value).

Don't know if the numbers are close to reality, but here in Brazil I go to the doctor every 6 months only, 2 blood tests and the infusions are covered by Celtrion (The company that makes the medication).

I fought hard for this invitation... Just need some good news. Thank you all.
Hey, I am in Canada since 2017. May I suggest few things?

1. Take an appointment with a Canadian GP over the internet. There are many platforms for that. Send the names of your prescribed medicines and ask for which drugs from Canadian pharmacopeia can substitute those. Find their costs. I have a hunch that some of the may cost less. I know a person with Chrons who was able to avoid higher cost biologics with biosimilars. Just ensure you have the optimal prescription.

Do not do it by yourself. It is likely a less expensive equivalent treatment (eg biosimilae) might be possible.

Also get the cost of preventive procedures like Colonoscopy directly from hospitals or clinics. And find the cost of not the worst case but the average case. A colonoscopy where they find a polyp costs more because they have to do a biopsy of polyp to check what is its status. I have a feeling that cost of colonoscopy may not be 2000 for a procedure where they do not find any polyps. Check : https://www.oakridgesendoscopy.ca/for-patients/uninsured-fees/ ; Its 1600 if no follow up consultation is required. Or 1750 if it is required.

If you feel overwhelmed, get help from a lawyer. I know it is possible to navigate immigration even with medical conditions. Have few friends who did it.

2. When coming to Canada, may I suggest try to come here with your job?
I work in an MNC and they transferred me here with my job. Saves a lot of trouble. This works because getting hired in your country will be easier and less costly. I know a friend who lost job sometimes back and went back to India after trying for few months and got their job again in 3 weeks. He is now back in canada as an intra-company transfer. Its a question of being prepared when you land here. Saves you a lot of heart and head ache.

I just got through my medical examination yesterday, the doctor said that my condition is not something that hinders my application. I thought it was weird, but let's see how it goes...
May I suggest that you should get your application done and get your documents / PR done ASAP? The reason is, the current government in Canada is not stable. And the reason why you are able to even consider this move is because in 2018 or so Trudeau moved the threshold to 3x of avg cost. I will say, it is likely though not confirmed that if a conservative govt comes, they will reduce it back. So yeah, get your PR ASAP.

At worst you will get a PFL. But PFLs can be answered.

Current threshold is 25,689 CDN for 2023. You will be able to fit.

Well it's worse than I thought then... even if I can pay for the meds, there's no way getting them because I wouldn't be able to see a doctor to prescribe them... If that really happens, I guess the only solution would be flying back to Brazil every two months to get the medication while I wait for an appointment. That's crazy, but doable, since the costs to travel here and back would be the same as buying the medication.
I live in Victoria BC. The retirement home of Canada. Here are someways in which we manage our healthcare.

1. We are enrolled with Primary and Urgent Healthcare Clinic program of our community. It helps a lot. For instance, my wife was having these itchy spots on her back which look to me as some kind of hormonal issue. We were able to get same day appointment with a Nurse Practitioner via our BC-PUHC. She thinks a doctor needs to look at it so it is now day after tomorrow. Likely (my guess is) this will require a blood test and possibly a USG. I know both can be done in less than 3 days at local imaging and LifeLabs. If USG finds some mess, it will be another story. Hope it does not leads to that. My kid often gets cuts and bruises, some of which require attention of doctor. I was able to get it fixed the same day at my BC-PUHC.

That being said, it is VERY regional thing, to the point it varies in the same city.

2. If you require something like a MRI, there are long wait times. That being said, one of my friends wife has cancer and all of her tests were scheduled pretty quickly -- including MRI.

3. If you are really concerned, you can opt to live in Montreal. They have a very decent private clinics industry. I am not sure how private insruances work there though. I do have a feeling though that employer provided insurances will cover a lot of things. Mine covered dental, glasses etc. Be prepared to learn french however. Montreal also has some good technology industry.

4. I have taken a private insurance in Canada and it covers private tests too. I believe sooner than the later, we will see a more of an australia like setup in Canada.
 
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GandiBaat

VIP Member
Dec 23, 2014
3,704
2,990
NOC Code......
2173
App. Filed.......
26th September 2021
Doc's Request.
Old Medical
Nomination.....
None
AOR Received.
26th September 2021
IELTS Request
Sent with application
File Transfer...
11-01-2022
Med's Request
Not Applicable, Old Meds
Med's Done....
Old Medical
Interview........
Not Applicable
Passport Req..
22-02-2022
VISA ISSUED...
22-02-2022
LANDED..........
24-02-2022
I have family who lives in Brazil. This is possibly the worst time to move to Canada. Many Canadians are leaving it is so bad. Think your expectations of Canada and the reality may be very different.
Let me be honest, I am hearing this since past 15-20 years. "It is not a good time to move to XYZ". I believe all times are bad time to move to developed world because developed world keeps on moving jobs to developing world to save money and jobs in developed world keep on disappearing. Apparently, since last 30 years or so developed world has been in some kind of a mental or psychological recession. I blame death of manufacturing jobs for this.

Yet people do move and have successful careers in developed worlds. I know people who moved to US, UK, Canada, Australia in 2008. I know those who did it even in 99-2000 during thick of dot com crash.

There will always be doom and gloom. There will always be enterprising people who survive and flourish in doom. And the world will keep on spinning.

Ask yourself, have you ever felt that "Now is a great time for immigrants to move to Canada". I know I never got a positive answer on that from most of the folks whom I asked this.

One must prepare and be ready for the challenge. Avoiding challenge never works.
 

canuck78

VIP Member
Jun 18, 2017
55,581
13,516
Let me be honest, I am hearing this since past 15-20 years. "It is not a good time to move to XYZ". I believe all times are bad time to move to developed world because developed world keeps on moving jobs to developing world to save money and jobs in developed world keep on disappearing. Apparently, since last 30 years or so developed world has been in some kind of a mental or psychological recession. I blame death of manufacturing jobs for this.

Yet people do move and have successful careers in developed worlds. I know people who moved to US, UK, Canada, Australia in 2008. I know those who did it even in 99-2000 during thick of dot com crash.

There will always be doom and gloom. There will always be enterprising people who survive and flourish in doom. And the world will keep on spinning.

Ask yourself, have you ever felt that "Now is a great time for immigrants to move to Canada". I know I never got a positive answer on that from most of the folks whom I asked this.

One must prepare and be ready for the challenge. Avoiding challenge never works.
There is actual data showing the unemployment rate for newcomers & younger ppl is very high and affordability very low. Very few people have said that it is bad time to move to Canada in the past 30 years. Healthcare also in a much larger crisis than ever.
 

canuck78

VIP Member
Jun 18, 2017
55,581
13,516
Hey, I am in Canada since 2017. May I suggest few things?

1. Take an appointment with a Canadian GP over the internet. There are many platforms for that. Send the names of your prescribed medicines and ask for which drugs from Canadian pharmacopeia can substitute those. Find their costs. I have a hunch that some of the may cost less. I know a person with Chrons who was able to avoid higher cost biologics with biosimilars. Just ensure you have the optimal prescription.

Do not do it by yourself. It is likely a less expensive equivalent treatment (eg biosimilae) might be possible.

Also get the cost of preventive procedures like Colonoscopy directly from hospitals or clinics. And find the cost of not the worst case but the average case. A colonoscopy where they find a polyp costs more because they have to do a biopsy of polyp to check what is its status. I have a feeling that cost of colonoscopy may not be 2000 for a procedure where they do not find any polyps. Check : https://www.oakridgesendoscopy.ca/for-patients/uninsured-fees/ ; Its 1600 if no follow up consultation is required. Or 1750 if it is required.

If you feel overwhelmed, get help from a lawyer. I know it is possible to navigate immigration even with medical conditions. Have few friends who did it.

2. When coming to Canada, may I suggest try to come here with your job?
I work in an MNC and they transferred me here with my job. Saves a lot of trouble. This works because getting hired in your country will be easier and less costly. I know a friend who lost job sometimes back and went back to India after trying for few months and got their job again in 3 weeks. He is now back in canada as an intra-company transfer. Its a question of being prepared when you land here. Saves you a lot of heart and head ache.


May I suggest that you should get your application done and get your documents / PR done ASAP? The reason is, the current government in Canada is not stable. And the reason why you are able to even consider this move is because in 2018 or so Trudeau moved the threshold to 3x of avg cost. I will say, it is likely though not confirmed that if a conservative govt comes, they will reduce it back. So yeah, get your PR ASAP.

At worst you will get a PFL. But PFLs can be answered.

Current threshold is 25,689 CDN for 2023. You will be able to fit.
You can literally look up the drug formulary for each province to get information on what the provincial gvt cost per medications are.
 

GandiBaat

VIP Member
Dec 23, 2014
3,704
2,990
NOC Code......
2173
App. Filed.......
26th September 2021
Doc's Request.
Old Medical
Nomination.....
None
AOR Received.
26th September 2021
IELTS Request
Sent with application
File Transfer...
11-01-2022
Med's Request
Not Applicable, Old Meds
Med's Done....
Old Medical
Interview........
Not Applicable
Passport Req..
22-02-2022
VISA ISSUED...
22-02-2022
LANDED..........
24-02-2022
You can literally look up the drug formulary for each province to get information on what the provincial gvt cost per medications are.
AFAIK, biologics have biosimilars and not all of them work the same. Might need a doctor's opinion if a cheaper biosimilar will work for him.