You right, in Quebec you can have the Régie de l'assurance maladie du Québec (RAMQ) after you get your certificat de sélection du Québec (CSQ). In normal circumstances, CSQ takes a month. You need your IRB's positive decision and proof of residence in Quebec.Where do you live? I know some provinces will offer health insurance as soon as you get confirmed as a conventional refugee. In Quebec, you have to wait for 3 months after your IRB's positive decision, but it's the same for anyone else arriving in Quebec.