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frolic999

Full Member
Nov 22, 2015
25
1
Hello there,

Today, I received a request for information from CIC. I am currently taking a medication which prevents HIV. It is also known as PrEP.

While, I do not have HIV, I have been taking this medication simply as a precaution.

Here's an excerpt from CIC's letter:

*****
The expected cost for health related services for this applicant is approximately $12,000 per year.
This amount exceeds the average per capita threshold of $6,655.00 annually. A detailed list of
services required, cost implications as well as sources used to determine these costs are included
in Appendix I.
Based upon my review of the results of this applicant’s immigration medical examination and all
the reports I have received with respect to the applicant’s health condition, I conclude that this
applicant is inadmissible under Section 38(1)(c) of the Immigration and Refugee Protection Act
which states that “A foreign national is inadmissible on health grounds if their health condition
might reasonably be expected to cause excessive demand on health or social services.”
Senior Medical Officer - Immigration, Refugees and Citizenship Canada (IRCC)
Appendix I: Expected Costs of Services
Medication(s)
Details of Services: Truvada one tablet per day
$ 12,000 per year

Date Accessed: February 10, 2017
TOTAL COST OF ALL LISTED SERVICES: $12,000 per year

Before I make a final decision, you have the opportunity to submit additional information that addresses
any or all of the following:
 the medical condition(s) identified;
 medication(s) required in Canada for the period indicated above; and
 your individualized plan, including financial arrangements as applicable, to ensure that no
excessive demand will be imposed on Canadian social services for the entire period indicated
above and your signed Declaration of Ability and Intent. The expected cost for health related
services detailed above represents the publicly funded cost or subsidy provided by your
province of destination. Therefore, your individualized plan, should include your ability to
cover the total, non-subsidized cost of your specific treatment. Please include documentation
to substantiate your projected total non-subsidized medication costs.
You must provide any additional information by April 13, 2017. If you choose not to respond, I will
make my decision based on the information before me, which may result in your application being
refused.

In order to demonstrate that you will not place an excessive demand on health or social services if
permitted to immigrate to Canada, you must establish to the satisfaction of the assessing officer that you
have a reasonable and workable plan, along with the financial means and intent to implement this plan, in
order to offset the excessive demand that you would otherwise impose on health or social services, after
immigrating to Canada.
*****

I would like to write to CIC and explain them that I'm not depended on this medication and would rather stop taking it, than being considered inadmissible. Since this medication is being full covered by my insurance, I requested my doctor to prescribe it to me.

Unfortunately, I won't be able to prove my financial ability for my medical costs for 5 years.

Is there any other way to go about it? Any suggestion/advice is welcome?

Thank you.
 
I'm not an expert by any means, but I would think if you could get medical records and a doctors statement saying you are not dependent on it and are voluntarily taking it, you could present a case.

That being said, if you're taking it because a partner/etc is HIV+ Or something like that...you may face problems.
 
Look for the past posts of a member called computergeek, or read his blog.

http://www.canadavisa.com/canada-immigration-discussion-board/profiles/computergeek-u206408.html

His last post was September 2016, so I don't know if you can contact him again, perhaps through his blog.
 
[quot

frolic999 link=topic=474398.msg5773559#msg5773559 date=1487002723]
Hello there,

Today, I received a request for information from CIC. I am currently taking a medication which prevents HIV. It is also known as PrEP.

While, I do not have HIV, I have been taking this medication simply as a precaution.

Here's an excerpt from CIC's letter:

*****
The expected cost for health related services for this applicant is approximately $12,000 per year.
This amount exceeds the average per capita threshold of $6,655.00 annually. A detailed list of
services required, cost implications as well as sources used to determine these costs are included
in Appendix I.
Based upon my review of the results of this applicant’s immigration medical examination and all
the reports I have received with respect to the applicant’s health condition, I conclude that this
applicant is inadmissible under Section 38(1)(c) of the Immigration and Refugee Protection Act
which states that “A foreign national is inadmissible on health grounds if their health condition
might reasonably be expected to cause excessive demand on health or social services.”
Senior Medical Officer - Immigration, Refugees and Citizenship Canada (IRCC)
Appendix I: Expected Costs of Services
Medication(s)
Details of Services: Truvada one tablet per day
$ 12,000 per year

Date Accessed: February 10, 2017
TOTAL COST OF ALL LISTED SERVICES: $12,000 per year

Before I make a final decision, you have the opportunity to submit additional information that addresses
any or all of the following:
 the medical condition(s) identified;
 medication(s) required in Canada for the period indicated above; and
 your individualized plan, including financial arrangements as applicable, to ensure that no
excessive demand will be imposed on Canadian social services for the entire period indicated
above and your signed Declaration of Ability and Intent. The expected cost for health related
services detailed above represents the publicly funded cost or subsidy provided by your
province of destination. Therefore, your individualized plan, should include your ability to
cover the total, non-subsidized cost of your specific treatment. Please include documentation
to substantiate your projected total non-subsidized medication costs.
You must provide any additional information by April 13, 2017. If you choose not to respond, I will
make my decision based on the information before me, which may result in your application being
refused.

In order to demonstrate that you will not place an excessive demand on health or social services if
permitted to immigrate to Canada, you must establish to the satisfaction of the assessing officer that you
have a reasonable and workable plan, along with the financial means and intent to implement this plan, in
order to offset the excessive demand that you would otherwise impose on health or social services, after
immigrating to Canada.
*****

I would like to write to CIC and explain them that I'm not depended on this medication and would rather stop taking it, than being considered inadmissible. Since this medication is being full covered by my insurance, I requested my doctor to prescribe it to me.

Unfortunately, I won't be able to prove my financial ability for my medical costs for 5 years.

Is there any other way to go about it? Any suggestion/advice is welcome?

Thank you.

[/quote]



The Senior Medical Officer that reviewed your case would be curious why you on PrEP ? Do you have high risk sexual behaviours or a pattern with HIV. Be sure that if you go off the medications, you will be mst likely in the coming months requested to have another medicals done to ascertain your HIV seronegativity!
 
If your insurance fully covers this medication, then can't you just submit details of your extended medical plan as the letter suggests?
 
Dill_Harris said:
If your insurance fully covers this medication, then can't you just submit details of your extended medical plan as the letter suggests?

Issue there is, there's a possibility the insurance coverage will not continue once the OP moves to Canada. (Example: employer-offered insurance coverage that ceases to provide coverage once the employee leaves)
 
mgnlky said:
Issue there is, there's a possibility the insurance coverage will not continue once the OP moves to Canada. (Example: employer-offered insurance coverage that ceases to provide coverage once the employee leaves)

That makes sense. I mistakenly assumed the poster was already in Canada.