The Government of Canada has decided to change the funding conditions of the Interim Federal Health Program (IFHP), which provides health insurance for refugees and asylum seekers. Starting from May 1, 2026, the country will implement a co-payment system, moving away from full coverage for certain types of medical services.
This is reported by Finway
Which Services Are Subject to Co-Payment
According to the new rules, refugees will have to partially pay for additional medical services. In particular, a fixed fee of $4 will be introduced for each prescription for medication, as well as a requirement to pay 30% of the cost of dental, ophthalmological, and psychological services.
At the same time, the list of basic medical services, including doctor visits, hospital stays, vaccinations, laboratory tests, and ambulance calls, will remain free for refugees.
Reasons for the Changes and Expected Economic Impact
The Canadian Ministry of Immigration (IRCC) explains these changes by the significant increase in the number of applicants and the burden on the budget. According to the agency, in 2024-2025, over 623,000 people utilized the program, costing the budget approximately $896 million. It is projected that by 2029-2030, expenses could rise to $1.5 billion. The implementation of co-payment is expected to save about $127 million in 2026-2027 and $232 million in subsequent years.
“A standard therapy session with a psychologist costs about $150. Now the patient will have to pay $45 out of pocket for the visit, causing many refugees to already start canceling appointments for May.”
These changes have sparked a wave of criticism from the public sector. Representatives of non-governmental organizations believe that the new rules will complicate refugees’ access to necessary medical services, especially psychological support. Some experts emphasize that such a system creates an illusion of savings, as refugees who cannot afford planned treatment will be forced to seek free emergency assistance, which ultimately costs the state more.
It is worth noting that in November 2025, the “Passport Service” for Ukrainians was launched in Toronto.