YCI – Help Center

What is Immigration Medical Exam (IME)

The Immigration Medical Exam (IME) is a medical examination required by the Government of Canada for individuals who are applying for permanent residency or a temporary resident visa in Canada. The IME is intended to ensure that all immigrants are medically admissible to Canada and do not pose a risk to public health and safety.

The exam is typically conducted by a panel physician who has been approved by the Government of Canada to perform immigration medical examinations. During the exam, the panel physician will review the applicant’s medical history, perform a physical examination, and may order additional tests or X-rays if necessary.

Immigration medical exam is valid for one (1) year from the date of exam.

Who needs IME

The IME is mandatory for all individuals applying for a permanent resident status. It is also required for temporary residents who:

• want to come to Canada for more than 6 months; and
• have lived or travelled for 6 months in certain countries or territories (listed) in the year before you come to Canada.

How to complete IME

Find Panel Physician

To find a panel physician for the Immigration Medical Exam (IME) in Canada, you can follow these steps:

1. Visit the Government of Canada’s Immigration, Refugees and Citizenship Canada (IRCC) website: https://secure.cic.gc.ca/pp-md/pp-list.aspx
2. Select your country or territory of residence
3. You will be directed to a page that lists all the panel physicians available in your country. You can search for a panel physician by entering your city using the find function (control + F for Windows, Command + F for Mac)
4. Once you have found a panel physician in your area, contact them directly to schedule an appointment for the IME. The panel physician will provide you with instructions on what to bring to the exam and what to expect during the exam.

What to bring to panel physician appointment

When you go to your appointment for the medical exam, you must bring:

• proper identification – at least 1 government-issued document with your photograph and signature, such as a passport (most preferred) or national identity card
• eye glasses or contact lenses, if you wear them
• any medical reports or test results that you have for any previous or existing medical conditions
• a list of your current medications
• the Medical Report form (IMM 1017E), if you don’t have an up-front medical exam
• If the panel physician doesn’t use eMedical, you must bring 4 recent photographs.

Immigration Medical Exam Costs

The cost of an Immigration Medical Exam (IME) may vary depending on the country of residence and the panel physician conducting the exam. In general, the cost of an IME includes the physician’s fee for conducting the exam, any laboratory tests or diagnostic procedures that may be required, and any applicable taxes or administrative fees.

As of March 2023, the cost of an IME in Canada is approximately $300 to $400 CAD, but this may vary depending on the country and the physician conducting the exam. In other countries it could be lower, typically ranging from $100 to $300 CAD. It’s important to note that these fees do not include any additional costs that may be required for follow-up medical treatments or procedures that may be necessary to address any medical issues discovered during the exam. It’s recommended to check with the panel physician directly for specific fee information related to the IME.

Non-EDE vs EDE Immigration Medical Exams

In Canada, an individual applying for permanent residency or certain types of temporary residency may be assessed for excessive demand on social services or healthcare. Excessive demand means that the individual’s medical condition may require more healthcare resources than threshold ($24,057, year 2022).

non-EDE (non-Excessive Demand Exempt)

Most applicants are examined for both public health and excessive demand.

EDE (Excessive Demand Exempt)

The Act (IRPA) exempts certain individuals from the excessive demand provision, including family class sponsored spouses, common-law partners or conjugal partners, and dependent children. It also exempts refugees under the United Nations Convention Relating to the Status of Refugees and persons in similar circumstances, protected persons, as well as spouses, common-law partners or conjugal partners, and dependent children of those individuals.

The medical exam and process is the same in both cases. The difference comes only when results are assessed at the IRCC’s medical office.

Medical Assessment Codes

M1 – No public health risk or danger, no public safety danger and no excessive demand.

M2 – Potential risk to public health. Medical surveillance required. Conditional entry recommended if granted entry to Canada. For example, applicants may be a “risk” due to a communicable disease that may reactivate, such as inactive tuberculosis.

M3 – A health condition is present but is not expected to place an excessive demand on health or social services.

M4 – Inadmissible due to danger to public health (for example, active infectious tuberculosis).

M5 – Inadmissible due to excessive demand on health and social services.

For all M5 codes, the medical officer will add a descriptive code indicating the nature of the excessive demand.

• T9: For excessive demand on social services
• H9: For excessive demand on health services
• E9: For displacement of Canadians who are on a waiting list

M6 – Inadmissible due to danger to public safety (for example, psychopathic personality).

Surveillance Codes

There are times when IRCC grants conditional entry and the applicant may be required to be on a medical surveillance. Medical surveillance is conducted by the province. The individual maybe required to report to provincial health authorities at at given interval. Below are the surveiilance codes:

S1 – No requirement for medical surveillance.

For M1 profiles, the surveillance code is set to S1 by default. For other medical profiles, the surveillance code S1 needs to be manually selected.

S2.01 – Applicant is inadmissible to Canada (active tuberculosis). Used in conjunction with the medical profile M4.

S2.02 – Medical surveillance required. Conditional entry recommended if granted entry to Canada (pulmonary tuberculosis inactive).

S2.02U – Medical surveillance required. Conditional entry recommended if granted entry to Canada (complex pulmonary tuberculosis inactive).

S2.06 – Applicant has complied with a medical surveillance requirement from a previous immigration medical exam (IME). No requirement for medical surveillance.