Guide 5568 - Application for Interim Federal Health Program Coverage (IFHP)

Table of Contents


This is not a legal document.

This publication is available in alternative formats upon request.


Overview

Application package

This application package consists of:

  • an instruction guide and
  • the required forms

The instruction guide is a tool that provides:

  • the information you must know about this application before sending it to Citizenship and Immigration Canada (CIC), and
  • assistance on how to fill out the forms and the required supporting documents

Read the instruction guide thoroughly and then fill out each of the applicable forms.

The forms are specifically designed with questions that will assist the processing of your application.


Symbols used in this guide

This guide uses the following symbols to indicate information of particular importance.

Required step
What you must do to have your application processed.
Important information
Important information that you need to be aware of in order to avoid delays or other problems.
Get more information
Where to get more information.
Note:
Tips that will assist you with this application.

The application process

The instructions provided in this guide follow the basic steps you will need to know to complete your application.

  1. Gather documents
  2. Complete the application
  3. Submit the application

Before You Apply

Application for Interim Federal Health Program Coverage

The Interim Federal Health Program (IFHP)

The Application for IFHP Coverage (IMM 5564) is for persons who are eligible for the IFHP and who want to:

  • apply for new coverage, or
  • extend their existing IFHP coverage, or
  • apply for modified coverage, or
  • request confirmation of IFHP coverage if their original IFHP eligibility document has been lost, stolen or destroyed.

Read the following instructions carefully. Forms that are incomplete or illegible, or that are not accompanied by the required documents may take longer to process or be returned.



Important information

Important Information

This application kit cannot be used for requests for IFHP Type 2 coverage for pregnant women.

The request to modify coverage to IFHP Type 2 for pregnant women can be submitted only by a registered IFHP health care provider - a medical doctor, registered nurse, nurse practitioner or a midwife licensed in Canada and registered with the IFHP. These providers must complete and submit a special form entitled TYPE 2 COVERAGE REQUEST FOR PREGNANT WOMEN WITH IFH-COVERAGE TYPE 3 OR 4, available on the Provider Portal, to the IFHP Claims Administrator, Medavie Blue Cross. The request must include the following information:

  1. Client information (name, eight digit immigration ID, date of birth, current IFH Type).
  2. Provider information (name, specialty, provider ID, address, telephone fax).
  3. Medical information and estimated due date.
  4. The request must be signed both by the provider and the client.

Clients must be eligible for the IFHP at the time of the request. Medavie Blue Cross will verify and forward the above information to CIC for review and approval.


Important Information about IFHP Eligibility Documents

The IFHP eligibility document which could be either the Refugee Protection Claimant Document (RPCD) or the Interim Federal Health Certificate of Eligibility (IFHP Certificate), is an important document that identifies you to registered IFHP health-care providers as someone who may have IFHP coverage.

Once you show your IFHP eligibility document to your registered IFHP provider, he must confirm your coverage with the IFHP Claims Administrator each time you need a service or product.

When you receive your new eligibility document, read it carefully and sign it in the area entitled “Signature of Holder.”

Note: Your eligibility document will not be accepted by registered IFHP providers without your signature.


Types of IFHP Coverage

Your immigration status determines the type of coverage that you may be eligible for and is described in the section below entitled: Who is eligible?

The IFHP provides the following types of coverage:

  • Type 1 includes: Basic Coverage, Supplemental Coverage and Prescription Drug Coverage.

    Basic coverage includes most services that insured residents are covered for under their provincial or territorial (PT) health insurance plans, such as hospital services and services received from a doctor, including: pre-and post-natal care; and laboratory, diagnostic and ambulance services.

    The level of coverage provided through the IFHP for supplemental benefits and prescription medications is similar to the level of coverage that may be provided by PT governments to certain residents, including residents receiving social assistance, and includes:

    • Certain supplemental health care benefits (including both services and products) such as:
      • limited dental and vision care;
      • home care and long-term care;
      • services by allied health care practitioners including clinical psychologists, occupational therapists, speech language therapists, physiotherapists;
      • assistive devices, medical supplies and equipment;
    • Coverage for most prescription medications, including vaccinations and other products listed on PT public drug plan formularies.

  • Type 2 includes: Basic Coverage and Prescription Drug Coverage.

    Basic coverage includes most services that insured residents are covered for under their PT health insurance plans, such as hospital services and services received from a doctor, including: pre- and post-natal care; and laboratory, diagnostic and ambulance services.

    The level of coverage provided through prescription medications is similar to the level of coverage that may be provided by PT governments to certain residents, including persons receiving social assistance. In addition, coverage for most prescription medications, including vaccinations and other products listed on PT public drug plan formularies.

  • Type 3 includes: Basic Coverage and Public Health or Public Safety (PHPS) Prescription Drug Coverage.

    Basic coverage includes most services that insured residents are covered for under their PT health insurance plans, such as hospital services and services received from a doctor, including: pre- and post-natal care; and laboratory, diagnostic and ambulance services.

    PHPS Prescription Drug Coverage includes prescription medications and related products, only if required to prevent or treat a disease posing a risk to public health or to treat a condition of public safety concern, and is included in the IFHP PHPS formulary.

  • Type 4 includes: PHPS Basic Coverage and PHPS Prescription Drug Coverage.

    PHPS Basic Coverage is provided only to prevent, diagnose or treat a disease posing a risk to public health or to diagnose or treat a condition of public safety concern and it includes in-patient and outpatient hospital services; services of medical doctors and registered nurses licensed in Canada; and laboratory and diagnostic services.

    This coverage may pay for initial medical services required to confirm or rule out a disease posing a risk to public health, or to treat a condition of public safety concern.

    PHPS Prescription Drug Coverage includes prescription medications and related products, only if required to prevent or treat a disease posing a risk to public health or to treat a condition of public safety concern, and is included in the IFHP PHPS formulary.

  • Type 5 includes coverage for persons who are detained by the Canada Border Services Agency under the Immigration and Refugee Protection Act (IRPA) for as long as they are detained.

  • Type 6 includes coverage for the Immigration Medical Examination (IME)

    For certain categories of beneficiaries, in addition to their main coverage, the cost of the IME and IME-related diagnostic tests required under the IRPA is also covered. This examination is part of the process of applying to come to or remain in Canada.

For more details on each IFHP Coverage Type and each related Benefit Grid, please visit www.cic.gc.ca/ifhp.


Who is eligible?

To be eligible, you must qualify under one of the groups listed in the chart below and must not be a Canadian citizen.

If you have private insurance, such as employer-sponsored supplemental health benefits, you may still be eligible for IFHP coverage. However, you are only eligible for coverage for those IFHP services or products that are not covered under your private insurance plan.

People covered Coverage type and duration

Resettled refugees who are or were receiving monthly income support through the Resettlement Assistance Program (RAP) or its equivalent in Quebec:

  • Government-Assisted Refugees;
  • Joint Assistance Sponsorship Program Refugees;
  • Certain people who are being resettled in Canada as a result of a public policy or humanitarian and compassionate considerations on the Minister’s own initiative;
  • Visa Office-Referred Refugees who are part of populations nominated for blended funding arrangements where CIC and private sponsors jointly provide funding support; or
  • Certain refugees sponsored by organizations with whom CIC has entered into cost-sharing agreements

Type 1 includes:

Basic Coverage

  • Basic services are covered only until the beneficiary qualifies for provincial or territorial health insurance.

Supplemental Coverage

Prescription Drug Coverage

  • Supplemental and drug products and services are covered as long as the beneficiary receives income support from the RAP or its equivalent in Quebec or is under sponsorship, but only up to a maximum of 24 months.
Privately sponsored refugees who do not receive and have not received monthly income support through the RAP or its equivalent in Quebec

Type 3 includes:

Basic Coverage

  • Basic services are covered only until the beneficiary qualifies for provincial or territorial health insurance.

PHPS Prescription Drug Coverage, which includes prescription medications and related products, only if required to prevent or treat a disease posing a risk to public health or to treat a condition of public safety concern.

  • These medications and vaccines are covered for the duration of the sponsorship.
Children eligible for the IFHP who are under 19 years of age

Type 1 includes:

Basic Coverage

Supplemental Coverage

Prescription Drug Coverage

  • This coverage lasts for as long as they remain eligible for the IFHP and are under 19 years of age.

And

Type 6 coverage for the IME.

Pregnant women:

  • who are eligible for the IFHP, excluding those eligible under Type 1

Type 2 includes:

Basic Coverage

Prescription Drug Coverage

  • IFHP beneficiaries must visit an IFHP registered provider who will confirm the pregnancy with the IFHP Claims Administrator. Only after confirmation will this coverage be issued.

And

Type 6 coverage for the IME.

  • This coverage lasts for the term of the pregnancy..
Victims of human trafficking who have a valid temporary resident permit (under section 24(3) of the IRPA)

Type 1 includes:

Basic Coverage

Supplemental Coverage

Prescription Drug Coverage

  • This coverage lasts for the duration of the TRP.

And

Type 6 coverage for the IME.

Certain people who are being resettled in Canada as a result of a public policy or humanitarian and compassionate considerations on the Minister’s own initiative and who receive monthly income support through the RAP or its equivalent in Quebec

Type 1 includes:

Basic Coverage

  • Basic services are covered only until the beneficiary qualifies for provincial or territorial health insurance.

Supplemental Coverage

Prescription Drug Coverage

  • Supplemental and drug products and services are covered as long as the beneficiary receives income support through the RAP or its equivalent in Quebec but only up to a maximum of 12 months.

Refugee claimants:

  • while their refugee claim is still awaiting decision from the Immigration and Refugee Board of Canada (IRB), including any appeals of a negative decision on their claim

Type 3 includes:

Basic Coverage

PHPS Prescription Drug Coverage, which includes prescription medications and related products, only if required to prevent or treat a disease posing a risk to public health or to treat a condition of public safety concern.

  • This coverage will only be issued when the refugee claim is found eligible to be referred to the IRB.
  • This coverage lasts until a decision on the individual’s refugee claim is made and all rights to judicial review and appeal with respect to their claim have been exhausted unless their claim is suspended or rejected (see below for coverage for individuals whose refugee claim was suspended or rejected).

And

Type 6 coverage for the IME.

Ineligible refugee claimants who are eligible to apply for a pre-removal risk assessment (PRRA)

Type 4 includes:

PHPS Basic Coverage

PHPS Prescription Drug Coverage, which includes prescription medications and related products, only if required to prevent or treat a disease posing a risk to public health or to treat a condition of public safety concern.

  • This coverage lasts until a decision on the individual’s PRRA is made.

And

Type 6 coverage for the IME.

People whose refugee claim is suspended

Type 4 includes:

PHPS Basic Coverage

PHPS Prescription Drug Coverage, which includes prescription medications and related products, only if required to prevent or treat a disease posing a risk to public health or to treat a condition of public safety concern.

  • This coverage lasts as long as the individual’s refugee claim is suspended.

And

Type 6 coverage for the IME.

Rejected refugee claimants:

  • whose refugee claim was rejected by the IRB and the decision was not appealed
  • whose refugee claim was rejected by the IRB and whose right to judicial review or any appeal of that judicial review has been exhausted

Type 4 includes:

PHPS Basic Coverage

PHPS Prescription Drug Coverage, which includes prescription medications and related products, only if required to prevent or treat a disease posing a risk to public health or to treat a condition of public safety concern.

  • This coverage lasts until the individual leaves Canada or otherwise becomes eligible for provincial or territorial health insurance.

Rejected refugee claimants:

  • who cannot be removed from Canada as a result of a deferral of removal for generalized risk

Type 2 includes:

Basic Coverage

Prescription Drug Coverage

  • This coverage lasts as long as the deferral of removal remains in place.

Protected persons:

  • who received a positive decision on their refugee claim
  • who received a positive decision on their PRRA

Type 3 includes:

Basic Coverage

PHPS Prescription Drug Coverage, which includes prescription medications and related products, only if required to prevent or treat a disease posing a risk to public health or to treat a condition of public safety concern.

  • These services and benefits are covered only until the beneficiary qualifies for provincial or territorial health insurance.

Positive PRRA decision

  • receiving a stay of removal

Type 3 includes:

Basic Coverage

PHPS Prescription Drug Coverage, which includes prescription medications and related products, only if required to prevent or treat a disease posing a risk to public health or to treat a condition of public safety concern.

  • This coverage lasts as long as there is a stay of removal in place.

Note: IFHP coverage ceases when:

  • an individual’s refugee claim is withdrawn; or
  • an individual’s refugee claim is determined to be abandoned by the IRB; or
  • an individual’s refugee claim is re-determined ineligible.
People or groups granted IFHP benefits on the initiative of the Minister because of exceptional and compelling circumstances.

In Canada, the IFHP may cover the following:

  • Basic Coverage;
  • Supplemental Coverage;
  • Prescription Drug Coverage;
  • PHPS Basic Coverage;
  • PHPS Prescription Drug Coverage;
  • IME

And

Before arriving in Canada, the IFHP may cover the cost of the IME and medications or vaccines.

  • The level of coverage provided and its duration will be determined by the Minister.
People detained by the Canada Border Services Agency Type 5 covers the costs of delivering health care services and products during the period an individual is detained.

Note: Your coverage can be cancelled or modified in CIC’s system without notice if your immigration status changes.

Examples of Stages of IFHP Coverage

If CIC determines your refugee claim for protection is eligible to be referred to the IRB for review

On the decision date, your IFHP coverage will begin.

If the IRB determines your status to be a Convention Refugee or person in need of protection

On the decision date, you will automatically be moved to protected persons group and your new Type 3 Coverage will automatically expire in 45 days – during this time, you must contact the PT health plan where you live and apply for PT insurance as soon as you are eligible.

If your claim is rejected by the IRB and you are not appealing the negative decision

Your coverage will automatically change from Type 3 Coverage to Type 4 Coverage, for which you will continue to be eligible until you leave Canada.

If your claim is rejected but you submit an appeal to the Refugee Appeal Division (RAD)

Your coverage will automatically change back from Type 4 Coverage to Type 3 Coverage, for which you will continue to be eligible until a decision is made on your appeal.

If your claim or appeal is rejected and your leave application for judicial review is denied, or the judicial review of your rejected claim is denied and any further appeals were unsuccessful

Your coverage will automatically change from Type 3 Coverage to Type 4 Coverage, for which you will continue to be eligible until you leave Canada.

If your claim is suspended

Your coverage will automatically change from Type 3 Coverage to Type 4 Coverage and IME, for which you will continue to be eligible until a decision is made on your suspended claim.

If your claim is abandoned, withdrawn or re-determined ineligible

You are no longer eligible for IFHP and your coverage will terminate immediately.


Important information

In some provinces/territories (PT), refugee claimants can apply for PT health insurance as soon as they receive a positive decision on their refugee claim. If you are required to wait longer than 45 days, you may need to apply for an extension of your IFHP coverage. See section below entitled: When to apply?


For more information

More details about the program can be found in the Interim Federal Health Program Policy available online at: www.cic.gc.ca/ifhp.


When to apply?

CIC processes applications for IFHP eligibility as quickly as possible. See Appendix A for CIC centre locations.

If you meet the IFHP eligibility requirements and this is the first time you have applied for coverage.

You should submit an application indicating this is a request for first time coverage.

If your current IFHP coverage will be expiring and your situation requires that you continue to be covered.

For example:

  • you are waiting for a decision on your claim from the IRB; or
  • you are waiting for a decision on your appeal from the RAD; or
  • your leave application for judicial review was approved or the judicial review of your claim was granted; or
  • you are a protected person and are still waiting to be eligible to apply for PT health coverage.

You should submit an application for an extension no later than six weeks before the expiry date of your most recent coverage.

If your immigration status has changed and you believe that you meet the eligibility requirements for a different type of coverage (which is not automatically registered in CIC’s system).

For example, your suspended claim was referred back to the IRB and you are now eligible for Type 3 Coverage.

You should submit an application and clearly indicate on the form that you are applying to modify your current coverage and describe your situation.

If your immigration status has changed and you believe that you still meet the eligibility requirements to maintain your current coverage (which is not automatically registered in CIC’s system).

For example, you are appealing a denied judicial review to a higher court and you want to maintain Type 3 Coverage.

You should submit an application and clearly indicate on the form that you are applying to modify and/or extend your current coverage and describe your situation.

If your IFHP eligibility document was lost, stolen or destroyed

You should submit an application for confirmation of coverage.

Note: You must apply to extend your coverage before the expiry date indicated on your IFHP Certificate, and then annually if you remain eligible. If you are not sure of the expiration date of your IFHP coverage, you can verify it by calling the CIC Call Centre at 1-888-242-2100.


Step 1. Gather Documents

What documents are required?

Collect the documents you need to support your application. Your application must include:

  • Application for IFHP Coverage (IMM 5564);
  • A clear and legible photocopy of the most recent of the following documents that CIC issued to you or to the child under 14 years of age you are applying for:
    • Refugee Protection Claimant Document (RPCD)
    • Interim Federal Health Certificate (IFHC)
    • Temporary Resident Permit (TRP)
    • Confirmation of Permanent Residence (COPR)
    • Single Journey Travel Document
    • Permanent Resident Card
    • Any other document issued to you and your dependants, if applicable, by Canadian immigration authorities.

Step 2. Complete the Application

Filling out the application

Follow the step-by-step instructions below to complete the application form.

The following is the form that must be filled out and submitted for all applicants:

  • Application for IFHP Coverage (IMM 5564)


Important information

Be complete and accurate

Complete all sections. Answer truthfully and to the best of your knowledge. Be sure to sign your application form and attach the required supporting documents. Your application may be returned if any information or documents are missing.


Application for IFHP Coverage (IMM 5564)

Section A - Personal Details

In this section, provide your personal information, such as family name, date of birth, address, etc.

Note: You can find your client identification number (Client ID) on your immigration document, issued by the CIC office, the Case Processing Centre, or the visa office where you filed your claim. Your client identification number consists of four numbers, a hyphen (-) and four more numbers. (Example: 0000-0000).

Section B – Information for Document Replacement

Complete Section B only if your IFHP eligibility document was lost, stolen or destroyed and you are applying to request a confirmation of existing IFHP coverage.

Section C – Your Status in Canada

In this section, you should describe your immigration status in Canada. Your answers in this section will be used to determine your IFHP eligibility and coverage. Answer truthfully and to the best of your knowledge.

Section D – Other Information

In this section, you should indicate if you are eligible for, have applied for, or have received other health-care insurance. Your answers in this section will be used to determine your IFHP eligibility. Answer truthfully and to the best of your knowledge.

Section E – Declaration of Applicant

Read the declaration. Then sign and date in the boxes provided.


Note

Be sure to attach the supporting documentation listed in the instructions accompanying this form.


Step 3. Submit the Application

To submit an online application:

  • Create a MyCIC account;
  • Under the heading “What would you like to do today” select “Apply for the Interim Federal Health Program (IFHP)”.

Note:  You will receive a response to your application by e-mail, through your MyCIC account.

To submit an application by mail:

  • Put the completed form(s) and supporting document(s) in an envelope;
  • Be sure to use sufficient postage;
  • Send your completed application to the nearest CIC centre listed in Appendix A (at the end of this guide).

It may take two (2) to three (3) weeks before you receive a response.

Affix sufficient postage (top right of the envelope)
Sender (top left of the envelope)
(Your name)
(Your Address)
(Your Postal Code)
Recipient (centre of the envelope)
Citizenship and Immigration Centre
(Refer to the addresses shown in Appendix A for the closest office).


Note

Sign the form

The application must be signed and dated before it is submitted. If your application is not signed and dated, it will be returned to you.


What Happens Next

The application process

Submission

Once you have submitted your application to a CIC Centre, either online or by mail, it will be evaluated to determine that it has been properly completed and submitted and that all requested supporting documentation has been provided.

The CIC centre may contact you if you need to provide:

  • more information,
  • additional documents, or
  • if you need to appear for an interview.

Processing

If you are applying: 

  • for the first time; or
  • to extend or modify your IFHP coverage and you meet the requirements; or
  • to request confirmation of an existing IFHP coverage,

CIC will issue a new Interim Federal Health Certificate of Eligibility to you. 

If your application for IFHP coverage is denied CIC will inform you in writing.

Note: Your eligibility period or coverage type will be determined based on your particular immigration status and the initial period will be no more than 12 months. After the 12 months, you will need to apply to extend your coverage if you are still eligible. It is recommended that you apply six (6) weeks in advance of the expiry date to avoid gaps in coverage. For more details on the program, visit www.cic.gc.ca/ifhp.


Factors that facilitate processing

There are certain things you can do to help ensure that your application is processed as promptly as possible by the office:

  • make sure that all the documentation and information requested is provided at the time your application is made.
  • make sure that you notify the CIC Centre promptly of any and all changes to your mailing address, family situation, or any other information that is important to your application.

Change of address

If you change your address after you submit your application, notify us immediately by:

  • e-mail, using the CIC on-line service (consult our website and follow the instructions on how to complete and send the electronic change of address form); or
  • calling the Call Centre.

Protecting your information

When you signed your original document that provided you with IFHP coverage or when you sign a new document issued as a result of this application, you agree that your:

  • medical and personal information will be shared with CIC, IFHP claims administration and other appropriate third-parties for the administration of the Interim Federal Health Program,  and
  • that your personal information may be shared with other government institutions and other third-parties in accordance with the Privacy Act.

For more information.You can obtain additional information on the protection of your data by visiting the Help Centre on our website.


Online services

For more information on the programs offered by Citizenship and Immigration Canada, visit our website.


How to contact CIC

Within Canada

CIC Call Centre:
1-888-242-2100 (toll-free)

Hours of operation:
Monday to Friday 8 a.m. to 4 p.m., your local time

If you are deaf, deafened or hard of hearing, or you have a speech impediment and use a text telephone, you can access the TTY service from 8 a.m. to 4 p.m. your local time by calling: 1-888-576-8502 (in Canada only).


Appendix A - List of Citizenship and Immigration Centres

Atlantic

Quebec

Ontario

Prairies/Northern Territories

British Columbia/Yukon


Atlantic

Fredericton
495 Prospect Street
Fredericton, NB  E3B 9M4

Halifax
1741 Brunswick Street, Suite B110
Halifax, NS  B3J 3X8

St. John’s
21 Hallett Crescent
St. John’s, NL  A1B 4G2


Quebec

Montréal
1010 St-Antoine Street West, 2nd floor
Montréal, QC  H3C 1B2


Ontario

Etobicoke
5343 Dundas Street West, Suite 104
Etobicoke, ON M9B 6K5


Prairies/Northern Territories

Calgary
Harry Hays Building, Room 210
220 4th Avenue S.E.
Calgary, AB  T2G 4X3

Edmonton & Northwest Territories
Canada Place
9700 Jasper Avenue
Suite 240,
Edmonton, AB  T5J 4C3

Nunavut, Saskatchewan & Winnipeg
Johnston Terminal, Room 400
25 Forks Market Road
Winnipeg, MB  R3C 0S9


British Columbia/Yukon

Vancouver
1148 Hornby Street
Vancouver, BC  V6Z 2C3

Whitehorse
300 Main Street
Suite 215
Whitehorse, YT   Y1A2B5

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