Interim Federal Health Program: Summary of Benefits

Effective November 5, 2014, the Government of Canada will implement the following temporary measures while appealing the July 4, 2014, Federal Court decision concerning the Interim Federal Health Program (IFHP).

This chart shows the coverage available to each group of IFHP beneficiary. For more details on each coverage type and the related benefit grid, visit www.cic.gc.ca/ifhp.

People covered Coverage type and duration of coverage

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 Citizenship and Immigration Canada (CIC) and private sponsors jointly provide funding support
  • 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 are 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.
  • Public Health or Public Safety (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 immigration medical examination (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 Immigration and Refugee Protection Act).

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 receive a positive decision on their refugee claim
  • who receive 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.

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.

This coverage will last for a period 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: 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.

 

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