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Medical inadmissibility problem, having Humira covered by province 100%

james1991

Newbie
Sep 21, 2018
1
0
Hi all,

I have just started reading all the forums yesterday, but I haven't find a super similar case to mine yet, so I would like to share it and see if anyone could help. I will also keep updating my immigration process.

So I have studied in BC,Canada for about 8 years, and currently worked for 2 years. I have just recently got invited to immigrate through Express Entry - Experience Class. I have just done the medical exam yesterday and I suddenly felt that there might be some problem.

I am currently taking Humira injection every two weeks for my IBD(started 3 months ago, super stable, diagnosed 8 years ago but was using normal medicines for long time), and they are covered by FairPharmaCare program in BC, which the coverage is based on your income from previous years. Since I have just started working for two years, and my salary is just around average, so I am getting 100% covered by this program. Also, my company is only providing a super small amount of the extended health insurance which is totally useless to the price of Humira.

Therefore, I am actually expecting to receive the fairness letter after a while since it is costing around 40k(based on the price I found on Google) a year which is much much higher then the average health spend of Canadians.

I am going to ask my specialist to write me a letter including the diagnosis, current dose, current conditions, etc to the doctor who body checked me(he suggested me to do this). But that doesn't really solve the concern that I will cost less in medical usage.

I am just wondering what should I do for now, or just sit and wait to see what's gonna happen.

To be honest, my family is able and willing to support me on any medications but I don't think IRCC will take that as valid point even if I declare to pay for all the bills myself for my IBD. I am also thinking to ask my company to upgrade my extended health insurance and paying the extra amount myself.

But, would anyone share their experiences that similar to mine? I personally feel that, it is very hard to give a strong plan to IRCC that you can reduce the cost of medications. Even I personally wouldn't care if paying it myself, stop using it or buying the medicines elsewhere(from my home country), but IRCC have the right to think that, once you have PR, you can legally use the benefits that brings to you, right?

Also, I am not sure if 10 years of living in Canada, studied as international student here for 8 years, and having a valid job, paying taxes every year are countable points to this situation.

Please, anyone would give me some advice about it will be much appreciated! Thanks in advance.
 

EE456

Champion Member
Jul 4, 2018
1,095
448
Hi all,

I have just started reading all the forums yesterday, but I haven't find a super similar case to mine yet, so I would like to share it and see if anyone could help. I will also keep updating my immigration process.

So I have studied in BC,Canada for about 8 years, and currently worked for 2 years. I have just recently got invited to immigrate through Express Entry - Experience Class. I have just done the medical exam yesterday and I suddenly felt that there might be some problem.

I am currently taking Humira injection every two weeks for my IBD(started 3 months ago, super stable, diagnosed 8 years ago but was using normal medicines for long time), and they are covered by FairPharmaCare program in BC, which the coverage is based on your income from previous years. Since I have just started working for two years, and my salary is just around average, so I am getting 100% covered by this program. Also, my company is only providing a super small amount of the extended health insurance which is totally useless to the price of Humira.

Therefore, I am actually expecting to receive the fairness letter after a while since it is costing around 40k(based on the price I found on Google) a year which is much much higher then the average health spend of Canadians.

I am going to ask my specialist to write me a letter including the diagnosis, current dose, current conditions, etc to the doctor who body checked me(he suggested me to do this). But that doesn't really solve the concern that I will cost less in medical usage.

I am just wondering what should I do for now, or just sit and wait to see what's gonna happen.

To be honest, my family is able and willing to support me on any medications but I don't think IRCC will take that as valid point even if I declare to pay for all the bills myself for my IBD. I am also thinking to ask my company to upgrade my extended health insurance and paying the extra amount myself.

But, would anyone share their experiences that similar to mine? I personally feel that, it is very hard to give a strong plan to IRCC that you can reduce the cost of medications. Even I personally wouldn't care if paying it myself, stop using it or buying the medicines elsewhere(from my home country), but IRCC have the right to think that, once you have PR, you can legally use the benefits that brings to you, right?

Also, I am not sure if 10 years of living in Canada, studied as international student here for 8 years, and having a valid job, paying taxes every year are countable points to this situation.

Please, anyone would give me some advice about it will be much appreciated! Thanks in advance.
If you really want to stay in Canada, I suggest you get a lawyer.
 

Medwizkid

Full Member
Jul 27, 2018
39
9
Humira is 762CAD a syringe so calculate from that you may just be below the new threshold. But Drs visits and other meds get factored in. Humira will lose it's patent in 4 yrs so the drug shld drop by 30 to 40 % to remain competitive with generics that will come in. It has dropped by 80% in some markets in Europe. So you can work with these And make a starategy with you Dr that will minimize cost e.g yearly visits yearly labs. Nothing else.
 

CanAm2020

Member
Nov 30, 2019
18
1
Hi all,

I have just started reading all the forums yesterday, but I haven't find a super similar case to mine yet, so I would like to share it and see if anyone could help. I will also keep updating my immigration process.

So I have studied in BC,Canada for about 8 years, and currently worked for 2 years. I have just recently got invited to immigrate through Express Entry - Experience Class. I have just done the medical exam yesterday and I suddenly felt that there might be some problem.

I am currently taking Humira injection every two weeks for my IBD(started 3 months ago, super stable, diagnosed 8 years ago but was using normal medicines for long time), and they are covered by FairPharmaCare program in BC, which the coverage is based on your income from previous years. Since I have just started working for two years, and my salary is just around average, so I am getting 100% covered by this program. Also, my company is only providing a super small amount of the extended health insurance which is totally useless to the price of Humira.

Therefore, I am actually expecting to receive the fairness letter after a while since it is costing around 40k(based on the price I found on Google) a year which is much much higher then the average health spend of Canadians.

I am going to ask my specialist to write me a letter including the diagnosis, current dose, current conditions, etc to the doctor who body checked me(he suggested me to do this). But that doesn't really solve the concern that I will cost less in medical usage.

I am just wondering what should I do for now, or just sit and wait to see what's gonna happen.

To be honest, my family is able and willing to support me on any medications but I don't think IRCC will take that as valid point even if I declare to pay for all the bills myself for my IBD. I am also thinking to ask my company to upgrade my extended health insurance and paying the extra amount myself.

But, would anyone share their experiences that similar to mine? I personally feel that, it is very hard to give a strong plan to IRCC that you can reduce the cost of medications. Even I personally wouldn't care if paying it myself, stop using it or buying the medicines elsewhere(from my home country), but IRCC have the right to think that, once you have PR, you can legally use the benefits that brings to you, right?

Also, I am not sure if 10 years of living in Canada, studied as international student here for 8 years, and having a valid job, paying taxes every year are countable points to this situation.

Please, anyone would give me some advice about it will be much appreciated! Thanks in advance.
Did you hear back from IRCC on your case? What was the conclusion?