Medicals for Express Entry: High Blood Pressure

[esos4real]

Please see http://www.cic.gc.ca/english/department/partner/pp/pdf/IMEI_Hypertension.pdf

This lists the additional tests that have to be done in case an applicant is diagnosed with hypertension. If the additional tests come clear, no need to worry. Even if they do not come clear, it will then depend on the cost threshold.

Each case is dealt on a case by case basis.

IRCC has stated the following with regard to the cost threshold.:

The cost threshold is determined by multiplying the per capita cost of Canadian health and social services by the number of years used in the medical assessment for the individual applicant. This cost threshold is updated every year.

Effective January 1, 2017, the updated cost threshold is $6,655 per year. This figure is usually multiplied by five (unless the anticipated length of stay is shorter than five years or there is evidence that significant costs are likely to be incurred beyond that period, in which case the period is no more than 10 consecutive years). This results in the legislated threshold of $33,275.

Also, see <http://www.cic.gc.ca/english/resources/tools/medic/admiss/excessive.asp> This explains the procedure as regard to the express entry

Wow legal falcon, good to see you are still on this platform man! I have never asked you any questions in the past because i read your every posts and used it to make and guide my application thurs far. I was planning to give some appreciation when PPR come, May God continue to bless you.

As i said, i am in IP2 but medicals not passed because of hypertension and I know my heart is big, otherwise no other thing (family hx of Hypertension tho).

I have read the pdf, it's informative. I will contact the PP for the furtherance tests.
But Just incase i dont pass? Will I be rejected outrightly? Or i will be passed if below the $$$ threshold? Or do I have to prove this via legal COUNSEL?

Have you seen anyone with hypertension go via the legal counsel route?

Godbless, i will keep you updated! Your response just made my blood pressure drop. ....lol

 

[legalfalcon]

Wow legal falcon, good to see you are still on this platform man! I have never asked you any questions in the past because i read your every posts and used it to make and guide my application thurs far. I was planning to give some appreciation when PPR come, May God continue to bless you.

As i said, i am in IP2 but medicals not passed because of hypertension and I know my heart is big, otherwise no other thing (family hx of Hypertension tho).

I have read the pdf, it's informative. I will contact the PP for the furtherance tests.
But Just incase i dont pass? Will I be rejected outrightly? Or i will be passed if below the $$$ threshold? Or do I have to prove this via legal COUNSEL?

Have you seen anyone with hypertension go via the legal counsel route?

Godbless, i will keep you updated! Your response just made my blood pressure drop. ....lol

It all depends on your case. No one can predict anything. However, if your are not on any medications and do not have any major issue, there should be no issues at all. However, you should order your medical GCMS so that you have the entire report which was sent by your panel physician and also the assessment done by Health Canada. That will help you know what is going on.

As of now, get what IRCC wants and wait. If you would be interested in getting your medical record from IRCC, you can contact https://www.getgcms.com and they can guide you.

 

[raxdsouza]

Sorry if I'm unearthing a somewhat old thread, but I thought I would provide an update regarding this.

My other half has had most of the tests now done under the NHS. He has also had a 24-hr blood pressure monitor which had the average of 134/84 (decently below the hypertension definition of 140/90), and is awaiting blood test results. It looks like a case of white coat syndrome at the hospital after all and that for the most part he's pretty healthy (although has changed his diet to bring his bp down further).

Unfortunately it's now the matter of dealing with the red tape, because it looks unlikely that the NHS will refer him to a cardiologist as it would be a waste of public funds if the tests concluded that he does not have hypertension. But the eMedical is requiring a cardologists opinion in order to proceed, so it's looking like we *have* to get this done privately, we are hoping that the cardiologist will see the test results from the NHS and conclude that, 'yep, you're fine' and submit the eMedical and not rinse us for additional tests privately. Unfortunately the hospital hasn't been very helpful in anticipating what will happen, but if anyone else has gone through this ordeal and can share experiences, it would certainly ease our anxiety out of this process.

Thanks again!

HI @kgllewellyn

Can plz let me knw which all test where done by the cardiologist and if medical was passed.
I have been referred to cardiologist just because of high BP. Seems like they r trying to make money out of me..

 

[DEEPCUR]

HI @kgllewellyn

Can plz let me knw which all test where done by the cardiologist and if medical was passed.
I have been referred to cardiologist just because of high BP. Seems like they r trying to make money out of me..

The only test cic wants for high blood pressure is serum creatinine which could be done with a blood sample. More tests are generally scamming in nature, but you cannot do much about it as panel physician have some discretion on this.

Just ask them and see if cic has requested furtherance tests or if it's done by the clinic proactively. If latter, you could say you'll wait for cic to get back, if clinic allows you to do that

 

[krunal2904]

The only test cic wants for high blood pressure is serum creatinine which could be done with a blood sample. More tests are generally scamming in nature, but you cannot do much about it as panel physician have some discretion on this.

Just ask them and see if cic has requested furtherance tests or if it's done by the clinic proactively. If latter, you could say you'll wait for cic to get back, if clinic allows you to do that

Absolutely right....I have little high blood pressure & CIC panel physician asked me to do creatinine test with my first medical exam. Once results submitted to CIC..After a week, cic send me an request to do another Creatinine test which I did. I passed my medical after that.

 

[raxdsouza]

They did my creatinine test amd also am ECG on medical test day.
Now 3 days later clinic is asking me to go to a cardiologist. I have not submitted my application to CiC this was a upfornt medical.
I m sure my ecg and creatinine wld have come clean and still they are referring to cardiologist.

So wanted to knw which all test does the cardiologist do again and hw much it wld cost.

If its cost more than i can i go to other approved clinic and re do medicals.

 

[Ken_89]

Hi guys,
I have hypertension and I've been on medication for almost 3 years now. I've done lots of tests and I've been to two different specialists to see what is the reason for my hypertension and if it has damaged any of my organs. All of these tests have shown no problem. So the conclusion has been that it doesn't have any specific cause and the family history could be a contributing factor. Also, thankfully my kidney and heart have not been damaged by my high blood pressures. Anyways, right now my blood pressure is managed with medication. My question is that would the doctor refer me to a specialist anyway or my past test results would be enough? I reside in the US but I'm planning to do the medical exam in my home country because of the costs and I won't be able to go back to the same physician if they need any follow up tests.
Thanks

 

[DEEPCUR]

Hi guys,
I have hypertension and I've been on medication for almost 3 years now. I've done lots of tests and I've been to two different specialists to see what is the reason for my hypertension and if it has damaged any of my organs. All of these tests have shown no problem. So the conclusion has been that it doesn't have any specific cause and the family history could be a contributing factor. Also, thankfully my kidney and heart have not been damaged by my high blood pressures. Anyways, right now my blood pressure is managed with medication. My question is that would the doctor refer me to a specialist anyway or my past test results would be enough? I reside in the US but I'm planning to do the medical exam in my home country because of the costs and I won't be able to go back to the same physician if they need any follow up tests.
Thanks

If cic wants additional medical tests, it must be done through cic approved panel physician only. They would not accept the tests taken by you personally.

 

[Ken_89]

If cic wants additional medical tests, it must be done through cic approved panel physician only. They would not accept the tests taken by you personally.

Thanks for the reply. Do you know if the additional tests could be done by another approved panel physician apart from the first one? And if all tests need to be done by the same doctor, how long after the first appointment do they usually ask for further tests? I'll be in my home country for 3 weeks and I won't be able to go back after that if they ask for additional tests.

 

[krunal2904]

Thanks for the reply. Do you know if the additional tests could be done by another approved panel physician apart from the first one? And if all tests need to be done by the same doctor, how long after the first appointment do they usually ask for further tests? I'll be in my home country for 3 weeks and I won't be able to go back after that if they ask for additional tests.

You can do your additional test any CIC approved physician panel. In my case, CIC requested additinal test after 1 week of medical submission to CIC.

 

[Ken_89]

You can do your additional test any CIC approved physician panel. In my case, CIC requested additinal test after 1 week of medical submission to CIC.

Thanks a lot.

 

[JaiCanada]

Sharing my experience so it may help others

I got my medicals done in NYC, and it costed me ~$340 for the initial checkup. blood pressure reading was way higher (at ~155/110) than my usual numbers (~145/~95). The doctor suggested a serum creatinine as an additional test to be conducted. Got it done

A few days later I got a call from this location that IRCC needs a NOC letter from a cardiologist because blood pressure is above what is acceptable. Consulted a cardiologist who did a check and suggested that I get an echo-cardiogram to rule out any issues that are not symptomatic right now (and existing since early childhood).

The echo cardiogram is very different from an ECG, the difference I realized only when setting up an appointment at a medical center in NJ. Its quite a pain to get this done since I have a decent health insurance, but was referred for these tests by a doctor based in NYC. The cost for Echo Cardiogram was ~$2000, which after my insurance deductible (and other usual American Insurance crap), I paid $700.

Once the Cardiologist reviewed the Echo Card., reports, he gave a thumbs up and I was informed so by the doctor's assistant. Confirmed with the NYC CIC Medical doctor if anything else is needed. Got a green light.

Submitted all my documents for the eAPR and my medicals cleared in the usual amount of time (12 days from AoR) in June.

Some other info that may help:
Family has a history hypertension
No diabetes
I dont smoke
very little alcohol consumption (1 or 2 drinks a month)
my BMI is usually between 27 - 28 (overwieght. Should be below 25)
I dont look overweight but I don't look super fit either. This usually makes it a little surprising for the doctors, since I don't look like someone who can have a high BP.


There's very little info out there about doing Medicals for Express Entry for those with high blood pressure. Hope this helps! (I'll add an update if this post requires any additional info)

 

[navinball]

i had high bp as well at the test. 160/100 they did an egc and serum creatinine same day and sent my medicals. got passed in 14 days. few days later i had another bp reading at a local doctor and it was 128/90. just a case of white coat syndrome.

 

[JaiCanada]

i had high bp as well at the test. 160/100 they did an egc and serum creatinine same day and sent my medicals. got passed in 14 days. few days later i had another bp reading at a local doctor and it was 128/90. just a case of white coat syndrome.

Yeah, I felt so too. I was on the fence, about getting it done or not, since I wasn't sure if IRCC really gave that feedback on my initial tests (they are supposed to email the applicant I believe).

Did you mean an ECG or an Echo Cardiogram?

 

[navinball]

Yeah, I felt so too. I was on the fence, about getting it done or not, since I wasn't sure if IRCC really gave that feedback on my initial tests (they are supposed to email the applicant I believe).

Did you mean an ECG or an Echo Cardiogram?

ECG it was.