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Starting in May, refugees and asylum seekers in Canada will co-pay health costs

Refugees under Canada’s Interim Federal Health Program will pay $4 per prescription and 30% for other supplemental services to improve program sustainability, officials say.

  • Beginning May 1, 2026, the IFHP will require beneficiaries to co-pay $4 per prescription and 30 per cent for other eligible supplemental services, while basic health benefits remain fully covered.
  • The change was signalled in the 2025 federal budget, with the federal government saying small point-of-service costs support IFHP sustainability amid rising usage and costs.
  • Registered IFHP providers will collect co-payments for services including psychologists and counselling therapists, occupational therapists, physiotherapists and speech-language therapists, assistive devices, urgent dental and vision care, and medical supplies, with beneficiaries advised to confirm amounts and keep receipts.
  • Nearly 625,000 beneficiaries used the IFHP last year, including more than 440,000 asylum claimants, with costs nearing $900,000,000; IRCC says the change supports long-term sustainability.
  • A decade ago the program served fewer than 100,000 people, and rapid growth to nearly 625,000 beneficiaries contributed to reintroducing point-of-service co-payments.
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Everywhere in Canada, as of May 1, they will have to pay for some of their medications.

·Montreal, Canada
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On January 27, the Canadian federal government officially announced major changes to the Federal Refugee Health Transition Program (IFHP). Starting May 1, 2026, the government will introduce a co-payment system for supplemental medical services, requiring some refugees and asylum seekers to share medical costs.

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The Toronto Star broke the news in Toronto, Canada on Wednesday, January 28, 2026.
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