How Much Does an Immigration Medical Exam Cost in Canada? (2026 Guide)

If you’re applying for a work permit, visa, or permanent residency in Canada, an immigration medical exam is often a required step in the process.

The final cost of the exam depends on several factors, including the applicant’s age, any required testing, and whether additional follow-up assessments are required. With this in mind, most immigration medical exams in Canada range between $200 and $500 per person. This guide breaks down everything you will need to know about pricing in 2026, what’s included, what can increase costs, and how to avoid unexpected expenses. 

Average Cost of an Immigration Medical Exam in Canada

You have to take into consideration that the cost will vary by province and clinic; however, the average range is:

  • Adults (15+): $250 - $500
  • Children (Under 15): $150 - $300

While adults typically pay more, the reason is simply that they require additional tests, particularly a chest X-ray and blood work, which are not always required for younger applicants. 

You also have to remember that these are base estimates. Your final costs depend on what tests are required for your particular application. 

IRCC does not cover or refund the cost of the medical exam. Regardless of whether your application is refused, your visa is denied, or you withdraw your application, IRCC is not liable to cover the costs.

What’s Included in the Medical Exam Fee?

An immigration medical exam is a structured assessment required by Immigration, Refugees and Citizenship Canada (IRCC)

In most cases, clinics include the following in their base fee:

  • Physical Examination by an IRCC-approved panel physician.
  • Medical history review
  • Blood tests (for certain age groups)
  • Urinalysis
  • Chest X-rays (typically required for adults)
  • Submission of results through eMedical (IRCC system)
  • Official documentation/proof of exam completion

Please note: some clinics offer bundled pricing that includes all required tests, while others charge separately for services like X-rays or lab work. Confirm what is outlined in the price before booking.

Factors That Can Affect the Total Cost

As mentioned throughout, not every applicant will pay the same amount, as numerous factors can influence the final cost beyond the base fee.

Additional testing is the most common cause. You may be asked to complete extra lab work or see a specialist if the physician needs further evaluation. These are not typically included in the initial price. A repeat chest X-ray may be required if the original image is unclear or outdated, adding to the total cost.

Medical history can impact costs. Pre-existing conditions may require additional reports or diagnostics, increasing the overall cost. Additionally, clinic location can play a minor role, as prices may be higher in larger cities due to operating costs.

Why You Must Use an IRCC-Authorized Panel Physician

Panel physicians are specifically trained and certified to:

  • Conduct exams according to IRCC standards
  • Submit results directly through the eMedical system
  • Ensure compliance with immigration requirements

IRCC-approved panel physicians, like those here at Immigration Physician Ottawa, are authorized to perform immigration medical exams; this is a non-negotiable. You cannot visit your family doctor or a walk-in clinic for this requirement.

Please note: IRCC will not accept the results if you complete your exam with a non-authorized physician. This will result in additional costs for redoing the exam.

Upfront vs Requested Medical Exams: Cost Implications

Upfront Medical Exams

Having your medical exam completed before you submit your application. Particularly helpful for application in healthcare, childcare, or high-demand occupations that require medical clearance. Having that proactive approach can help minimize any delays caused by additional requests from IRCC. 

You need to consider that you risk having to repeat the medical exam if processing takes too long (medical results are only valid for 12 months).

Requested Medical Exam

These types of medical exams are most commonly requested by IRCC when your application is under review. On some occasions, applicants may take this approach if there is some uncertainty about whether a medical exam is necessary and avoid any additional costs. Your overall processing time may increase the chances of being placed on pause until the requested information has been submitted and accessed by IRCC.

It's important to consider that if your job involves close contact with people or you intend to stay in Canada for an extended period, completion of an upfront medical exam may be more efficient and a strategic option.

An immigration medical exam is a compulsory step for many Canadian visa and residency applications, and while the cost can vary, most applicants should expect to pay between $200 - 500. Understanding what’s included makes a big difference, not just to ensure a smoother process in your application but also financially.

Book your immigration medical exam with Immigration Physician Ottawa. Our experienced panel of physicians ensures your assessment is completed accurately and in full compliance with IRCC requirements, helping to prevent unnecessary delays.

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