too much of a burden on their healthcare system.
Canada:
We may refuse your application if we believe that your health condition might cause an excessive demand on health or social services. This decision is based on the results of your immigration medical exam.
Your condition is considered to cause an excessive demand if:
the health or social services needed to treat your health condition would negatively affect wait times for services in Canada, or
the services needed to treat and manage your health condition would likely cost more than the excessive demand cost threshold
Excessive demand cost threshold: 2023 cost threshold
$128,445 over 5 years (or $25,689 per year)
This is an amount that we use to decide if the cost of your condition places an excessive demand on Canada’s health and social services.
New Zealand:
A4.10.1 Medical conditions deemed to impose significant costs and/or demands on New Zealand's health and/or education services
HIV infection
Hepatitis B-surface antigen positive and meeting criteria for anti-viral treatment in New Zealand
Hepatitis C-RNA positive and meeting criteria for anti-viral treatment in New Zealand
Malignancies of organs, skin (such as melanoma) and haematopoietic tissue, including past history of, or currently under treatment. Exceptions are:
treated minor skin malignancies
malignancies where the interval since treatment is such that the probability of recurrence is less than 10 percent
Requirement for organ transplants (with the exclusion of corneal grafts), or following organ transplant when immune suppression is required (with the exclusion of corneal grafts)
Severe, chronic or progressive renal or hepatic disorders
Musculoskeletal diseases or disorders such as osteoarthritis with a high probability of surgery in the next five years
Severe, chronic or progressive neurological disorders, including but not exclusive to:
any dementia including Alzheimer's disease
poorly controlled epilepsy
complex seizure disorder
cerebrovascular disease
cerebral palsy
paraplegia, quadriplegia
poliomyelitis
Parkinson’s disease
motor neurone disease, Huntington’s disease, muscular dystrophy
prion disease
relapsing and/or progressive multiple sclerosis
Cardiac diseases, including but not exclusive to:
severe ischaemic heart disease
cardiomyopathy
valve disease with a high probability of surgical and/or other procedural intervention in the next five years
aortic aneurysm with a high probability of surgical and/or other procedural intervention in the next five years
Chronic respiratory disease, including but not exclusive to:
severe and/or progressive restrictive (including interstitial) lung disease
severe and/or progressive obstructive lung disease
cystic fibrosis
Significant or disabling hereditary disorders, including but not exclusive to:
hereditary anaemias and coagulation disorders
primary immuno-deficiencies
Gaucher’s disease
Severe autoimmune disease which may require treatment in New Zealand with immune-suppressant medications other than Prednisone, Methotrexate, Azathioprine or Salazopyrin
Severe (71-90 decibels) hearing loss or profound bilateral sensori-neural hearing loss after best possible correction at country of origin, where significant support is required, including cochlear implants
Severe vision impairment with visual acuity of 6/36 or beyond after best possible correction at country of origin, or a loss restricting the field of vision to 15-20 degrees where significant support is required
Severe developmental disorders or severe cognitive impairments where significant support is required, including but not exclusive to:
physical disability
intellectual disability
autistic spectrum disorders
brain injury
Major psychiatric illness and/or addiction including any psychiatric condition that has required hospitalisation and/or where significant support is required
Those with a history, diagnostic findings or treatment for MDR-TB or XDR-TB, unless they have been cleared by a New Zealand Respiratory or Infectious Diseases specialist upon review of their file or review of the applicant according to the New Zealand Guidelines for Tuberculosis Treatment
Australia:
Australia enjoys some of the best health standards in the world. To maintain these standards, most visa applicants must meet minimum health standards before we will grant them a visa. We call this 'meeting the health requirement'. We might assess your health as part of the visa application process.
When determining if you meet the health requirement, a Medical Officer of the Commonwealth (MOC) considers whether you have a health condition that will be a significant cost to the Australian community in terms of the health care or community services required to manage your condition.
We use per capita data about health and community service costs to work out what your condition is likely to cost over a period of time:
for temporary visa applicants, this is your period of stay
for permanent visa applicants this is generally 5 years, or 3 years if you are aged 75 or older
If you have a permanent or ongoing condition with a reasonably predictable course, the MOC will estimate what your condition will cost the community over your remaining life expectancy up to a maximum of 10 years.
Having a disease or health condition does not always mean you will not meet the health requirement due to significant costs. The likely costs will depend on what kind of disease or condition you have and how severe it is.
We will not grant you a visa if you do not meet the health requirement because your condition is likely to be a significant cost, unless a health waiver is available and exercised.
We regard costs of AUD 51,000 or more to be significant.
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