IFHP co-payments starting May 2026 will change how refugees in Canada pay for some health services. Many refugees already face money stress while adjusting to a new country. They may rely on IFHP for medication, counselling, or ongoing care. Even small fees can create worry, especially for families managing health needs on a tight budget. Knowing what is changing now can help avoid confusion later.

What Is the Interim Federal Health Program?

The Interim Federal Health Program, known as IFHP, provides temporary health coverage to refugees and certain other newcomers. It supports people until they qualify for provincial or territorial health insurance.

Coverage usually begins automatically based on immigration status. Most refugees do not need to apply. Health care providers must confirm eligibility each time a patient visits.

What Will Change on May 1, 2026?

Beginning May 1, 2026, IFHP will require co-payments for some services. A co-payment means the patient pays part of the cost at the time of care, while the program covers the rest.

It is important to note what this change does and does not affect:

  • Basic medical care remains free
  • Doctor visits and hospital care stay fully covered
  • Co-payments apply only to certain extra services

How Much Will Refugees Pay?

The new rules introduce two specific charges. Refugees will pay $4 each time they fill or refill an eligible prescription. For other approved supplemental services, they will pay 30 per cent of the total cost.

These payments go directly to the clinic or pharmacy. IFHP will continue to cover the remaining portion.

Which Services May Require Payment?

Some services covered by IFHP will now include co-payments. These may include:

  • Dental and vision care
  • Mental health counselling
  • Physiotherapy and occupational therapy
  • Medical supplies and assistive devices
  • Home care and long-term care

Costs will vary depending on the service. Asking about fees before treatment can help avoid surprises.

What Will Stay Free Under IFHP?

Despite the changes, essential care will not cost anything. Refugees will continue to receive:

  • Doctor visits
  • Hospital treatment
  • Emergency medical care

These services remain fully covered under IFHP after May 2026.

What Refugees Should Do Before Getting Care

Refugees can protect themselves from unexpected costs by taking a few simple steps. Before receiving non-urgent care, it helps to:

  • Choose a health provider registered under IFHP
  • Ask whether a co-payment applies
  • Confirm how much must be paid
  • Keep all receipts after payment

Receipts are important if questions or billing issues arise later.

Why Canada Is Introducing Co-Payments

The government says demand for supplemental health services has increased. Officials believe small co-payments will help manage costs while keeping essential care free.

The stated goal is to ensure IFHP can continue supporting refugees now and in the future.

What This Means Going Forward

IFHP co-payments do not remove access to health care. They add limited costs for certain services. Refugees who understand the changes and ask clear questions can still receive care with fewer problems.

Frequently Asked Questions

1. Will doctor visits still be free after May 1, 2026?

Yes. Doctor visits and hospital care will remain fully covered under IFHP.

2. Do I have to pay the $4 fee every time I refill a prescription?

Yes. The fee applies each time an eligible prescription is filled or refilled.

3. Does emergency care require a co-payment?

No. Emergency and hospital services remain free.

4. Can a clinic refuse treatment if I cannot pay the co-payment?

Clinics should explain costs in advance. Policies may vary, so it is best to ask before treatment.

5. Do refugees need to apply for IFHP coverage?

In most cases, no. Coverage starts automatically based on immigration status.

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