Leaving Canada: Questions for Your Accountant & Provincial Health Plan
How Canadian provincial health absence limits (OHIP, MSP, RAMQ, AHCIP) work, what triggers CRA non-resident departure tax, and how CPP, OAS, RRSPs, and TFSAs are taxed when living in Costa Rica.
For Canadians planning a move to Costa Rica, your biggest financial and administrative decisions happen in Canada before you board the plane. Whether you plan to remain a Canadian tax resident who spends five winter months in Guanacaste or sever Canadian residential ties permanently, you must coordinate two separate systems: your provincial health insurance plan and the Canada Revenue Agency (CRA).
1. Provincial Health Plan Absence Limits (Verify Before Departure)
Each Canadian province and territory sets its own physical-presence requirements to maintain public health coverage, as well as extended-absence exemptions (often available once every several years with advance notice). Even while your provincial coverage remains active, out-of-country emergency reimbursement pays only a tiny fraction of private hospital charges abroad—making private travel or expat medical insurance essential.
| Province & Plan | Standard Physical Presence Rule | Extended Absence / Notification Notes |
|---|---|---|
| Ontario (OHIP) | Present in Ontario at least 153 days in any 12-month period (up to 212 days away). | Extended multi-year absences available via ServiceOntario if requirements are met prior to leaving. |
| British Columbia (MSP) | Physically present in BC at least 6 months in a calendar year (or 5 months for approved vacationers up to 7 months away). | Contact Health Insurance BC before any absence exceeding 6 months in a calendar year. |
| Quebec (RAMQ) | Cannot be outside Quebec for 183 days or more in a calendar year (trips of 21 consecutive days or less excluded). | The septennial exception allows a 183+ day absence once every 7 years if authorized by RAMQ. |
| Alberta (AHCIP) | Must remain physically present in Alberta at least 183 days in a 12-month period (up to 212 days for recurring snowbirds who notify AHCIP). | Temporary absence extensions available upon application to Alberta Health. |
2. CRA Tax Residency vs. Costa Rican Immigration Status
Obtaining Costa Rican residency (or a Digital Nomad visa) does not automatically make you a non-resident of Canada for tax purposes. Under CRA Income Tax Folio S5-F1-C1, the CRA evaluates:
- Significant Residential Ties: A dwelling place in Canada available for your occupation, a spouse or common-law partner in Canada, and dependents in Canada.
- Secondary Residential Ties: Personal property in Canada (cars, furniture), social ties, Canadian bank accounts and credit cards, a Canadian driver's licence, and provincial health insurance coverage.
- No Canada–Costa Rica Income Tax Treaty: Unlike the U.S. or Mexico, Canada and Costa Rica do not have a bilateral convention for the avoidance of double taxation (only a Tax Information Exchange Agreement, TIEA, signed in 2011). Because Costa Rica uses a territorial tax system (generally taxing income earned from Costa Rican sources rather than foreign pensions), the absence of a tax treaty mainly means Canadian non-resident withholding tax on pensions (CPP, OAS, RRIFs, RRSPs) defaults to Canada's statutory 25% Part XIII withholding rate unless reduced under a Section 217 election.
3. Questions to Ask Your Canadian Cross-Border CPA
- Based on our housing, family, and financial plans, will the CRA classify us as factual residents (taxed on worldwide income) or emigrants / non-residents?
- If we sever Canadian residential ties, what is our estimated Departure Tax (deemed disposition at fair market value under ITA s. 128.1, Forms T1161 and T1243) on non-registered investments, private company shares, and non-Canadian real estate?
- If we remain Canadian tax residents and purchase a Costa Rican property whose cost base exceeds $100,000 CAD—and rent it out for part of the year—what are our annual Form T1135 and rental income reporting obligations?
- If we become non-residents of Canada, how does the 25% Part XIII non-resident withholding tax apply to our CPP, OAS, RRSP/RRIF withdrawals, and Canadian dividends—and would filing a Section 217 return lower that effective tax rate?
- How are TFSAs treated if we become non-residents of Canada (where TFSA contribution room stops accruing and penalties apply to non-resident contributions)?
- Canada Revenue Agency — Income Tax Folio S5-F1-C1: Determining an Individual's Residence Status
- Canada Revenue Agency — Leaving Canada (Emigrants) & Departure Tax (Form T1161 / T1243)
- Ontario OHIP / BC MSP / Quebec RAMQ / Alberta AHCIP — Out-of-Province Absence Rules
Editorial Notice: Immigration, tax, legal, and medical information on CanadaCostaRica.com is published for general educational planning and does not constitute personalized legal, accounting, or medical advice. Always verify current statutes with a licensed Costa Rican attorney, Canadian cross-border CPA, or physician.
Related Cornerstone Relocation Guides
Download “The Canada-to-Costa Rica Moving Checklist” & Plan Your Move
Organize your relocation around research, professional tax and legal advice, a structured scouting visit, housing decisions, Canadian departure preparation, and arrival in Costa Rica.
What the 6-Stage Moving Checklist Covers:
- Stage 1 — Canadian Groundwork: Provincial health rules (OHIP, MSP, RAMQ, AHCIP), CRA tax-residency checklist, and document apostilles/authentications.
- Stage 2 — Professional Consultations: Questions for cross-border tax accountants and Colegio-registered Costa Rican immigration attorneys.
- Stage 3 — The Scouting Visit: Dry-season vs. green-season community comparisons in Guanacaste and the Central Valley.
- Stage 4 — Housing Decisions: Renting first vs. buying, Registro Nacional title checks, and condominium HOA due diligence.
- Stage 5 — Departure Preparation: Banking, pensions (CPP/OAS), prescriptions, pets (CFIA health certificates), and shipping vs. buying locally.
- Stage 6 — Arrival & Settling In: Utilities, fiber internet, driver's licence homologation, and DIMEX / CCSS enrollment.
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