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From Canada to Costa Rica—with a clearer plan.
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CanadaCostaRica.com Guanacaste & Costa Rica Relocation Publication
Moving from Canada · Cornerstone Guide #7

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.

Written & Maintained By
Cross-Border Tax & Provincial Health Desk · Reviewed against CRA Folio S5-F1-C1, Form NR73/T1161 & Provincial Health Ministries (Oct 2026)
Last Reviewed: October 25, 2026 Researched against official Canadian (CRA, Travel.gc.ca, provincial health ministries) and Costa Rican (DGME, CCSS, Registro Nacional) guidance. Editorial & Corrections Policy.

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

  1. Based on our housing, family, and financial plans, will the CRA classify us as factual residents (taxed on worldwide income) or emigrants / non-residents?
  2. 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?
  3. 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?
  4. 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?
  5. How are TFSAs treated if we become non-residents of Canada (where TFSA contribution room stops accruing and penalties apply to non-resident contributions)?
Official Sources & Regulatory References Checked (October 2026)

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.

Free Planning Resource

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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