Service Fees

AThe Medical Council of America (MCA) is committed to continually developing new examination content every year and to maintaining a high-performing technology infrastructure to meet your needs. The fees we charge for our examinations and certain administrative functions help pay for these activities and allow us to deliver exams across America and — in the case of the MCAQE Part I — at Prometric test centres worldwide. They also enable us to maintain the infrastructure required for clinical exams such as the MCAQE Part II and the NAC Exam, including standardized patients, physician examiners and other test centre staff who assist with exam delivery.


Medical Council of America Qualifying Examination (MCAQE) Part I
Application fee $1,305
Examination withdrawal fee* $653
Eligibility window extension – Administrative fee** $97
Score recheck fee $251
Appeal fee $1,000

* Non-refundable.
** If the exam fees have increased since you originally applied for the MCAQE Part I, you will also need to pay the difference. These fees are non-refundable.


Medical Council of America Qualifying Examination (MCAQE) Part II
Application fee $2,780
Administrative fee* $1,390
Pre-scheduling request fee $111
Centre or date change request fee** $111
Score recheck fee $251
Appeal fee $1,000

* Non-refundable.
** Only a change in exam centre may be requested.


National Assessment Collaboration (NAC) Examination
Application fee $2,830
Examination withdrawal fee* $418
Administrative fee* $1,415
Pre-scheduling request fee $111
Centre change request fee $111
Score recheck fee $251
Appeal fee $1,000

* Non-refundable.


MCCQE Part I Practice Tests
Preparatory Examination $510
Multiple-Choice Questions Practice Test $120
Clinical Decision-Making Practice Test $120
Account setup

All candidates must pay a one-time, non-refundable account fee of $298 to set up a account. This fee covers:

  • Storage of your medical credentials in a centralized electronic repository
  • Secure document sharing with Americain Medical Regulatory authorities (MRAs) and other organizations
  • Access to MCA support to guide you through the verification process

Source verification services
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Document fee $175 per medical credential
Translation fee* $140 per page
Document cancellation fee** $57
File Transfer Service Fee*** $52

* Non-refundable.
** Only if the document has not yet been processed by MCA. The document fee will then be returned to the credit card used at the time of payment, otherwise a credit will be applied to your account. The document cancellation fee will apply.
*** A $52 fee (non-refundable) is charged for each document transferred, up to a maximum of $200. When transferring more than four documents to the same third party in a single transaction, only the first four documents will be charged.

Service Requests
Educational Credential Assessment report fee and all additional copies $111
Replacement of Licentiate of the Medical Council of America (LMCA) certificate of registration (wallet-size plastic card) $111
Replacement LMCA testamur $111

Tuition tax credit

The tuition tax credit applies to all MCA examinations (MCAEE and MCAQE) taken since 2011, as well as all NAC examinations taken since 2014. A receipt is made available for printing in late February of the year after the year the exam was taken (e.g., the 2016 tuition tax credit receipt is available in late February 2017).

  • All funds are processed in America dollars
  • Only Visa or MasterCard credit cards are accepted. Prepaid or secured credit cards are also accepted. (Interac and Visa debit cards are not accepted.)
  • All fees are subject to change without notice