Originally Posted by
bouncebabybounce
this makes no sense, we have always paid $75 for the issuing fee.
No we haven't always. Was introduced a few years back for casa 'cost recovery' in the days where they would post it out to you. Something about paying for someone to actually press print on the computer, put it in an envelope and pay for the stamp. It's emailed to you nowadays, hence my statement.
Regardless, its still another cost you need to pay come medical time.