What Is the Immigration Health Surcharge?
Wait, have you heard about the Immigration Health Surcharge? What Is the Immigration Health Surcharge? If you’re a professional exploring visa options for the UK, this might be a crucial term you’ll encounter.
In simple terms, the Immigration Health Surcharge (IHS) is a fee paid as part of a visa application, giving you access to the UK’s National Health Service (NHS) during your stay. But don’t stop here—there’s so much more to know.
Whether you’re a mid-career professional relocating for a new job, a career changer seeking opportunities abroad, or a job seeker planning to join the vibrant UK workforce, understanding this fee is essential. After all, it could impact your financial plans and even influence your decision-making process.
Let’s unravel everything about the Immigration Health Surcharge so you can make informed choices and confidently navigate your immigration journey.
What Exactly Is the Immigration Health Surcharge?
Here’s the deal: The Immigration Health Surcharge is a mandatory fee for most visa applicants coming to the UK for more than six months. Introduced in 2015, it ensures that migrants contribute to the NHS, a healthcare system envied worldwide for its quality and accessibility.
When you pay the IHS, you can access NHS services at no additional cost, just like a UK resident. That means visits to your GP, hospital treatments, maternity care, and mental health services are covered.
However, it’s important to note that some services, like prescriptions and dental care, may still incur charges.
The cost of the IHS depends on your visa type and the length of your stay. As of 2024, it’s £624 per year for most adults and £470 per year for students and children under 18. This fee must be paid upfront when you submit your visa application.
Who Needs to Pay the Immigration Health Surcharge?
You might be wondering: Do I need to pay this fee? The short answer is—most likely. Anyone applying for a visa to live, work, or study in the UK for more than six months must pay the Immigration Health Surcharge.
However, there are some exceptions. If you’re applying for a visitor visa, you won’t need to pay the fee because these visas are typically short-term.
Certain groups, such as diplomats and armed forces personnel, are exempt. Refugees, asylum seekers, and those under humanitarian protection don’t need to pay either.
Good news: if you’re on a Health and Care Worker visa, you’re eligible for a full surcharge refund. This policy recognises the critical role healthcare workers play in the UK.
How Do You Pay the Immigration Health Surcharge?

Let’s break it down: Paying the Immigration Health Surcharge is a straightforward process, but it’s essential to get it right. Here’s how it works:
- Calculate the total cost. When applying for your visa online, the system will automatically calculate the IHS based on your visa type and the length of your stay.
- Pay upfront. You’ll need to pay the fee as part of your visa application process. Payments can be made securely using a credit or debit card.
- Receive your IHS reference number. Once payment is complete, you’ll receive a unique IHS reference number. Keep this number handy—it’s crucial for completing your visa application.
If your visa is denied, the surcharge will be refunded. However, the IHS is not prorated or partially refunded if you leave the UK before your visa ends.
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Why Is the Immigration Health Surcharge Important?
Here’s why this matters: The IHS is more than just a fee—it’s your gateway to comprehensive healthcare in the UK.
The NHS provides a wide range of medical services that can save you thousands of pounds compared to private healthcare. You’ll have peace of mind knowing you’re covered, from routine check-ups to emergency treatments.
This is particularly significant for professionals relocating with families, as healthcare costs can quickly increase.
Additionally, the surcharge plays a vital role in supporting the NHS. By contributing through the IHS, migrants help maintain and improve the healthcare system, ensuring it remains sustainable for everyone.
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Conclusion: Your Next Steps
The IHS is a pivotal component of your UK visa application. It grants you access to top-notch healthcare services and contributes to the NHS’s continued excellence. By understanding who needs to pay, how to make payments, and why it matters, you’re better equipped to plan your immigration journey.

Looking for guidance on your UK visa process? RKY Careers specialises in helping professionals like you achieve your dream of working in the UK. From personalised visa guidance to career transition support, we’re here to make your journey smoother. With our expertise, you’ll navigate complex procedures like the Immigration Health Surcharge with ease.
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FAQs
1. Can I pay the Immigration Health Surcharge in instalments?
No, the IHS must be paid upfront when submitting your visa application.
2. Are there any additional healthcare costs after paying the surcharge?
Yes, services like prescriptions, dental treatments, and eye care may still incur additional charges.
3. What happens if I don’t pay the Immigration Health Surcharge?
Failure to pay the IHS will result in your visa application being rejected.
4. Is the Immigration Health Surcharge refundable?
If your visa application is denied, the IHS will be refunded. However, the surcharge is non-refundable if you leave the UK before your visa expires.