Introduction
Anyone applying for a UK visa that lasts longer than six months usually needs to pay the Immigration Health Surcharge (IHS). This fee helps fund the National Health Service (NHS), giving migrants access to healthcare during their stay. But not everyone has to pay. Below, we explain who is required to pay the IHS, who is exempt, and what applicants need to know before submitting their visa application.
Who Needs to Pay the Immigration Health Surcharge?
Most applicants must pay the IHS if they are:
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Applying for a visa to stay in the UK for more than six months
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Applying from inside or outside the UK
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Applying to extend or switch visas
The cost of the surcharge is usually paid upfront for the length of the visa. For example, a three-year Skilled Worker visa requires three years of IHS payment at the time of application.
Current IHS Fees
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Adults (over 18 years old): £1,035 per year
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Children (under 18 years old): £776 per year
These fees are paid in full when submitting the application and are non-refundable if the visa is granted. If the visa is refused, the surcharge is refunded.
Who Is Exempt from Paying the IHS?
Some applicants do not need to pay the Immigration Health Surcharge. Exemptions include:
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Applicants for Health and Care Worker visas and their dependants
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Visitors applying for a visa of six months or less
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People applying for indefinite leave to remain (ILR)
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Asylum seekers and applicants for humanitarian protection
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Victims of human trafficking
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Dependants of armed forces members
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Certain diplomatic staff or representatives of international organisations
Refunds and Reductions
Applicants may get a refund if:
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Their visa is refused
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They paid twice by mistake
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They are an eligible Health and Care Worker or dependant who paid in error
It is important to note that once the visa is approved, no refund is available if the applicant later leaves the UK early.
Why the IHS Matters
Paying the Immigration Health Surcharge ensures that migrants have access to the NHS on broadly the same terms as UK residents. This means access to GP services, emergency treatment, hospital care, and maternity services without additional payment at the point of use.
Conclusion
The Immigration Health Surcharge is a key part of the UK immigration process, providing visa holders with access to healthcare. While most applicants must pay, several categories are exempt, particularly those working in health and social care. Understanding the rules can help applicants budget correctly and avoid unnecessary costs.
