The Immigration Health Surcharge (IHS) is a fee that must be paid as part of your UK visa application. This charge gives you access to the National Health Service (NHS) in the UK, allowing you to receive healthcare services during your stay. In this guide, we explain everything about the IHS, including who needs to pay, how much it costs when to pay it, and the refund process.
What is the Immigration Health Surcharge (IHS)?
The Immigration Health Surcharge was introduced in 2015 to fund healthcare for people who are staying in the UK on certain types of visas. When you pay the IHS, you can use the NHS in the UK just like a British resident. However, there are some exceptions, and the amount you pay depends on the type of visa you are applying for.
Who Needs to Pay the IHS?
You must pay the Immigration Health Surcharge if you are applying for a visa to the UK, including your dependents, whether applying from inside or outside the UK. There are some exemptions to this rule, such as:
- Visitors applying for a visa for less than 6 months.
- Diplomats and armed forces members who are not subject to immigration control.
- Asylum seekers and applicants for humanitarian protection.
- Victims of human trafficking or modern slavery, and their dependents.
- Domestic abuse victims apply for permission to remain.
How Much Do You Need to Pay?
The amount of IHS you need to pay depends on your visa type and how long you will be staying in the UK.
Here’s a breakdown:
- £1,035 per year for most visa applicants.
- £776 per year for students, Youth Mobility Scheme applicants, and children under 18.
- For applications shorter than 6 months, you pay half the yearly fee.
If you are applying for a visa longer than 6 months, you will pay the full IHS amount.
When Do You Pay the IHS?
- If you’re applying online, you must pay the IHS before you submit your visa application.
- If you’re applying by post, you need to pay the surcharge online first and include your IHS reference number on your application form.
You will not be able to use the NHS until both of the following happen:
- You have paid the IHS (or are exempt).
- Your visa or immigration application is approved.
What Happens If You Don’t Pay the IHS?
If you fail to pay the IHS or pay the wrong amount, your visa application may be rejected as invalid. You will receive a notice to pay the surcharge within 10 working days if you’re in the UK, or 7 working days if you’re outside the UK.
Can You Get a Refund for IHS?
Yes, you may be eligible for a refund in certain situations:
- Double payment: If you paid the IHS twice for the same period.
- Visa refusal: If your visa application is refused.
- Visa withdrawal: If you withdraw your application.
- Shorter visa: If your visa is approved for a shorter time than requested.
- Dependents refused: If your dependents are refused on the application.
Refunds are generally processed within 6 weeks of a decision on your visa application.
However, you cannot claim a refund if:
- You decide not to come to the UK after your visa is approved.
- You leave the UK before your visa expires.
- You apply for Indefinite Leave to Remain (ILR).
Health and Care Workers
If you work in the health and care sector, you may be eligible for a refund of the IHS for yourself and your dependents, under certain conditions.
How to Use the NHS After Paying the IHS
Once you pay the IHS and your visa is granted, you can access the NHS. However, you may still need to pay for some services, like:
- Prescriptions
- Dental treatment
- Eye tests
You may also need to show proof of your immigration status, like a Biometric Residence Permit (BRP) or an online status share code.
The Immigration Health Surcharge (IHS) is a mandatory fee that you need to pay when applying for most UK visas. It gives you access to NHS healthcare during your stay. Be sure to pay the correct amount at the right time to avoid delays or rejection of your application.
At Law and Visas, we can guide you through the application process, including understanding and paying the IHS. If you need help with your visa application or have questions about the IHS, feel free to contact us.
