Immigration Health Surcharge
The Immigration Health Surcharge (IHS) has been introduced to help fund the National Health Service (NHS), and will give migrants the same access to the NHS as UK citizens.
The UK has a healthcare system which is paid for through taxes. All UK nationals and most residents have equal access to the NHS without being charged each time they visit a doctor or hospital.
You will have to pay the IHS if you apply for a visa for a period of longer than six months, and you make your visa application outside of the UK.
If you apply for a visa in the UK, you will have to pay the IHS for any length of visa.
The surcharge for students and their dependants is £470 per person, per year of the visa. You will pay half of the yearly amount if your application includes part of a year that is less than 6 months.
The exact amount you have to pay depends on how much leave you are granted. You can use the calcurator below to find out how much you will need to pay.
Anyone applying for entry clearance for less than six months, and academic visitors coming to the UK for up to 12 months (even if they are here for more than six months) do not have to pay the surcharge.
All students studying full-time for more than 3 months in Scotland are eligible for NHS treatment. However, short term students are not eligible for full NHS access outside of Scotland, so it is advisable to take out separate medical insurance if you intend to travel to other parts of the UK. You can find out what medical care you can access for free on the UKCISA website.
You must make your payment by debit/credit card as part of your online visa application.
Your course start and end dates must match the details on your Confirmation of Acceptance for Studies (CAS). If you are extending your visa in the UK, your course start date will not be the date you originally started studying.
You may be eligible for a full or partial refund of the IHS fee if:
- you’re a full-time student in UK higher education; and
- your visa started on or after 1 January 2021; and
- you have an EHIC issued in an EU country; and
- you do not work in the UK
You will not be able to apply for a refund until January 2022, but your refund will be backdated for what you have paid up to 1 January 2021.
If you intend to apply for a refund of your immigration health surcharge payment, you should use your EU EHIC for medically necessary treatment during your studies.
Once you have received your reimbursement, you may have to pay for any NHS healthcare you receive that is not deemed medically necessary.
If you obtain an immigration health surcharge reimbursement, you should not work in the UK. Working in the UK is very likely to invalidate your EHIC and you will need to be prepared to pay for any NHS healthcare you receive.