You may need to pay a healthcare surcharge (called the ‘immigration health surcharge’) as part of your immigration application.
You will then be able to use the National Health Service (NHS). You will however still need to pay for certain types of services, such as prescriptions, dental treatment and eye tests.
If you have paid the surcharge or you were exempt from paying it, and your visa allows you to be here for more than six months, you will be entitled to free NHS hospital treatment in England on the same basis as an ordinarily resident person. This will apply from the date your visa is granted until it expires.
However, if your visa is curtailed or ended earlier than planned by the Home Office, you will become chargeable for any further NHS hospital treatment from that date on, even if you have paid the surcharge. You will also be charged for any non-exempt treatment you received before the start date of your visa.
If you apply for an extension of your visa, you might also have to pay a further surcharge. If you apply for, and are granted, indefinite leave to remain, you will not have to pay the surcharge.
Paying the surcharge only gives you access to services the NHS provides. Paying the surcharge does not mean you are treated faster. Doctors will assess the urgency of your condition in the same way as ordinarily resident patients are assessed, and if necessary will be placed on a waiting list.
When you need to pay
For visa applications made outside the UK, you have to pay if you:
- are a national of a country outside the European Economic Area
- are applying for a visa to work, study or join your family in the UK for more than 6 months (but you’re not applying to permanently remain in the UK)
- have applied and paid your visa fee on or after 6 April 2015
For immigration applications made from within the UK, you have to pay if you:
- are a national of a country outside the EEA
- are making an immigration application for any length of time (but you are not applying to permanently remain in the UK)
- have applied and paid your application fee on or after 6 April 2015
When you need an IHS reference number
You still need to use the service to get an immigration health surcharge reference number but you won’t need to pay if you:
- are applying for a Tier 2 (Intra-company Transfer) visa (or you’re their dependant)
- are a child under 18 who has been taken into care by a local authority
- are a national of Australia or New Zealand
- are the dependant of a member of the UK’s armed forces
- are the dependant of a member of another country’s forces who is exempt from immigration control
- are a relevant civilian employee employed by North Atlantic Treaty Organisation (NATO) or the Australian Department of Defence in the UK (or you’re their dependant)
The immigration health surcharge online service will tell you that you don’t have to pay anything and will give you your healthcare surcharge reference number for your application.
You will be able to use the National Health Service (NHS) even if you’re exempt from paying.
When you don’t have to pay or get an IHS reference number
You don’t need to get an immigration health surcharge reference number or pay the healthcare surcharge if:
- you are applying for a visitor visa – instead, you’ll have to pay for any healthcare you get through the NHS at the point you use it.
- you are applying for indefinite leave to remain*
- you are a diplomat or a member of a visiting armed forces and not subject to immigration control
- you are a family member of a European national with European Union treaty rights
- you are applying for a visa for the Isle of Man or Channel Islands
- you are a British Overseas Territory citizen resident in the Falkland Islands
- you are an asylum seeker or applying for humanitarian protection (or you’re their dependant)
- you have been identified as a victim of human trafficking (or you’re their dependant)
- the Home Office’s domestic violence concession applies to you (or you are their dependant)
- being made to leave the UK would be against your rights under Article 3 of the European Convention of Human Rights (or you’re their dependant)
You will be able to use the NHS if you are exempt from paying – except if you are on a visitor visa, in which case you will have to pay for any care you get through the NHS at the point you use it.
*You have to pay the healthcare surcharge if you applied for indefinite leave to remain but are only given limited leave. You will be told by UK Visas and Immigration if this happens.
How much you have to pay
You have to pay:
- £150 per year as a student
- £200 per year for all other visa and immigration applications
If you have any dependants, they will usually need to pay the same amount as you.
The exact amount you have to pay depends on how much leave you are granted. You can calculate how much you have to pay before you apply.
You pay half of the yearly amount if your application includes part of a year that is less than 6 months.
You pay for a whole year if you’re application includes part of a year that is more than 6 months.
Your visa or immigration application won’t be granted if you don’t pay the healthcare surcharge or your application will be delayed if you don’t pay the right amount.
When you have to pay
You must pay the healthcare surcharge for you and any dependants before you submit or send your visa or immigration application (or book an appointment at a premium service centre).
You will be contacted by UK Visas and Immigration if you didn’t pay the surcharge (or didn’t pay enough) as part of your visa or immigration application.
Your visa or immigration application will be turned down if you don’t pay the full amount:
- within 10 working days if you’re inside the UK
- within 7 working days if you’re outside the UK
Pay the healthcare surcharge
You must make the payment before you submit or send your visa or immigration application (or book an appointment at a premium service centre).
There are 5 steps to paying the healthcare surcharge and finishing your visa or immigration application.
- Register to use the service.
- Answer questions to see if you must pay the healthcare surcharge or if you’re exempt.
- Pay online if you’re not exempt. You pay the healthcare surcharge in the same currency as your visa application fee.
- You’ll be sent an email with an immigration health surcharge reference number. This will also be shown on screen when you’ve paid. You’ll need to write this on the cover of your visa application if you’re applying online from outside the UK, the cover sheet if applying online from inside the UK or on the application form if applying by post. You need this reference even if you’re exempt from paying the healthcare surcharge.
- Finish your application form and pay your visa or immigration application fee.
You need to pay by cash at an embassy or visa application centre if you’re in Bangladesh, Myanmar or the Democratic People’s Republic of Korea. You can pay in cash or use the online service if you’re in Nepal.
Information you need to pay
You’ll be asked for:
- your name
- your nationality
- the type of visa you’re applying for
- your passport or travel document number
- date of birth
- an email address
- your visa application centre if you’re applying overseas
- your course dates if you’re applying as a student
You will also need the same details for:
- any person applying for a visa or other immigration application with you, eg a dependant
- any person you are applying to join or remain who is already in the UK (you don’t need to add this person’s details if they are a UK or EEA citizen)
You will also need their leave expiry date if you are joining someone in the UK (or immigration health surcharge reference number if they have one).
Please contact us if you have any concerns or questions relating to the Immigration Health Surcharge affecting you or your employees.