UK Visa Guide: Understanding Immigration Health Surcharge & Its Impact on Applications

UK Immigration Blog

Applying for a UK visa can be a complex process, with various fees and charges to consider. One such charge is the Immigration Health Surcharge (IHS), a fee that non-European Economic Area nationals must pay when applying for a visa to stay in the UK for more than six months. This guide will help you understand the IHS, its impact on your visa application, and other related topics such as the NHS surcharge fee for spouse and student visas, the meaning of IHS, and how to calculate the IHS fee.

Understanding the Immigration Health Surcharge (IHS)

The IHS was introduced in 2015 to ensure that temporary migrants make a fair contribution to the comprehensive healthcare services provided by the National Health Service (NHS). The IHS is often referred to as the NHS immigration surcharge or the NHS healthcare surcharge. The IHS fee is in addition to the visa application fee and is not to be confused with the visa surcharging, which is a different concept altogether.

How Much is the IHS?

The IHS fee varies depending on the type of visa. For instance, the NHS fee for a spouse visa or a student visa may differ. The IHS fees calculator can be used to estimate the amount you will need to pay. As of October 2020, the IHS fee is £624 per year for most visa types. To put it in perspective, 624 euros in pounds is approximately £534, so the IHS fee is higher than this amount. However, a discounted rate of £470 per year applies to students, their dependents, and Youth Mobility Scheme applicants.

Impact of IHS on Visa Applications

The IHS payment is a mandatory part of the visa application process. Failure to pay the correct IHS fee can result in your visa application being delayed or even refused. Once you have paid the IHS, you will receive an IHS number (also known as an IHS reference number), which you will need to include in your visa application.

Access to NHS Services

Once you have paid the IHS, you can use the NHS in the same way as a UK resident. This includes at the point of use, with the exception of certain services such as prescriptions, dental treatment, and eye tests for which everyone is required to pay. However, it’s important to note that the IHS does not cover private medical treatment or travelling to the UK for the purpose of seeking medical treatment.

Refunds and Exemptions

There are certain circumstances where you may be exempt from paying the IHS or be eligible for a refund. For instance, if your visa application is refused or you leave the UK permanently before your visa expires, you may be eligible for a refund. The 624 covid tax refund is a separate scheme and is not related to the IHS.

Additional Considerations

It’s important to note that the IHS is an upfront medical meaning you have to pay it in full at the time of your visa application. Also, if your visa is curtailed (shortened), you will not be eligible for a refund for the remaining period. Furthermore, the IHS is not the same as health insurance. For example, the UK Tier 4 visa health insurance fee is a separate cost that international students may need to consider.

Conclusion

Understanding the IHS and its impact on your UK visa application is crucial. Whether you’re applying for a spouse visa, student visa, or any other type of visa, being aware of the IHS fee and how to calculate it can help ensure a smooth application process. Remember, the IHS is just one part of the visa application process, and there may be other fees and charges to consider.

Always refer to the official UK government website for the most accurate and up-to-date information. If you’re unsure about anything, consider seeking advice from a legal professional or immigration expert.

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Teresa Aldridge
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VisaHelpUK - UK Immigration and Visa Application Advice Service
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