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Immigration Health Surcharge

On 6 April 2015 UKVI (UK Visas and Immigration) introduced an Immigration Health Surcharge (IHS) which has to be paid as part of a visa application. The surcharge has been introduced to ensure that non-EEA nationals contribute to the NHS whilst they are living and working in the UK. The payment will go directly into the NHS and will ensure the individual is entitled to full access to the NHS on the same terms as a permanent UK resident. This surcharge does not apply to anyone entering the UK under the Visitor rules or anyone applying for settlement.

Individuals who apply for a time-limited visa of more than 6 months will be charged £624 per person per year. This increased on 27 October 2020 from the previous charge of £400 per person per year. The charge for those under 18 at the time of applying is £470 per year. The full cost must be paid by the individual at the point of visa application.

Example: A member of staff applying for a Tier 2 visa for three years will be charged £1872. This cost is supplementary to any visa fees.

New employees who qualify for relocation can include the IHS in their application for relocation costs. If relocation costs exceed the relocation package, then an application can be made for reimbursement of the IHS under the Immigration Support Scheme (ISS) up to a capped amount. Existing employees or new employees who do not qualify for relocation can also apply once for reimbursement under the ISS. Alternatively, we also offer an IHS loan scheme. Details of the loan scheme can be found on the Payroll webpages.

Nationals of Australia and New Zealand were not originally required to pay the IHS as reciprocal healthcare agreements existed between the UK and these countries but this reciprocal arrangement ended on the 6 April 2016.

Further details are available on the Home Office website. Also there is a Factsheet and FAQ Guidance published by the Home Office.

Please note: These are dated March 2015 and therefore do not reflect the latest charge of £624 per person per year which came into effect in January 2019.