Immigration Health Surcharge and NHS Access: What Newcomers Should Know
In this guide
Quick answer: The immigration health surcharge (IHS) is a payment made as part of a UK immigration application. GOV.UK says most applicants pay it, and that once it is paid (if you need to pay it), you can use the NHS free of charge from the date your visa starts.
When do you pay?
You pay during your online immigration application. Whether you must pay depends on the immigration status you are applying for. GOV.UK has separate pages on who needs to pay and how much, so check them for your visa.
What does it give you?
- Free use of the NHS from the date your visa starts, once the IHS is paid if you need to pay it.
- You may need to pay for NHS treatment while the Home Office has not yet decided your visa.
What is still chargeable?
Some services are still chargeable, including prescriptions, dental treatment, eye tests and assisted conception.
Proving your status for healthcare
If you have a digital immigration status, you may need to prove it online with a share code when accessing healthcare. Read our eVisa and share code guide.
Common mistakes
- Assuming all NHS services are free after paying the IHS.
- Not checking whether your visa type requires the payment.
FAQ
Where do I find the exact amount?
On the GOV.UK page “How much you have to pay”. Rates change, so we do not list them here.
Key takeaways
- You pay the IHS during your online application.
- It gives free NHS use from your visa start date.
- Prescriptions, dental, eye tests and assisted conception can still cost money.
Related guides
- First 90 days in a new country
- Register with a GP in the UK
- UK eVisa and share code guide
- UK Student visa guide
- UK family visa guide
Last updated: October 2026. Fees change, so check the official page.
Sources
- GOV.UK: Pay for UK healthcare as part of your immigration application