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Study Abroad Content Specialist
The UK has become one of the top destinations for Indian students pursuing higher education, with thousands choosing British universities each year. While the education system and cultural exposure are significant attractions, it's essential for prospective students to plan their finances carefully, especially with the recent increase in the Immigration Health Surcharge (IHS). As of February 2024, the IHS now costs £776 (or ₹84,809 INR) per year for students, impacting the overall financial commitment needed to study in the UK. So it’s crucial to understand who needs to pay the IHS, the payment process, how to access NHS services, and what refund options are available.
Who Needs to Pay the Immigration Health Surcharge?

The Immigration Health Surcharge is mandatory for most non-UK nationals applying for a visa to study, work, or stay in the UK for longer than six months. Here’s a breakdown:
- Students Applying from Outside the UK: Indian students applying for a visa lasting more than six months must pay the IHS as part of the UK visa application.
- Applicants Inside the UK: Those already in the UK who are applying for a visa extension or switching to another visa must also pay the IHS, regardless of the visa’s duration.
- Dependants: Any dependants joining the main applicant, such as spouses or children, are also required to pay the surcharge.
Also Check:
| UK Student Visa | Proof of Funds for UK Student Visa | Cost of Living In UK |
| Study Loan UK | UK Scholarships for Indian Students | Graduate visa UK |
Who is Exempt from the Immigration Health Surcharge?
Certain categories are exempt from paying the IHS. Exempt groups include:
- Visitors: Applicants for visitor visas (less than six months) are exempt.
- Indefinite Leave to Remain (ILR): Those applying for ILR do not need to pay the IHS.
- Health and Care Workers: Those eligible for the Health and Care Worker visa are exempt.
Note: Having private health insurance does not exempt applicants from paying the surcharge.
Immigration Health Surcharge Costs
The amount payable depends on the type and length of the visa. Here’s an updated cost structure:
| Visa Type | IHS Rate per Year | Example Cost for 2 Years |
|---|---|---|
| Students & Dependants | £776 or ₹84,809 INR | £1,552 or ₹1,69,618 INR |
| Applicants Under 18 | £776 or ₹84,809 INR | £1,552 or ₹1,69,618 INR |
| All Other Visa Applicants | £1,035 or ₹1,13,115 INR | £3,105 or ₹3,39,345 INR |
Example Calculation:
A two-year student visa for an Indian student would result in an IHS fee of £1,552. Other applicants, such as those applying for skilled worker visas, would incur an IHS fee of £3,105 for a three-year visa.
Also Check: UK Student Visa Costs for Indian Students
Special Cases
- 6 Months or Less: If you’re applying from outside the UK for a visa shorter than six months, you do not need to pay the surcharge. However, those applying from within the UK for a six-month or shorter visa will pay half the annual rate:
- £388 for Students and Dependants
- £517.50 for Other Visa Types
- More than 18 Months but Less Than Two Years: In this case, applicants must pay for two full years.
Payment Process
The IHS payment is integrated into the visa application process and must be completed online using a debit or credit card. Here’s a step-by-step guide:
- Make Payment During Visa Application: After filling out the visa application, you’ll be prompted to pay the IHS.
- Receive IHS Reference Number: Once payment is complete, you’ll receive a unique IHS reference number. This number is essential for the visa application to proceed, so save it carefully.
- Payment Deadline: Complete the IHS payment within 30 minutes after starting it to prevent interruptions in your application process.

Accessing NHS Services with the Immigration Health Surcharge
Once the visa is approved, Indian students can begin accessing NHS services from their visa’s start date. The IHS grants you access to most NHS treatments at no extra cost, making it a valuable investment for healthcare during your stay.
Covered Services
- Doctor and Hospital Visits: Basic medical services, emergency treatments, and GP appointments are covered under the NHS for IHS payers.
Paid Services
Certain services require additional payments, even if you’ve paid the IHS:
- Prescriptions
- Dental Treatments
- Eye Tests
Note: It’s essential to budget for these additional costs as they aren’t covered by the NHS through the IHS payment.
Refund Eligibility and Policy
In certain situations, students may qualify for a full or partial IHS refund:
Full Refund Conditions
- Visa Refusal: If your visa application is denied, you’ll get a full IHS refund.
- Application Withdrawal: If you withdraw your application before a decision, you are eligible for a full refund.
- Double Payment: If the IHS was paid twice for the same visa period, a full refund applies.
Also Check: UK student visa rejection reason
Partial Refunds
- Shorter Visa Grant: If you receive less time on your visa than originally applied for, a partial refund is issued.
- Refusal of Dependants: If dependants on the application are refused, their IHS payment will be refunded.
Refunds are typically processed within 28 days after the visa decision. For applicants appealing or requesting an administrative review, refunds may take longer. In cases where the appeal is successful, and the IHS refund was already given, applicants may need to repay the surcharge.
Recent Changes and Financial Implications for Indian Students
The recent increase in IHS rates as of February 2024 is part of the UK government’s efforts to balance immigration and healthcare funding. For Indian students, this means a notable impact on overall costs:
- Budgeting: Students must now consider an increased annual IHS cost of £776 for themselves and each dependant. This is an essential addition to living and tuition expenses.
- Financial Planning: For multi-year courses, IHS fees add up quickly, impacting overall budgets.
- Long-Term Preparation: Students should be prepared for possible future increases in the IHS rate and other UK visa costs.
The Immigration Health Surcharge is a critical part of the UK student visa process for Indian students. Although it adds to the overall cost of studying in the UK, it ensures access to essential healthcare services, making it a worthwhile investment. By staying informed about IHS policies, budgeting accordingly, and seeking expert advice, students can better prepare for their UK journey and focus on their academic pursuits.
FAQs
Ques. Is it possible to get a partial refund if I leave the UK before my visa ends?
Ans. Yes, if you leave the UK before your visa expires, you may not receive a refund unless your visa status changes or is officially cancelled.
Ques. Are there additional healthcare costs beyond the IHS for Indian students in the UK?
Ans. Yes, the IHS covers basic NHS services, but additional costs may apply for prescriptions, dental treatments, and eye exams.
Ques. What if I plan to work part-time while studying? Does that affect my IHS status?
Ans. No, part-time work does not affect your IHS status or coverage. However, your working hours should comply with visa rules.
Ques. Can Indian students pay the IHS in installments?
Ans. No, the IHS must be paid in full at the time of the visa application. Payment plans are not available.
Ques. If my dependants join me later in the UK, will they also need to pay the IHS?
Ans. Yes, each dependant will need to pay the IHS based on the duration of their visa, even if they join after your initial arrival.

























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