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The IHS - Immigration Health Surcharge is a mandatory healthcare fee that all non-UK students must pay when applying for a student visa. It gives you access to the National Health Service during your stay in the UK. Without paying for the IHS, your visa application will not be processed.
The UK government requires all international students to contribute to the healthcare system they will use while living in the country. Once you pay for the IHS, you can access the National Health Services (NHS) just like a UK resident.
This includes essential healthcare such as GP visits, emergency treatment, hospital care, and some mental health support.
The IHS fee is charged upfront for your entire visa duration. Amounts can change based on government updates, but students usually pay:
Your total is calculated automatically during the visa form. Make sure your card allows international payments, since the charge is processed immediately.
Once paid, you get access to most NHS services at no extra cost. Key inclusions are:
Some services are not fully covered, such as dental care and eye tests, which may require additional private plans if needed.
No. The IHS gives you access to NHS public healthcare. It does not replace private insurance entirely. Many students still choose additional private cover for:
Private insurance is optional but can be useful depending on your personal health needs.

Here is the typical process when applying for a Student Visa:
If you do not complete payment, your visa application will be rejected.
You can get a refund in very specific cases:
You will not get a refund simply because you did not use NHS services or if you leave the UK early.
The IHS is not just a fee. It is your entry into one of the most reliable healthcare systems in the world. Once paid, you are protected throughout your stay with complete access to essential health services.
By understanding the IHS early and budgeting for it correctly, you can move to the UK with confidence and avoid any last-minute visa issues.