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The Immigration Health Surcharge (IHS) is a fee imposed by the UK government on individuals coming to live in the UK for more than six months. It helps to fund the National Health Service (NHS), allowing migrants to access healthcare services during their stay. However, not everyone must pay this fee indefinitely, and some individuals are eligible for an IHS refund.
If you are eligible for an Immigration Health Surcharge (IHS) refund, you must apply or check the refund process. The key is to follow up with UKVI if the 6-week period has passed and provide all necessary details for them to locate and process your refund. This article will explore the IHS, who is eligible for a refund, and how to apply.
What is the Immigration Health Surcharge (IHS)?
The IHS is a compulsory payment for most UK visa applicants. It helps fund the NHS, ensuring migrants receive healthcare services, including doctor visits, hospital treatment, and emergency care, without further cost. However, IHS must be paid upfront when submitting a visa application, with costs varying depending on the length of stay and type of visa.
On 6 February 2024, Immigration Health Surcharge (IHS) fees for UK dependent visas are £1,035 per applicant per year. For student dependents, the cost is £776 annually.

Who Is Eligible for an IHS Refund?
While the IHS is required for many visa holders, some people fall into a specific category and might receive a full or partial refund. While the IHS is generally non-refundable, there are particular circumstances where they may issue a refund. These include:
Visa Application Rejection or Withdrawal
If your visa application is refused or withdrawn, you are entitled to a full refund of the IHS. However, the refund will not cover the non-refundable visa application fee.
Shortened Visa Period
If the visa issued to you is for a shorter duration than what you initially applied for, you may be entitled to a partial refund of the IHS. The refund will reflect the unused surcharge portion based on the actual length of the visa granted.
Early Departure from the UK
You can claim a refund if you leave the UK before your visa expires and no longer need access to the NHS. However, you must prove that you no longer reside in the UK and are not benefiting from the NHS.
NHS Workers and Healthcare Professionals
During the COVID-19 pandemic, the UK government introduced a full IHS refund for NHS workers and social care professionals to recognize their contribution to the country’s healthcare system. Applicants must have worked in an eligible health or social care job for at least six months to qualify for this refund.
Youth Mobility Scheme and Tier 5 Visa Holders
Some individuals on the Youth Mobility Scheme or Tier 5 (Temporary Worker) visas may be entitled to an IHS refund if they leave the UK before their visa expires and have paid for unused years of health coverage.
European Union Settlement Scheme Applicants
Individuals who applied under the EU Settlement Scheme before the deadline were often exempt from paying the IHS. However, those who paid the surcharge before being granted pre-settled or settled status may be eligible for a refund.
Other Temporary Workers
Certain visa holders, especially those in industries deemed essential, such as agriculture and food production, may also qualify for an IHS refund depending on their specific visa and the length of their stay in the UK.
How to Apply for an IHS Refund
The process of obtaining an IHS refund depends on your eligibility category.
Automatic Refunds
Sometimes, the UK Home Office automatically processes refunds without needing an application. It usually occurs if:
- You are granted a shorter visa than you initially paid for.
- Your visa is refused or withdrawn.
- You receive an exemption after paying the IHS, such as healthcare workers under the Health and Care Visa route.
Once the refund is processed, it is returned to the account or card used for the initial payment. This timeframe can vary, but refunds are typically issued within six weeks.
Manual Refund Requests
For other cases, such as leaving the UK early, you may need to request a refund manually. You can do this via the UK government’s official website, and you will need to provide details such as:
- Proof of your departure from the UK.
- Visa reference number and personal information.
- Evidence of no longer using NHS services.
The processing time for manual refund requests can vary, but it usually takes a few months.
How to Track Your IHS Refund Status
Confirmation Email
Once your IHS refund application is processed, you should receive a confirmation email from the UK Home Office. This email will confirm that your refund is being processed. Check your inbox (and your spam folder) regularly for any communications.
Processing Time
Refunds typically take around six weeks, which can vary. If you haven’t received a refund within six weeks, contact the UK Visas and Immigration (UKVI) helpline.
Contact UKVI
If your refund takes longer than expected, you can contact the UKVI to inquire about your refund status. Be prepared to provide your reference number and other relevant details.
Check Your Payment Method
The refund is usually paid back using the method used for your original IHS payment. Make sure to monitor your bank account or card for any refund transactions.
Contact Information
- Phone (Inside the UK): 0300 790 6268
- Phone (Outside the UK): +44 300 790 6268
- Email: You can also contact UKVI via their online web form on the GOV.UK website.
- Operating Hours: Monday to Thursday, 9 am to 4:45 pm, and Friday, 9 am to 4:30 pm (UK time).
If you have not received your IHS Refund
Check the Processing Time
IHS refunds typically take up to 6 weeks to process. If you have ihs refund not received your refund within this period, you can take further action. Be sure to count from when you received confirmation of your refund approval or visa refusal.The ihs refund when switching visa the IHS refund is processed automatically. According to the Home Office, it can take up to 6 weeks, so if you haven’t received it by then, it might be worth contacting them.
Review Your Payment Method
- Refunds are usually sent back using the same method you used to pay the IHS (e.g., credit card, debit card, bank account). Check your payment records carefully to ensure the refund has not already been credited.
- Ensure the account or card used for the IHS payment remains active. If the payment method has changed (e.g., the card has been canceled or expired), inform the UK Visas and Immigration (UKVI) to provide updated payment details.
Check Your Email
You should receive a confirmation email once your IHS refund application or automatic refund process begins. Check your inbox (and spam folders) for any communications from the UKVI. It often contains your reference number, which you will need when contacting the UKVI about delays.
Contact UK Visas and Immigration (UKVI)
If the 6-week processing time has passed and you still need to receive your refund, contact UKVI to inquire about the status of your refund.
Check for Automatic Refund Eligibility
Some refunds, such as for healthcare workers or visa refusals, are issued automatically. If you believe you are eligible for an automatic refund but haven’t received it, contact UKVI to confirm whether the refund has been initiated.
Elevate the Problem
If you have followed the necessary steps and still have not received your refund, you can escalate the issue by:
Providing Proof
Keep a record of your original IHS payment and any communications you’ve had with UKVI regarding the refund.
Filing a Complaint
If the delay persists and UKVI is unresponsive, you can file a formal complaint through the Home Office complaints procedure.
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Conclusion
The IHS plays a crucial role in ensuring migrants to the UK have access to healthcare services. However, knowing your rights and eligibility for a refund can save you significant costs if your circumstances change. Whether you’ve left the UK early, had your visa application rejected, or are a healthcare worker, there are avenues to recoup part or all of the IHS payment.
By understanding the refund process and following the proper procedures, you can navigate the IHS refund system efficiently and ensure you receive any money owed.
Frequently Asked Questions(FAQs)
What is the IHS refund?
The IHS (Immigration Health Surcharge) Refund reimburses the healthcare surcharge paid by visa applicants to access the UK’s National Health Service (NHS). You may be eligible for a refund if your visa application is unsuccessful or you meet specific exemption criteria.
How long does it take to receive an IHS refund?
Once approved, IHS refunds typically take 6–8 weeks to process. Sometimes, it may take longer due to administrative delays or incomplete information.
How do I apply for an IHS refund?
If you believe you are eligible for a refund, you do not need to apply in most cases. The Home Office will automatically process refunds if you qualify. You can contact the IHS Refund team for further details if it has been over six months since your visa application.
Can I get an IHS refund if I leave the UK early?
If you leave the UK before your visa expires, you may be eligible for a partial refund of the IHS for the remaining visa period. The refund amount will depend on the time left on your visa.
How do I check the status of my IHS refund?
You can check the status of your IHS refund by contacting the Home Office’s IHS Refund team or by checking your emails for updates. They usually send an email notification when your refund is processed.
What happens if my IHS refund is delayed?
If your IHS refund is delayed beyond the expected 6–8 weeks, you can contact the Home Office via their refund inquiry form. Be sure to have your visa reference number and payment details handy.
Do I get a full refund of the IHS if my visa is refused?
If your visa application is refused, you are entitled to a full refund of the IHS payment. However, it does not include any administrative or application fees.
References
GOV.UK: Immigration Health Surcharge
GOV.UK: How much you have to pay
GOV.UK: Get an immigration health surcharge refund if you work in health and care