Guidance

Immigration Health Surcharge: caseworker guidance

Immigration staff guidance on the Immigration Health Surcharge (IHS).

• From: UK Visas and Immigration
• Published: 19 April 2024
• Last updated: 30 September 2025 — See all updates

Documents

Immigration Health Surcharge: caseworker guidance (accessible)

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Immigration Health Surcharge: caseworker guidance

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Details

UK Visas and Immigration guidance about the Immigration Health Surcharge (IHS) and how to consider the IHS as part of an application for immigration permission.

Published 19 April 2024

Last updated 30 September 2025 + show all updates

1. 30 September 2025

   Updated to correct guidance in respect of IHS refunds for migrants subject to immigration control who apply for and are granted British citizenship.

2. 24 June 2025

   Added version 9.0 of the Immigration Health Surcharge: caseworker guidance. A full list of changes can be found in the guidance.

3. 12 September 2024

   Updated immigration health surcharge document.

4. 19 April 2024

   First published.