The IHS is a mandatory fee that most student visa applicants pay upfront. Introduced in 2015, it allows the use of the NHS on largely the same terms as a UK resident, including GP visits and hospital care, for the full duration of the visa. It cannot be paid in instalments or waived, even with private health insurance. Some services, such as dental treatment and eye tests, still carry a charge, and prescription charges vary across the UK.
How Much is the IHS in 2026?
The IHS is £776 (₹97,776) per person per year at the student rate. It is charged on the full length of the visa, which includes time before and after the course, not only the course length. A part year of up to six months is charged at £388, and a part year of more than six months is charged as a full year. The table shows two typical examples.
|
Course
|
Typical Visa Length
|
IHS (GBP)
|
IHS (INR)
|
|
One-year master’s
|
About 16-17 months
|
£1,164
|
₹1,46,664
|
|
Three-year bachelor’s
|
About 41 months
|
£2,716
|
₹3,42,216
|
Because students must pay the IHS in full at the time of application, those planning longer courses or courses with placements should budget for it early. You can confirm the exact amount using the official IHS calculator.
Who Needs to Pay the IHS?
Whether the IHS applies depends on the visa type and the length of stay.
- A visa longer than six months applied for from outside the UK requires the IHS, including the Student, Skilled Worker, and family visas.
- An extension or switch inside the UK requires the IHS regardless of duration, for example moving from a Student visa to a Graduate visa.
- Every dependant on the application pays their own IHS unless they are exempt.
- Private health insurance does not replace the IHS. It must still be paid even if the applicant plans to use private cover.
Who Does Not Need to Pay the IHS?
Applicants on permanent or humanitarian routes do not pay the IHS, and those on short visas pay for healthcare when they use it.
- Health and Care Worker visa holders and their dependants receive free NHS access without the surcharge.
- Permanent settlement applicants, such as those applying for Indefinite Leave to Remain or British citizenship, are exempt.
- Humanitarian and protection cases, including asylum seekers, refugees, and victims of trafficking or domestic abuse under specific Home Office rules, do not pay.
- Applicants granted a Home Office fee waiver are also exempt from the IHS.
- Visitors and other applicants on visas of six months or less applying from outside the UK skip the upfront IHS and pay directly for any NHS treatment they use.
UK student visa applicants can pay for a faster decision through the Priority or Super Priority service. Standard processing usually takes about 3 weeks. The Priority service gives a decision within 5 working days for £500 (₹63,000), and the Super Priority service gives a decision by the end of the next working day for £1,000 (₹1,26,000).