What The IHS Actually Costs You And Why People Mess It Up

The Immigration Health Surcharge is a payment the UK visa system requires you to make before it will process your application. For a dependent visa, this means whichever family member you are sponsoring — spouse, child, or other qualifying relative — each individual requires their own separate IHS payment. The current rate as of 2024 is £1,038 per person per year of visa length. A two-year dependent visa for a spouse and one child under the old rates would run roughly £4,152 total. The rates shifted again in January 2024 when the government increased the standard charge, so anything you read from before that date about pricing is wrong. Most people I talk to who get tripped up on this are not aware that the IHS is calculated per applicant, not per family unit. You cannot submit one payment covering everyone. Each dependent gets their own reference number, and they all have to be paid before the main application can proceed. There is no bulk discount, no family rate. The system literally assigns one transaction ID per person.

Unlock The Secrets To Securing Ihs For Your Dependent Visa A Comprehensive Guide

Here is the practical sequence that actually works without generating errors. Start with the dependent's details ready in front of you: their full name exactly as it appears on their passport, their passport number, their date of birth, and their nationality. You will need all four of these for the online IHS payment portal. The GOV.UK calculator at gov.uk/immigration-health-surcharge will give you the exact figure, but here is something most guides skip — the calculator sometimes rounds differently than the payment system. I had a case where the calculator quoted £2,076 and the actual payment screen charged £2,106 for the same visa length. Always confirm the final amount on the payment page itself before you commit to paying. After you complete the payment, you receive an IHS reference number and a healthcare identity document number. These are separate things. The reference number is what you enter into the visa application form. The healthcare identity document number is what the NHS uses to link the person to the system. Do not confuse the two or enter one in place of the other, because the visa processing system checks both fields independently and a mismatch sends the application into a manual verification queue that adds weeks to processing time. The dependent's visa application must reference the correct IHS payment. If you are applying together as a family, each dependent needs their own IHS payment made before you submit any of the applications. The Home Office does not accept retroactive IHS payments added after submission. I learned this the hard way when a client submitted all three applications first, then went back to pay the IHS for the child two days later. The entire application was rejected for incomplete biometric and financial documentation review, and they had to start over from scratch. That cost them approximately six weeks and the full application fee all over again.

Common Pitfalls That Add Months To Processing

The most frequent error I see is people using the wrong visa category when calculating the surcharge. Dependent visas fall under different immigration routes — spouse visa, child dependent, parent of a child, and so on. Each route has its own IHS classification and the calculation differs slightly depending on whether you are applying from inside or outside the UK. Selecting the wrong route on the payment portal will give you an incorrect amount, and while the system will still accept the payment, the visa application will flag a discrepancy during the health surcharge verification stage. Another issue that catches people out involves the valid period of the IHS. The surcharge covers the visa duration you are applying for, but if your visa is granted for a shorter period than you requested — which happens when the home office trims the length based on your sponsor's remaining permission — your IHS will be overpaid. You can request a refund for the excess, but the refund process takes between 6 and 12 weeks. I usually advise clients to apply for exactly the period their sponsor holds permission for, to avoid the refund complication altogether. The only reason to apply for longer is if you know your sponsor will be extending their own visa soon and you want to minimise future administrative work. There is also a timing constraint most people do not anticipate. The IHS payment has an expiry window. Once you complete the payment, the reference is valid for 6 months. If you do not submit the dependent visa application within that window, the reference expires and you lose the payment. There is no automatic reminder from the system. I had to chase a client who paid in March and did not submit the application until August. The reference had expired. They paid again. This is not something the guidance pages highlight prominently enough.

Get the Full Details

How to Apply for a UK Visa Fee and IHS Refund
How to Apply for a UK Visa Fee and IHS Refund

When The IHS Does Not Apply

Not every dependent visa applicant pays the health surcharge. Refugees and those granted humanitarian protection are exempt. Some diplomatic visa categories are exempt as well. If the dependent is applying under the EU Settlement Scheme family permit route, the rules are different from the standard dependent visa route. A refugee sponsor's dependents may also be exempt depending on the specific immigration route being used. The exemption criteria are narrow and technical, so if you believe you qualify, verify it directly on GOV.UK rather than assuming based on partial information. The IHS refund process is another area where the official guidance is frustratingly vague. If you overpay, you can claim a refund through the IHS refund form on GOV.UK. The form requires your IHS reference number, your visa application number, and bank details for the return transfer. Processing time for refunds is typically 8 to 12 weeks according to current Home Office service standards, though I have seen cases take longer. The refund goes to the bank account provided, not back to the original payment method. This matters if you paid by credit card and the refund lands in a different account than the one you used — the mismatch can cause additional delays.

A Note On Current Processing Times

As of mid-2024, standard dependent visa applications from outside the UK are processed within 8 weeks for most nationalities, though this varies by country. Applications from within the UK using the super priority service can receive a decision within 48 hours, but the super priority add-on costs £1,000 on top of the standard fees and IHS. The IHS payment itself is instantaneous — you pay and receive your reference within minutes on the GOV.UK portal. The bottleneck is always the visa application review, not the surcharge payment. Plan your timeline around the visa processing window, not the IHS payment, which is functionally immediate unless you make an error on the payment form. If you are handling this for a child under 18, make sure the passport details you use for the IHS payment match the passport you will use for the visa application. I have seen cases where parents used an old passport number for the IHS and the new passport number for the visa, creating a data mismatch that required manual intervention to resolve. The fix is straightforward — contact the IHS support team with both passport numbers and a copy of the passport update documentation — but it adds delay. Do the check before you submit anything.