UK National Health Service (NHS) Health Surcharge – 6th April 2015

UK National Health Service (NHS) Health Surcharge – 6th April 2015


From 6th April 2015 all students applying under the Tier 4 route (Tier 4 Child and Tier 4 General) to come to the

UK for a period of 6 months or more, will now be required to pay a Health surcharge as part of the visa

application process.

The full announcement from UKVI can be found on the following link:


The charge for students (Tier 4 General and Tier 4 Child) will be £150 per year and is payable in full for the full

duration of the visa for which you are applying.

This fee is in addition to the visa application fee payable when submitting any Tier 4 visa application.

The amount payable for the Health surcharge will be based on the period of study outlined on the CAS issued

and will be calculated on a pro-rata basis if the study period consists of part of a year as follows:

Full duration of study period as indicated on CAS:

  • Less than 6 months = No charge
  • 6 months up to 1 year = £150
  • 1 year up to 1.5 years (18 months) = £225
  • 1.5 years (18 months) up to 2 years (24 months) = £3002 years (24 months) up to 2.5 years (30 months) = £375

There is no limit to the amount charged and this will be calculated entirely on the length of the period of study

as outlined on the CAS issued by the Tier 4 sponsor.

Students will be required to pay the applicable fee in full before applying for the visa and this is applicable to

all new Tier 4 students applying in their home country for the first time and all Tier4 students currently

studying in the UK and will be payable when they submit their next Tier 4 visa application (at home or in the


Failure to pay the applicable Health Surcharge will result in your visa application being refused.

Students applying under the Student Visitor routes are exempt from the Health surcharge.

Health Surcharge Refunds

If a visa application is refused the UKVI will automatically refund the full amount a student has paid for the

Health surcharge directly back to the student.

However, if a student is granted a visa but decides not to travel to the UK, they will not be eligible for any

refund of the Health surcharge fee paid.


Students will still be required to hold valid insurance exactly as before in addition to paying the new Health surcharge. Proof of insurance is still required as part of the confirmation documents required by the Admissions team.