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You usually need to pay the healthcare surcharge if you鈥檙e applying for a visa or immigration application:

• for more than 6 months, if you鈥檙e applying outside the UK

• for any length of time, if you鈥檙e applying inside the UK

You do not need to pay if you鈥檙e applying for a visitor visa or to remain in the UK permanently.

Who does not need to pay

You鈥檒l be able to use the NHS without paying the surcharge or getting a reference number if:

• you鈥檙e applying for indefinite leave to enter or remain

• you鈥檙e a health and care worker who is eligible for a Health and Care Worker visa (or you鈥檙e their dependant)

• you鈥檙e applying to the EU Settlement Scheme

• you鈥檙e a diplomat or a member of a visiting armed forces and not subject to immigration control聽

• you鈥檙e a dependant of a member of the UK鈥檚 armed forces聽

• you鈥檙e the dependant of a member of another country鈥檚 armed forces who is exempt from immigration control听听

• you鈥檙e a British Overseas Territory citizen resident in the Falkland Islands聽

• you鈥檙e an asylum seeker or applying for humanitarian protection (or you鈥檙e their dependant)

• you鈥檙e a domestic worker who has been identified as a victim of slavery or human trafficking听听

• you鈥檙e applying for discretionary leave to remain in the UK as someone who has been identified as a victim of slavery or human trafficking (or you鈥檙e their dependant)听听

• the Home Office鈥檚 domestic violence concession applies to you (or you鈥檙e their dependant)

• being made to leave the UK would be against your rights under Article 3 of the European Convention of Human Rights (or you鈥檙e their dependant)

• you鈥檙e an S2 Healthcare Visitor

• you鈥檙e eligible for a Frontier Worker permit and have an S1 certificate

• you鈥檙e a child under 18 who has been taken into care by a local authority

• you鈥檙e a relevant civilian employee at NATO or the Australian Department of Defence in the UK (or you鈥檙e their dependant)

• you鈥檙e applying to stay in the UK as a victim of human trafficking or slavery (or you鈥檙e the dependant of someone who is)

• you鈥檙e applying to stay in the UK as a stateless person

• you鈥檙e applying for the Ukraine Extension Scheme or for a visa under the Homes for Ukraine Sponsorship Scheme

Visitor visas and short-term visas

You do not need to pay the surcharge if you鈥檙e applying for a:

• visitor visa

• visa for 6 months or less from outside the UK

You will need to pay for any NHS care you get at the point you use it - unless it鈥檚 a service that鈥檚 free.

If you鈥檙e applying for a visa for the Isle of Man or Channel Islands

You do not need to pay the IHS.

You will need to pay for any NHS care you get at the point you use it.