Skip to main content

Immigration Health surcharge

International doctors applying for the MTI scheme must apply for immigration status to work in the UK.

You will need to pay for the Immigration Health Surcharge (IHS) as part of your immigration application. The IHS gives you access to NHS healthcare during your time in the UK.

If you are staying in the UK for longer than six months you are exempt from this fee. Therefore, doctors in the MTI scheme who have paid the IHS can claim a full refund for themselves and any dependants who came to the UK with them. 

To apply for a refund, please click the Apply for your refund button below. Your details will then be passed to the Business Service Authority team (BSA) who manage the IHS reimbursement process. If you are applying separately on behalf of a dependant, please ensure that you include your details on the application as the main MTI participant.

Please do not apply for a refund of the IHS fee until you and your dependants have received your visas. If you apply for a refund too soon, UKVI may ask you to make an additional payment referred to as a top-up fee. MTI doctors are not required to pay a top-up fee and it is not possible to apply for reimbursement through the usual MTI IHS refund system. If UKVI ask you to pay a top-up of the IHS fee, please contact the MTI team right away at and we will liaise with UKVI on your behalf.

PLEASE NOTE: UKVI will only refund the fee to the bank account from which it was paid. If the account is now closed, you will be able to provide alternative account details only after UKVIs attempt to refund the original account has failed. The refund process will take up to 28 days (about 4 weeks), after which you can contact UKVI for help.

If you have any questions about the refund, please email the MTI team at or the BSA team at