Skip to main content

Immigration Health surcharge

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


Paying the Immigration Health Surcharge
As part of your immigration application, you will need to pay for the Immigration Health Surcharge (IHS) to cover you and your dependents. The IHS gives you access to NHS healthcare during your time in the UK.

To make sure your visa application is valid, you must pay the IHS for the full length of time you’re applying to stay. When completing the visa applications for you and your dependents, you will be asked to enter the details from your Certificate of Sponsorship (COS), including the work start date and work end date. These dates must match your COS as they will be used to calculate the duration and cost of the IHS you need to pay. If the incorrect dates are entered you could be overcharged or undercharged for your IHS. Being undercharged will affect your visa application, as it will not be considered until you have paid the full amount of the IHS cost.  


Claiming a Reimbursement of the IHS
Once the visas have been approved and received, doctors in the MTI scheme, who have paid the IHS, can claim a full reimbursement for themselves and any dependants who came to the UK with them. 

To apply for an IHS reimbursement, please click the apply for your reimbursement button below. Your details will then be passed to the NHS Business Service Authority 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.


Important:  Do not apply for a reimbursement of your IHS fee until you and your dependants have received your visas. This could invalidate your visa application. If UK Visas and Immigration (UKVI) ask you to pay a top-up of the IHS fee, please contact the MTI team right away at MTI@aomrc.org.uk and we will liaise with UKVI on your behalf.


PLEASE NOTE: All reimbursements of the IHS are made to the payment account from which it was paid. If the account is now closed, you will be able to provide alternative account details only after the initial reimbursement has failed. Payment may take up to six weeks after which you can contact mti.ihsreimbursements@nhsbsa.nhs.uk for further assistance.


If you have any questions about your IHS reimbursement, please email the MTI team at IHSrefund@aomrc.org.uk