UK Immigration Health Surcharge 2026: Cost Modelling, Compliance Data, and What HR Systems Need to Track The UK Immigration Health Surcharge (IHS) is one of those immigration costs that HR teams and engineering managers consistently underestimate -- until they are trying to explain to a new hire why their relocation package needs an extra five figures. This post covers the IHS from a systems and compliance lens: what triggers the charge, how to model it accurately, and what data points your HR tooling should surface to avoid budget surprises. What the IHS Is (and Is Not) The IHS is a mandatory upfront payment that funds NHS access for visa holders. It is charged at the point of application, before the visa is granted, and must be paid in full. Current rates (2025-26): Standard rate: 1,035 GBP per person per year Discounted rate (students, Youth Mobility): 776 GBP per person per year The charge applies to any visa that confers a stay of more than six months.…