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Posted Wed, 29 Nov 2023 14:29:02 GMT by
Hi, when I moved in UK, in order to get my Dependant VISA, I had to pay for the NHS and I'm going to pay again to extend the VISA. I'm currently employed by a UK company and, so, I have monthly NHS deductions from my salary. Am I paying the NHS taxes twice, or those two are separeted and distinguished things? If yes, can you please explain me how? I do appreciate your help. Many thanks, 
Posted Thu, 30 Nov 2023 15:51:02 GMT by HMRC Admin 10 Response
Hi
These are 2 different things.
The skilled worker visa charges you as per this link - Skilled Worker visa.
The tax is what everyone pays if their income is over £12570 per tax year.
Posted Fri, 01 Dec 2023 08:13:23 GMT by
Hi, I can understand these are 2 different things but I'd like to have more details. Let me explain: if I don't have a UK job, the VISA related NHS charge I pay allows me to access national insurance services, right? In the same way, do people who don't need a VISA access the same services by paying NHS tax as monthly deduction? If so, I'm paying twice to access the same services and that seems wrong. If not, can you please explain me how the 2 things are different? Many thanks.
Posted Sat, 02 Dec 2023 15:20:13 GMT by
National insurance is not an NHS tax or surcharge. It is a social security contribution that is paid on earned income (from employment or self employment). What visa holders pay is an NHS surcharge so they can access free healthcare. So if you have paid the NHS surcharge and are having NI deducted from your wages then this would be correct. If it isn't National insurance you're asking about and you are actually seeing "NHS deduction" on your payslip then you'd need to ask your employer to explain what it is for.
Posted Fri, 22 Dec 2023 07:40:37 GMT by HMRC Admin 25 Response
Hi Valerio,
The National Health Service (NHS) Surcharge is paid as a part of the visa application and grants the visa holder access to free health services in the UK.
When you are classed as employed if you earn certain amounts in your wage you are subject to pay National Insurance (NI) as mandatory.
The NI collected through pay goes towards other factors for benefits – out of work/state pension qualifying. Pay related National Insurance is collected to fund the NHS, health and social care.
They are separate processes, one to receive health care and the other funds it and opens the benefits of the state you can be eligible to.
Thank you. 
Posted Mon, 18 Mar 2024 23:27:03 GMT by Ed.akyla
Hi , I applied for Skilled worker visa and paid a fee and a health surcharge for 3 years as per request. However, my wife ( Dependant Partner visa ) paid a fee only , without health surcharge, as requested by application form . Both of us applied from inside of UK. Our current status Homes for Ukraine Scheme. I’m enquire if she needs to pay a health surcharge? Because she has not received any emails with her IHS number and links to pay. And a section with Immigration health surcharge marked Blue (Completed) . Is it an error in the system , or she will be able to pay after my Skilled Worker Visa will be granted. Please help us to sort this out. Many thanks.
Posted Mon, 18 Mar 2024 23:35:55 GMT by Ed.akyla
In addition to my previous comment, I would like to add, that my occupation is not on the shortage occupation list. Many thanks.
Posted Tue, 19 Mar 2024 13:36:17 GMT by HMRC Admin 19 Response
Hi,

Please contact UK Visas and Immigration for advice.

Contact UK Visas and Immigration for help

Thank you.
Posted Thu, 21 Nov 2024 12:41:39 GMT by Monique Kafizas
Hi, I have a client who is domiciled in Japan and travelled to the UK for the first time to take up UK employment for a UK company. The company has paid for the Immigration healthcare surcharge for the NHS on his behalf. This was paid and applied for before he came to the UK. Would this count as part of his travel costs and visa costs to the UK to take up UK employment and be exempt under s.373 ITEPA 2003.
Posted Wed, 27 Nov 2024 10:29:35 GMT by HMRC Admin 19 Response
Hi,
You can see guidance here:
Pay for UK healthcare as part of your immigration application
Thank you.

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