UK NHS surcharge extended to Australian and New Zealand nationals

From 6 April 2016, Australians and New Zealanders living in the UK will have to pay a £200 annual fee to the NHS. Once you’ve paid this surcharge you will be given access to the NHS as if you were a permanent UK resident.

1st Contact Australia

The surcharge was first introduced in April 2015 for almost all new entrants to the UK with a visa valid for six months or more. Australians and New Zealanders were originally exempt from the surcharge, but now will be made to pay. Immigration Minister James Brokenshire stated on the UK Government website:

“The health surcharge is already playing a vital role in ensuring Britain’s public service is provided on a basis that is fair to all who use it.

We believe it is only fair that Australian and New Zealand nationals, who have previously benefited from a one year exemption from the immigration health surcharge, will now contribute to our health service in the same way as other non-EEA nationals.”

The benefit

Paying the surcharge entitles you to use the NHS as though you’re a permanent UK resident. This means that most of the healthcare you receive from the NHS will be free of charge. Do note, some procedures are excluded such as dental treatment, eye tests and prescription medications.

How much is it?

The NHS surcharge has been set at £200 and it must be paid annually. If you have dependants, they will be charged the same amount as the main visa holder. Those of you who apply as students on the Tier 5 (Youth Mobility Scheme) visa will receive a £50 discount.

Who has to pay?

All Australian and New Zealand nationals who have decided to live and work in the UK for a period of six months or more. If you are extend your stay from within the UK, you will also be required to pay the surcharge.

Who does not have to pay?

There are people who will be exempt from paying this surcharge. They are:

  • Travellers on visitor visas
  • Visitors staying in the UK for less than six months
  • Tier 2 visa intra-company transfer applicants
  • Returning residents
  • Those applying for a Certificate of Entitlement to the Right of Abode

The NHS surcharge does not affect any of the reciprocal healthcare agreements between Australia, New Zealand and the UK. Residents of both countries will not be charged for urgent treatment received in the UK.

More information will be released by the Home Office closer to 6 April 2016. Until then feel free to contact us on +61 3 8651 4500 or send us an email if you have any queries about this surcharge.

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  • Sarah Allen

    Hello, does one have to pay the surcharge if they are an Australian national living in the UK on a Marriage Visa?

    • Lucy Hinchliffe

      Yes I’d like to know the answer to this too.

  • Dales

    I am a New Zealand national, but have been living in the UK for 16 years. does this still apply to me?

  • Angela Khodeir

    It seems unfair to pay the surcharge when we are also having national insurance taken from our pay.

    • Dales

      what does ‘fair’ have to do with it? its the government.. they deserve your money more than you do! :(