That continues to be the case, but the government has announced that people who have paid the IHS and are working in the health care and related services will get a refund for every six month period that they have worked (back-dated to 31st March 2020) or will work in the NHS and related services for a period of at least 16 hours a week.
So, for people who are in the UK on non-Health Care visas and people coming to the UK, if you have the necessary skills and are willing to work in that role in the UK, you may be able to save on the IHS for yourselves and your dependants.
Gov.UK: Immigration health surcharge: guidance for reimbursement 2020
Freemovement: NHS and social care workers can now get an Immigration Health Surcharge refund
Migrants working in a hospital or care home who don’t have a Health and Care visa will continue to pay the surcharge up front, but can claim it back every six months.
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The refund scheme is for people who are in the UK on a visa granting a “generic right to work”, such as Youth Mobility, and who happen to get a job with the NHS or in social care. They will be eligible for a refund for every continuous six-month period they work in qualifying roles for an average of 16 hours or more a week.
Home Office guidance gives details of the application process and the jobs that qualify (in Annex A).
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The exception is those on a Tier 2 (General) visa, who cannot use the refund process and must instead email IHSrefunds@homeoffice.gov.uk to ask about getting their money back.