
As an FCA-authorised expert with over 900,000 policies arranged, WeCovr helps you navigate the complexities of UK private medical insurance. This guide clarifies the 2026 requirements for Skilled Worker Visa applicants, explaining the mandatory Immigration Health Surcharge (IHS) and the valuable role of private health cover.
Moving to the UK on a Skilled Worker Visa is an exciting prospect. However, navigating the healthcare requirements can be confusing. You've likely heard about the mandatory Immigration Health Surcharge (IHS) giving you access to the NHS. You may also be wondering if you need private medical insurance (PMI) and if it can exempt you from the IHS fee.
This comprehensive guide clarifies the rules for 2026, debunks common myths, and explains why thousands of skilled workers choose to invest in private health insurance despite paying the IHS. We will explore how to find a compliant policy that offers peace of mind and swift access to medical care, ensuring your move to the UK is as smooth as possible.
The UK operates a dual healthcare system. Understanding the difference is crucial for any new resident.
1. The National Health Service (NHS): The NHS is the UK's state-funded healthcare system. It provides comprehensive medical care, free at the point of use for legal UK residents. Your mandatory Immigration Health Surcharge (IHS) payment grants you access to the NHS on broadly the same basis as a British citizen.
2. The Private Healthcare Sector: This sector runs parallel to the NHS. It consists of private hospitals, clinics, and specialists. Care is funded by individuals directly or, more commonly, through private medical insurance (PMI).
Before we discuss private insurance, it is vital to understand the Immigration Health Surcharge (IHS).
The IHS is a compulsory fee for most individuals applying for a UK visa for more than six months, including the Skilled Worker Visa.
Paying the surcharge is a mandatory part of your visa application. It grants you access to the NHS. The fee must be paid in full, upfront, for the entire duration of your visa.
| Visa Applicant Type | Annual IHS Fee (2026 Estimate) | Total for 3-Year Visa | Total for 5-Year Visa |
|---|---|---|---|
| Standard Applicant | £1,035 | £3,105 | £5,175 |
| Student / Youth Mobility | £776 | £2,328 | N/A |
Note: These figures are based on the latest government rates and are subject to change. Always check the official gov.uk website for the most current fees before applying.
This is the most common question we receive, and the answer is simple and direct:
No. You cannot use private medical insurance to avoid paying the Immigration Health Surcharge for a Skilled Worker Visa. The IHS is a mandatory condition of your visa application. There are no exemptions for those who hold private health cover.
Attempting to apply for a visa without paying the IHS will result in an automatic refusal. Therefore, you should consider the IHS as a fixed, non-negotiable cost of your move to the UK.
If you're already paying thousands for NHS access via the IHS, why would you also pay for private medical insurance? This is not "double taxation" but a conscious choice to have a superior level of healthcare access.
Skilled professionals moving to the UK value their health and their time. They choose PMI for three main reasons:
To Bypass NHS Waiting Lists: This is the number one driver. If you develop a painful knee problem or need a hernia operation, the NHS waiting list could be over 12 months. With PMI, you could be seen by a specialist within days and have your surgery within weeks. For a skilled worker, being off work or in discomfort for a year is simply not an option.
Choice and Control: PMI gives you control over your healthcare. You can often choose the hospital and the specialist who treats you, ensuring you are seen by a leading expert in their field at a time that suits your schedule.
Enhanced Comfort and Privacy: Private treatment almost always includes a private en-suite room, more flexible visiting hours, and better food. This makes a stressful experience far more comfortable.
Real-Life Scenario: Ananya, a 35-year-old software architect, moves to London on a Skilled Worker Visa. She pays the IHS. Six months later, she develops severe shoulder pain. Her NHS GP refers her to a specialist, but the waiting list for a consultation is 9 months, with a further 6-month wait for potential surgery.
Because Ananya invested in a PMI policy, she calls her insurer. They approve a consultation with a top shoulder surgeon for the following week. An MRI is done two days later, and surgery is scheduled for ten days after that. She is back at work with her recovery well underway in under a month, instead of waiting over a year in pain.
Not all health insurance policies are created equal. An international travel policy or a cheap plan from a non-UK provider will not offer the comprehensive cover you need. A compliant UK policy should have the following features:
An expert broker like WeCovr can ensure the policy you choose meets all these criteria, comparing the market to find cover that fits your specific needs and budget.
The UK PMI market is dominated by a few key players. Each has its strengths, especially for new UK residents.
| Provider | Key Strengths for Immigrants | Typical Starting Cost (35-yr-old) | WeCovr Insight |
|---|---|---|---|
| Bupa | Strong brand recognition, extensive hospital network, excellent mental health cover. A trusted and reliable choice. | £65 - £90 p/m | Bupa's 'Direct Access' for certain conditions can speed up treatment even faster, bypassing the need for a GP referral. |
| AXA Health | Flexible and modular policies. You can build a plan that suits your budget. Strong focus on digital health tools. | £60 - £85 p/m | Their 'Doctor@Hand' virtual GP service is highly rated and included in most plans, which is a huge benefit for new arrivals. |
| Aviva | Known for their 'Expert Select' hospital option which can reduce premiums. Often praised for straightforward claims. | £55 - £80 p/m | The 'Aviva Digital GP' app, powered by Square Health, offers great convenience with prescriptions and referrals. |
| Vitality | Unique model that rewards a healthy lifestyle with discounts on premiums, Apple Watches, and other perks. | £50 - £75 p/m (before rewards) | Perfect for active individuals. The rewards programme can be highly motivating and significantly lower your overall costs. |
Disclaimer: Costs are estimates for a healthy, non-smoking 35-year-old living outside London and are for illustrative purposes only. Your actual premium will depend on your age, location, cover level, and underwriting.
Understanding the process is simple. Here is the typical journey for getting treatment with PMI:
When you apply for PMI, the insurer needs to know about your medical history. This is done through a process called underwriting. For individuals, there are two main types:
This is the most common and quickest way to get cover. You don't have to declare your full medical history upfront. Instead, the insurer automatically excludes any condition you've had symptoms, treatment, or advice for in the last 5 years.
However, if you then go for a continuous 2-year period after your policy starts without any symptoms, treatment, or advice for that condition, the exclusion may be lifted.
| Moratorium Underwriting | |
|---|---|
| Pros | ✅ Fast application process - no medical forms. ✅ Less intrusive. ✅ Pre-existing conditions can become eligible for cover after a 2-year clear period. |
| Cons | ❌ Lack of certainty at the start. ❌ Claims can be slower as the insurer needs to check your medical history at that point. |
With this method, you complete a detailed health questionnaire, declaring all your past medical conditions. The insurer reviews it and tells you upfront exactly what is and isn't covered. Any conditions they choose to exclude are usually excluded permanently.
| Full Medical Underwriting (FMU) | |
|---|---|
| Pros | ✅ Complete certainty from day one about what is covered. ✅ Claims process is often faster as decisions have already been made. |
| Cons | ❌ Application process is much longer and more detailed. ❌ Exclusions are typically permanent. |
For most new arrivals to the UK, moratorium underwriting is the simplest and most popular choice. A broker at WeCovr can talk you through which option is best for your personal circumstances.
Navigating the UK insurance market alone can be daunting. As an independent and FCA-authorised broker, WeCovr acts as your expert guide.
While the Immigration Health Surcharge is a necessary cost, private medical insurance is a smart investment in your health and wellbeing. It provides the peace of mind that should you or your family need non-urgent medical care, you won't have to endure long waits.
Let us help you make the right choice. Our friendly, expert team can provide a no-obligation comparison of the UK's leading insurers in minutes.
Contact WeCovr today for a free, personalised quote and secure your health and peace of mind for your new life in the UK.






