Can international students use the NHS? Is the NHS free for international students? Your guide to accessing the NHS as an international student in the UK
In the UK, the NHS (National Health Service) is how residents get healthcare—both physical and mental. Most services are free when you use them, though some treatments may come with extra charges.
But how does the NHS work for international students?
This guide breaks down how you can access NHS services, what costs to expect, and how to register as an international student.
Can international students in the UK use the NHS?
If you’re a full-time international student studying in the UK for more than six months, you can use the NHS.
If your course is shorter than six months, you won’t be eligible. In that case, it’s best to get private health insurance for your stay.
How much does it cost to use the NHS as an international student?
To access the NHS, you’ll need to pay the Immigration Health Surcharge (IHS), which is £470 per year of your stay. If your visa includes part of a year (six months or less), you’ll pay £235 for that period.
This fee is mandatory as part of your student visa application—even if you plan to get private insurance later.
Once paid, you can use these NHS services for free:
- A&E (accident and emergency)
- Hospital treatment
- GP (doctor) services
- Sexual health, family planning, and contraception
- Diagnosis and treatment of certain infectious diseases
- Treatment for conditions caused by domestic or sexual violence
- Some palliative care
- Psychiatric treatment or court-ordered care
- COVID-19 tests, treatment, and vaccines
If a doctor prescribes medication, you can collect it at a local pharmacy.
Prescription costs depend on where you are in the UK:
- England: £9.65 per item (free if you’re under 19 and in full-time education, over 60, or pregnant).
- Scotland, Wales & Northern Ireland: Usually free.
You pay when picking up your prescription.
How do I register for the NHS and get an NHS number?
Even after paying the IHS, you’ll need to register with a GP (General Practitioner) at a local clinic to use NHS services.
You’ll get your NHS number once registered.
Don’t wait until you’re sick—register as soon as you arrive!
Use the NHS search tool to find your nearest GP.
What you’ll need to register:
- A university enrollment letter
- Your passport
- Visa/immigration documents
Many universities have an affiliated medical center or can recommend nearby GPs. This is often covered during orientation week.
When registering, ask to be added as an NHS patient.
Most GP clinics have both male and female doctors—you can state your preference when booking appointments. For minor issues, you might see a practice nurse instead.
Is my NHS number the same as my National Insurance (NI) number?
No! They’re two different things.
- NHS number: Proves you can use NHS healthcare.
- NI number: Used for taxes, jobs, and benefits—not healthcare.
Can my family use the NHS if they’re with me on my student visa?
If your spouse, civil partner, or children are dependents on your visa, they can get free NHS hospital treatment.
Each dependent must pay the IHS separately and register with a GP.
Are dental care and eyecare free on the NHS?
Dental care:
- Some NHS dental services are available, but waiting lists are long, and many dentists don’t take NHS patients.
- Even if eligible, you may still pay for some treatments.
- Private dental care (or insurance like Denplan) is another option.
Eyecare:
- Provided by opticians (like Specsavers or Boots), separate from GPs.
- England: Eye tests cost around £20-£25 (free in Scotland). Glasses/contacts are extra.
- Some groups qualify for free tests—check with your GP.
Costs and services vary across England, Wales, and Scotland, so confirm details when booking.
