I don’t have to pay the Health Surcharge again do I?
Well, the IHS is refunded if your application is refused, so while you will have to pay it again, you'll get the money back from the first application.
Basically, you only have to pay for NHS care if you actually get the visa... because otherwise you have contributed to a healthcare system (and to healthcare treatment) that you won't be allowed to use.
So, you pay it when you apply, and if the visa is not granted, you get it back.
Out of curiosity won’t taxes from my future paycheck go into paying for the NHS? I’m not disgruntled about paying the NHS, I think the healthcare system is amazing and needs everyone to pay more into it, I’m just confused on the process.
Yep, you will pay both taxes and the IHS surcharge towards the NHS. It's not fair that you're paying twice, but it is what it is.
I had a baby on the NHS as a visitor (completely unplanned...was going to go the fiancé visa route but got pregnant) and was amazed at the care I got so no way am gripping about paying. In the US even having wonderful medical coverage I would have paid massive fees associated with the birth.
You mention medical coverage, so I assume you paid for all your treatment? You'll need to provide details of the treatment and payment receipts for the visa application.
It's important to make sure you have no unpaid NHS debt because if you have a debt or more than £500, it's an automatic visa refusal.
Just wondering why I would pay the IHS if I’m already paying into...or am I?
The IHS is an extra charge on top of your normal taxes, simply because you are an immigrant. If you are working, you still pay what a UK citizens pay in taxes towards the NHS, but you pay the extra immigration surcharge on top.
I guess the IHS is there to make sure that non-working immigrants still contribute to the NHS.