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So, at the time of the first application, the IHS was £625 per year or part thereof. The first visa is normally issued for two years and nine months and your spouse would have got charged an IHS for three years. So £625 * 3 or £1875.FreeMovement: What is the Immigration Health Surcharge and how much does it cost? wrote:The Immigration Health Surcharge first came into being through the Immigration (Health Charge) Order 2015, a statutory instrument made under powers conferred by section 38 of the Immigration Act 2014. The charge, then £200, was applied to all eligible applications made on or after 6 April 2015. The Order was updated in 2018, doubling the standard fee to £400, and again in 2020 to reach £624. In 2024 it was increased to £1,035.