THIS DOES NOT APPLY TO CUSTOMERS APPLYING AS VISITORS.
Customers who are applying to work, study or settle in the UK may also need an Immigration Health Surcharge reference number to access health services whilst in the UK, and may need to make an additional payment as part of your application. To gain a health surcharge reference and check whether you are required to make a payment, please log onto https://www.immigration-health-surcharge.service.gov.uk/payment/start
Please note that failure to make the required payment will result in your application being delayed and could lead to it being refused.
You may be exempt from paying this healthcare charge, but you still need an IHS reference number.