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Applying for help from the NHS Low Income Scheme: guide for students

Who this guide is for

This guide is for people aged 18 or over and in full time education.

Make sure you do not apply too early

If you apply before the start of your first term:
- we cannot treat you as a student
- we cannot include your term-time rent or education expenses in our assessment
- if you get a grant to pay your tuition fees, we must count it as savings and assess a standard amount of income that comes from those savings
- you might not get help with paying NHS costs

Evidence to support your application

We will tell you what evidence we need when you complete your application. The types of evidence we usually need are:

  • an award notice or other evidence of all the money you get from grants, bursaries and awards
  • a copy of the calculation that was carried out if you applied for a student loan – even if you did not get the loan
  • receipts or other proof that you were in the area if you moved in or returned to your accommodation before your term started – a tenancy agreement is not proof that you were living there
  • payslips or other evidence of your earnings if you work while studying

How we assess your application

We will usually assess your application within 18 working days from the date we get your form.

When we assess how much help you may get under the NHS Low Income Scheme, we:

  1. Work out your weekly needs.
  2. Work out your weekly income. This includes the weekly amount of income from student loans and grants (ignoring necessary outgoings). It also includes the weekly amount from any other money you have coming in.
  3. Compare your weekly needs to your weekly income.

If your weekly income is:

  • the same or less than your weekly needs, you’ll get full help with NHS costs
  • more than your weekly needs, you may get some help with NHS costs
  • a lot more than your weekly needs, you will not get help with NHS costs

If your weekly income is less than your weekly needs, we’ll ask for evidence of how you’re supporting yourself.

If you only take out the minimum amount of student loan available, we will:

  • assess your application based on the whole amount of the loan available to you
  • ask you for evidence of how you’re supporting yourself

Weekly needs

Your weekly needs include a personal allowance, premiums, housing costs and Council Tax.

The personal allowance and premium amounts usually increase each April.

Personal allowance

Your personal allowance covers your day to day living expenses and those of your partner.

The amount of the personal allowance is defined in the law. It includes bills like those for water, fuel, telephone, TV rental and house insurance. We cannot include extra amounts for specific bills like, car or loan repayments. These are already included in your personal allowance.

We cannot include extra amounts for books, equipment or travel costs. These are already included in the necessary outgoings we ignore from your income.

Premiums

Premiums cover special needs you or your partner might have. For example, you get a premium if you or your partner are disabled or get a component with your New Style Employment and Support Allowance.

Housing costs

We include the actual housing costs that you and your partner are personally liable to pay. These include mortgage repayments and rent not covered by housing benefit or allowances. Housing costs do not include board or other money you pay to another member of your family.

We include rent that you pay while you’re studying away from home. This can be rent paid to your college or university or to a private landlord.

If you apply before the term starts, we cannot include your term-time rent in our assessment. So you might not get help with paying NHS costs. You should not apply until you have returned to your term-time accommodation.

Council Tax

Students are usually exempt from paying Council Tax. But this is not always the case, for example, in some shared households. We include the actual amount of Council Tax that you and your partner are personally liable to pay.

Weekly income

Student loans and grants

How we calculate your weekly income from your student loan or grant depends on:

  • the type and level of your course
  • your term dates
  • if you’re in your final or only academic year
  • which country in the UK funds your loan or grant
  • where you live during term time
  • where you live when you’re not studying

We’ll assess your application based on the whole amount of student loan available to you. This includes any income related and non-income related parts, and any parental contribution.

We do this if you take out the full amount or minimum amount of student loan available, or do not take out a student loan. If your student loan calculation includes a parental contribution, we must include this in your income – even if you do not get this contribution.

If you do not take out the whole amount of student loan available, we’ll ask for evidence of how you’re paying your bills.

Type of course

The type and level of your course may attract different types of grants or loans. This can affect how much help you get.

If you’re on a type of course that attracts a student loan (and do not claim it), we assume you get the full loan.

Term dates

We need to know the dates for each term in the academic year of your course. These dates can affect how much grant or loan you are eligible for and how much rent we can count.

Necessary outgoings

When calculating your income from student loans or grants, we ignore:

  • a standard amount for travel costs, books and equipment
  • the tuition element of the loan or grant
  • the actual amounts included in your grant for housing costs and other maintenance costs

If you get a loan and a grant, we ignore the standard amount for books and travel costs from one or the other – not from both.

We cannot take other debt repayments into account when we work out your outgoings.

Other income

We also assess any other money you have coming in. This includes:

  • earnings - after taking off tax, National Insurance contributions and half of any pension contributions
  • social security benefits and state pensions
  • work, private or superannuation pensions
  • War Disablement Pension or War Widow’s Pension
  • money from trust funds
  • any other income you or your partner get

Savings and investments

If your savings and investments are worth more than £16,000, you cannot get help with paying NHS costs. 

If they’re worth more than £6,000, you cannot apply online. Use the application for help with health costs (HC1).

What counts as savings and investments

Savings and investments include any cash you have, or money you hold in any type of bank or savings account. This includes:

  • Individual Savings Accounts (ISAs)
  • Lifetime ISAs (LISAs)
  • money in trusts
  • money held in your name for someone else
  • cryptoassets
  • Premium Bonds
  • stocks and shares
  • accounts held in other countries
  • any property that you’re not living in (like a second home)
  • any property you own in another country

If you apply before the start of term and you have a grant for tuition fees, we must also count this as savings. We must also assess a standard amount of income that comes from those savings.

We cannot take your other debts into account when we work out your money, savings and investments.

If you have a partner

If you live with your partner, you must apply as a couple. We will assess all the income, savings, investments and property you have between you.

Any help you get will be for both of you.

You cannot apply online as a couple. Use the application for help with health costs (HC1).

How to apply online

Apply online for the NHS Low Income Scheme