Newcomers to the island will be required to pay a health surcharge, the Cabinet Office Minister has announced.
David Ashford also unveiled an increase in the minimum salary for people seeking migrant work visa.
Mr Ashford confirmed the introduction of an Immigration Health Surcharge, modelled on the UK system, to ensure “people coming to the Isle of Man, via any visa route, contribute fairly to NHS services”.
The surcharge will not apply to citizens from the UK, Ireland, Jersey, or Guernsey.
Details, including exemptions, will be finalised ahead of its implementation this financial year.
Salary
The minimum salary threshold for Worker Migrant visas will rise to £25,447.50 from October 1 2025, up from £20,800.
Mr Ashford said the increase “more closely reflects the island’s living wage.”
The Minister emphasised the government’s commitment to prioritising Manx workers while addressing labour shortages in key sectors like health, finance, and hospitality.
“If you are not an ‘Isle of Man Worker’ as defined by law, you have no automatic right to work here,” he stated.
Further changes under consideration include employer sponsor licensing, revised eligibility for job roles, and stricter controls on dependents.
Mr Ashford also highlighted ongoing efforts to combat exploitation, noting, “We will not tolerate criminality on our shores.”
The full Inward Migration Report, delayed from May, will now be debated in July.



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