Zora Health / Employer guide / Colombia
Support employees through fertility treatment, and keep the talent you have invested in.
Fertility treatment rarely fits around a work calendar, and most employees go through it quietly, often while doing some of their best work. Zora Health helps you build practical fertility support, from policies and manager guidance to confidential care navigation and access to 128+ partner clinics in 16 countries, around your workforce and budget. Companies including Hilton, LinkedIn, Sanofi, HSBC, Mastercard, Carousell and Singapore Management University work with us.
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Five things Colombian HR leaders should know
- Colombia’s total fertility rate fell to 1.0 children per woman in 2025, on preliminary DANE figures, from 1.1 in 2024; Bogotá’s was 0.8 in 2024.
- IVF is excluded from the Plan de Beneficios en Salud. Since SU-074 of 2020, courts can order partial public funding of up to 3 attempts in exceptional cases, mainly for people with primary infertility who cannot pay.
- Law 1953 of 2019 told the Ministry of Health to set rules for publicly funded fertility treatment. In July 2025 the Constitutional Court said those rules had still not been issued.
- There is no fertility leave. Maternity leave is 18 weeks and paternity leave 2 weeks; the 2025 labour reform (Law 2466) left both unchanged and added paid leave for urgent and specialist medical appointments.
- Most employees pay for IVF and egg freezing privately, so a fixed annual allowance keeps the employer’s budget predictable and fills the gap the EPS leaves.
Why fertility is a business problem for employers
Fertility treatment does not fit around a work calendar. A clinic sets the date of a scan the day before. Egg collection happens when the body is ready, usually about 36 hours after a final trigger injection. Then comes a two-week wait, and for many couples, another cycle. Your team feels it: missed meetings, unexplained absences, a strong performer who suddenly goes quiet.
The World Health Organization estimates that about 1 in 6 people worldwide are affected by infertility. We found no Colombian survey on fertility at work. In a 2023 Carrot Fertility survey of 5,000 people in Canada, India, Mexico, the UK and the US, 79% said they felt uncomfortable discussing fertility openly at work.
- Resignations. 39% of employees with fertility challenges in Ferring‘s 2025 survey of more than 3,600 people in Australia, France, Japan, Poland and the UK had left or were considering leaving their job during treatment.
- Lower performance. 55% of Carrot’s 2023 respondents said fertility challenges had hurt their work performance (Carrot, 2023).
- Slow court routes. In a 2025 case, a 38-year-old woman’s IVF orders went unauthorised by her EPS for more than a year and a half, until the Constitutional Court ordered the EPS to act (T-309 of 2025).
What employers gain
Keep the people you spent the most to develop
Replacing an employee costs one-half to two times their annual salary, according to Gallup. IVF success falls sharply in the late 30s, often the years when employees move into senior roles. A written policy, paid time off and a funded allowance remove some of the reasons people leave.
Stand out in a tight labour market
65% of Carrot’s 2023 respondents said they would change jobs for fertility benefits (Carrot, 2023).
Make fertility support financially predictable
Aon projects gross medical cost trend in Colombia of 9.4% in 2026 and 9.3% in 2027 (Portafolio, October 2026). Employers can set annual or lifetime allowances and decide which treatments qualify.
Zora helps employers structure benefits around local treatment costs, Colombian law and workforce needs, so HR can run the programme within an agreed budget.
Want to see what this would look like for your Colombian workforce?
What IVF costs, and what the state pays
IVF sits outside the EPS benefits plan, so most patients pay a private clinic directly (Portafolio, February 2025). We found no official price survey.
| Item | Typical private price | Notes |
|---|---|---|
| IVF cycle | COP 18 to 25 million | Before medication; about US$4,000 to 7,000 a cycle in a separate April 2026 estimate |
| IVF with ICSI | COP 25 to 32 million | Before medication |
| Stimulation medication | COP 5 to 10 million | Per cycle, usually billed separately |
| Elective egg freezing | COP 8 to 15 million | Storage cost not stated |
| Embryo storage | COP 500,000 to 1.5 million a year | Annual fee |
Sources: CuantoMeCuesta, prices updated May 2026, a secondary source citing Bogotá and Medellín clinics; Medical Tourism Association, April 2026 for US dollar figures. Colombian pesos unless stated.
| Item | Public support (or own savings) | What the employee still carries |
|---|---|---|
| EPS benefits plan (PBS) | IVF expressly excluded under Ministry exclusion lists, including Resolution 641 of 2024; the April 2026 update (Resolution 695) still lists it (RTVC, May 2026) | The full private price |
| Court-ordered funding (tutela) | Partial funding of up to 3 attempts, if a treating doctor certifies IVF is viable and Adres confirms the patient cannot pay, a stricter test in the contributory regime that covers formal employees; mainly primary infertility, no prior IVF | A personal contribution, legal process and waiting time |
| Elective egg freezing | None; own savings (not a subsidy) | The full private price plus storage |
Source: Constitutional Court, T-309 of 2025, summarising SU-074 of 20 February 2020 and the exclusion resolutions.
Age is one of the strongest predictors of IVF success. Across Latin American registry clinics in 2021, including 14 in Colombia, the delivery rate per egg collection in fresh IVF or ICSI with a patient’s own eggs was 27.1% at 30 or younger, 21.3% at 34 to 36, 13.5% at 37 to 39 and 5.9% at 40 to 42 (Latin American Registry, 2021 data); the registry does not publish these rates for Colombia alone.
An employee who starts at 38 may need several private cycles, so the size of an allowance, and when it can be used, matter as much as offering one.
Give Employees Access to Fertility Specialists
Help employees navigate fertility care with access to doctors and clinics, treatment information, and clear guidance on IVF, egg freezing and other fertility options. Employees can explore their options privately, without needing to go through HR.
Fertility support that fits your workforce and budget
You do not need to overhaul your existing health insurance to support employees through fertility treatment. Start with awareness and manager education, add confidential one-to-one support, or introduce a funded allowance across your offices. There is no minimum company size.
Where included in the employer programme, eligible employees can use talks and care navigation without paying Zora a separate fee. Care navigation allowances are set in each proposal. Treatment and other third-party costs are paid separately, either by employees or through the fertility allowance their employer provides.
Companies starting the conversation
Essentials
Expert-led talks for employees and managers, fertility and menopause policy templates, manager guides and full access to the Zora app. Up to 2 talks a year.
Employees supported one to one
Navigation
Everything in Essentials, plus confidential one-to-one care navigation and access to our partner clinic network.
Large and multi-country teams
Complete
Everything in Navigation, plus quarterly anonymised reporting, a dedicated account manager and scheduled review meetings with HR.
Optional add-ons can be added to any programme, subject to availability: hormone and fertility diagnostics and telehealth with specialists. Pricing is tailored to your headcount, your countries and the services you choose. Most companies start with a single talk.
Request a proposal See how Zora works for employers
Comparing fertility benefit providers? Use our RFP question bank
Our RFP question bank has 40 questions, with why each one matters, what a good answer looks like and a scoring sheet for three providers. Six of the questions for Colombia:
- Are local-plan employees covered, or only staff on international health plans?
- Do you require an infertility diagnosis before support starts?
- Which INVIMA-certified clinics and gamete banks can employees use in Bogotá, Medellín, Cali and Barranquilla, and how do you support staff who live elsewhere?
- How does the benefit work alongside the EPS and any prepaid medicine plan, and does it cover medication, embryo storage and genetic testing that the EPS excludes?
- Will you support employees through the tutela and Adres process for partial IVF funding, and how do you avoid paying twice for the same cycle?
- How is health data handled under Law 1581 of 2012, how is explicit authorisation collected, and what does the employer see?
Your download link appears here as soon as you submit. Zora Health may contact you about employee benefits; see our privacy policy.
Plan your fertility benefit budget
Fertility benefit budget planner
Model the annual claims budget for a fertility allowance. Change any number.
This is a claims budget, not a Zora quotation. Zora’s programme fees, implementation and optional services are separate.
Illustration only. Utilisation is an editable assumption, not observed Zora data. The calculation assumes each user claims their full annual allowance, and excludes programme fees and setup costs. For a tailored model, request an employer proposal.
Estimate the potential workforce impact of fertility challenges
A rough planning scenario. It applies a global infertility estimate to your headcount, so it is not a prediction for your workforce, a measured loss or a forecast of savings from any programme.
Range: COP 225,500,000 to COP 638,000,000 a year, depending on replacement cost.
Assumptions: infertility affects about 1 in 6 adults (World Health Organization, 2023), applied to employees aged 25 to 44. Replacing an employee costs one-half to two times their annual salary (Gallup, 2019); the headline uses the low end. Absence is valued at salary divided by 250 working days. Exit rate and days lost are your own assumptions.
This is a hypothetical cost scenario, not a prediction of actual employee departures, an estimate of Zora’s financial impact or a guaranteed saving from fertility benefits.
Already have corporate health insurance? Here is where Zora fits
Your medical plan may cover some consultations and tests, but fertility treatment is often limited or excluded, so check your policy wording. Employees still need to understand their options, the public funding they qualify for and which clinic suits them.
Zora works alongside your existing insurance and benefits. We help employees get reliable information, navigate their care options and reach suitable specialists, and we give HR manager guidance, policy templates and, on the Complete programme, anonymised reporting. You strengthen fertility support without replacing your medical plan.
How Zora works
For your employees
Employees join the Zora app with a company code, or single sign-on for larger teams. They can learn about fertility and egg freezing, understand what your benefit covers, book a confidential care navigation call and find partner clinics and specialists.



For HR
- Kick-off, week 1. Agree goals, countries and which employees are eligible.
- Policy and benefit design, weeks 2 to 4. Draft or update your fertility policy using our templates.
- Launch, typically weeks 4 to 6. A launch talk for employees and managers, plus a communications pack for HR to send.
- Live support. Employees book care navigation calls and use the Zora app.
- Reporting, every 3 months, on the Complete programme. Anonymised usage, common themes and our recommendations, reviewed with your account manager.
Privacy
Employee privacy is central to our programmes. On the Complete programme, routine employer reports contain aggregated engagement and utilisation information, with safeguards to prevent identification of individual employees. On every programme, personal health information is not included in standard HR reporting, and employees can get help without telling their manager. Where eligibility checks or claims administration need individual-level data, access is limited to authorised parties for defined purposes, as agreed in writing before launch. Employee data is handled in line with Singapore’s Personal Data Protection Act and Colombia’s Law 1581 of 2012 on personal data protection, which treats health data as sensitive data that needs the employee’s explicit authorisation.
Clinics and doctors in Colombia
Zora’s clinic and doctor directory does not list providers in Colombia yet. It lists 421 clinics and 1,185 doctors across 25 countries, mostly in Asia Pacific and the Middle East (browse clinics or browse doctors). Employees in Colombia can still use Zora’s education and the Zora app. Ask us how your team in Colombia would use Zora before you launch. See Zora’s employer guides for every country.
Rules and eligibility in Colombia
Who can use assisted reproduction
Colombia has no comprehensive law on assisted reproduction. Law 1953 of 20 February 2019 required a public policy on infertility and rules on publicly funded access to assisted reproduction, based on criteria including age, number of cycles, economic capacity and type of infertility (Ley 1953 de 2019). Resolution 228 of 2020 adopted the policy (ConsultorSalud, February 2020), but in July 2025 the Constitutional Court found the access rules had still not been issued and urged the Ministry to issue them (T-309 of 2025). In October 2022 it held that assisted reproduction falls within reproductive rights (T-357 of 2022).
Surrogacy
Surrogacy is neither regulated nor expressly prohibited; by 2022, at least 16 bills on it since 1998 had been archived. The Constitutional Court set its main precedent in T-968 of 2009, and in August 2022 extended maternity-length leave to a single father whose daughter was born through surrogacy (T-275 of 2022). In T-127 of 2024 it repeated the call for Congress to decide whether to prohibit, permit or limit the practice (Bill 052 of 2026). Bill 052, filed in July 2026 to ban surrogacy for profit, has since been withdrawn (Cámara). Bill 215 of 2026, filed on 13 August, would ban it whether paid or unpaid; it awaits its first debate in the Cámara’s First Committee (Cámara).
Egg freezing and storage
We found no law setting an age limit or storage period for elective egg freezing. Gamete and embryo banks must be certified by INVIMA, which published its list of banks on 31 August 2025 (INVIMA). The 14 Colombian registry centres reported 258 fertility preservation cycles in 2021 (Latin American Registry).
Maternity and paternity leave, but no fertility leave
Mothers have 18 weeks of paid maternity leave, 1 before and 17 after birth, and can share the last 6 with the father. Fathers have 2 weeks of paid paternity leave, taken within 30 days of the birth or adoption (Actualícese, January 2026). The EPS pays, in proportion to contributions made during the pregnancy (Siempre al Día, June 2026). A 4-week proposal was dropped from the 2025 labour reform over cost (Publimetro, June 2025). Bill 014 of 2026, phasing in 12 weeks over four years, passed its first of four debates, in the Cámara’s Seventh Committee, on 9 September 2026 (Noticias RCN, October 2026).
Medical appointments, discrimination and data
The labour reform, in force since 25 June 2025, requires paid leave for urgent medical appointments and scheduled specialist appointments, including endometriosis diagnosis and treatment, with a medical certificate (El Universal, July 2025, INCP, 2026); it does not name fertility treatment. Employers need Ministry of Labour authorisation to dismiss a pregnant or breastfeeding worker (Siempre al Día). Law 1581 of 2012 classes health data as sensitive and requires explicit authorisation to process it, overseen by the Superintendencia de Industria y Comercio (Ley 1581 de 2012).
Why employers choose Zora
Companies including Hilton, LinkedIn, Sanofi, HSBC, Mastercard, Carousell and Singapore Management University work with Zora Health. We work alongside your existing insurance, helping employees use the cover they already have and find suitable specialists based on their needs.
Trying to conceive with a heavy workload took a toll on my husband and me. It helped us understand our options.
Questions HR teams ask us
Is fertility leave mandatory in Colombia?
No. The Labour Code gives mothers 18 weeks of paid maternity leave and fathers 2 weeks of paid paternity leave, and no law gives fertility or IVF leave. Since June 2025, Law 2466 requires paid leave for urgent medical appointments and scheduled specialist appointments with a medical certificate, though it does not name fertility treatment. Other time off for treatment depends on employer policy.
Does the EPS pay for IVF?
Usually not. IVF is expressly excluded from the Plan de Beneficios en Salud. Since SU-074 of 2020, the Constitutional Court has ordered partial funding of up to 3 attempts in exceptional cases, mainly for people with primary infertility, no prior IVF and too little income to pay, after a treating doctor certifies it is viable. The Ministry of Health had not issued the general access rules required by Law 1953 of 2019 as of July 2025.
Is elective egg freezing legal in Colombia?
Yes. We found no law that restricts elective egg freezing or sets an age or storage limit. Gamete banks must be certified by INVIMA, and employees pay the clinic price plus storage, since the EPS does not cover elective freezing.
Does Zora replace our health insurance?
No. Zora works alongside your insurance. We help employees understand their options, find suitable specialists and use the cover they already have.
How much does a fertility benefit cost an employer?
It depends on the allowance, eligibility and expected uptake. Use the budget planner on this page for a first estimate, then ask us for a tailored proposal based on your headcount and countries.
How quickly can we launch?
Typically 4 to 6 weeks from contract to launch, depending on scope and countries. Most companies start with a single talk.
Related guides for Colombian employers
Build a fertility benefit for your team
Whether you are introducing fertility benefits for the first time or improving an existing programme, tell us your headcount, countries and priorities. We will come back within two working days with suitable services, an indicative budget and a practical rollout plan for your Colombian team. No obligation.
Not ready to talk yet? Explore how Zora works
Sources
- El Colombiano, fertility rate falls below one child per woman in Antioquia (DANE data), 26 September 2025
- DANE, Mercado laboral según sexo, June to August 2026
- Zegers-Hochschild et al., Assisted reproductive technologies in Latin America: the Latin American Registry, 2021
- Zegers-Hochschild et al., Assisted reproductive technologies in Latin America: the Latin American Registry, 2022, JBRA Assisted Reproduction
- Corte Constitucional, Sentencia T-309 de 2025, 21 July 2025
- Corte Constitucional, Sentencia T-275 de 2022, 1 August 2022
- Corte Constitucional, Sentencia T-357 de 2022, 13 October 2022
- Ley 1953 de 2019, Supersalud normograma
- ConsultorSalud, Infertilidad: nueva política pública de prevención y tratamiento (Resolución 228 de 2020), February 2020
- Cámara de Representantes, Proyecto de Ley 052 de 2026 Cámara, prohibición de la gestación subrogada, July 2026
- Publimetro, Presentan proyecto de ley contra vientres de alquiler, 21 August 2026
- INVIMA, Universo y estado de los bancos de gametos y embriones en Colombia al 31 de agosto de 2025
- Portafolio, Así funciona el centro de fertilidad de la Fundación Santa Fe, 13 February 2025
- CuantoMeCuesta, Fertilización in vitro en Colombia, prices updated May 2026
- Medical Tourism Association, IVF cost in Colombia, April 2026
- Portafolio, Los planes médicos empresariales en Colombia subirían 9,3% en 2027 según Aon, 29 October 2026
- Actualícese, Licencias de maternidad y paternidad en Colombia en 2026, updated January 2026
- Siempre al Día, Licencia de maternidad y paternidad en Colombia 2026, June 2026
- Publimetro, La ampliación de la licencia de paternidad podría desaparecer de la reforma laboral, 6 June 2025
- Noticias RCN, Licencia de paternidad en Colombia aumentaría hasta 12 semanas, 30 October 2026
- El Universal, Licencia menstrual en Colombia según la nueva reforma, 3 July 2025
- INCP, Licencias remuneradas tras la Ley 2466 de 2025, 2026
- Secretaría del Senado, Ley 1581 de 2012
- DANE, Comunicado de prensa, Estadísticas Vitales, nacimientos y defunciones 2025pr, 20 March 2026
- RTVC Noticias, Resolución 695 de 2026: lista de exclusiones del plan de beneficios, 4 May 2026
- Ministerio de Salud, Resolución 695 de 2026 actualiza exclusiones, 24 April 2026
- Cámara de Representantes, Proyecto de Ley 052 de 2026 Cámara, status: withdrawn
- Cámara de Representantes, Proyecto de Ley 215 de 2026 Cámara, prohibición de la maternidad subrogada, filed 13 August 2026
- Ferring Pharmaceuticals, Fertility Matters at Work and This Can Happen, workplace fertility survey, November 2025
- Carrot Fertility, Global Fertility at Work report, 2023
- Gallup, This fixable problem costs US businesses $1 trillion, 2019
- World Health Organization, 1 in 6 people globally affected by infertility, April 2023
Information on this page is correct as of 5 November 2026. Laws, public funding, insurance rules and treatment costs change often, so check current rules with the relevant authority, insurer or a qualified adviser before making decisions. This page is general information, not legal, financial, tax or medical advice.
