Zora Health / Employer guide / Guatemala
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 Guatemalan HR leaders should know
- Guatemala’s total fertility rate was 2.3 children per woman in 2025, and registered births fell to 299,256 in 2024, about 25% fewer than in 2014.
- No law regulates assisted reproduction, egg freezing, donation or surrogacy, and we found no bill on it before Congress since 2024.
- The IGSS lists no infertility treatment and private insurers covered only diagnosis in a 2020 study, so employees pay clinics directly: US$4,875 for one IVF attempt at one clinic, as listed in the same 2020 university study, before medication.
- There is no fertility leave. Maternity leave is 84 days at full pay and paternity leave is 2 paid days under the Labour Code.
- With no public IVF funding and prices often quoted in US dollars, a fixed allowance in quetzales keeps the budget predictable.
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.
About 1 in 6 people worldwide are affected by infertility (WHO). In 2015, Ministry of Health figures put the share of married couples in Guatemala with a problem conceiving at 17% (La Hora), and a 2019 report said Guatemala has no infertility statistics (Con Criterio). We found no Guatemalan survey on fertility at work. In Carrot‘s 2023 survey of 5,000 people in Canada, India, Mexico, the UK and the US, 79% were uncomfortable discussing fertility at work.
- Resignations. 39% of employees with fertility challenges in Ferring‘s 2025 survey of more than 3,600 employees and employers 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).
- Few reporting clinics. Only 2 Guatemalan centres reported to the Latin American Registry for 2022 (Latin American Registry). We found no public IVF service: the IGSS 2025 service portfolio lists no infertility treatment, and the Ministry of Health unit we found offers only ovulation induction and insemination (IGSS, 2025; La Hora, 2015).
- Access depends on income. Private insurers covered only diagnostic tests in a 2020 study, leaving treatment to the patient (Universidad del Valle de Guatemala).
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. 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). We found no published example of a Guatemalan employer funding fertility treatment.
Make fertility support financially predictable
Aon projects gross medical cost trend in Guatemala of 13.4% in 2026, up from 12.4% in 2025 (Aon, 2026). Aon expects 14.4% for 2027 (Expansión, October 2026). Employers can set annual or lifetime caps and choose which treatments qualify.
Zora helps employers structure benefits around local treatment costs, Guatemalan law and workforce needs, so HR can run the programme within an agreed budget.
Want to see what this would look like for your Guatemalan workforce?
What IVF costs, and what the state pays
Guatemala has no official price survey for fertility treatment. The latest published clinic prices we found are from 2019 and 2020; clinic websites we checked in November 2026 quote prices only on request.
| Item | Typical private price | Notes |
|---|---|---|
| IVF, 1 attempt (CER) | US$4,875 | Listed in a 2020 university study; includes fees, scans and laboratory tests; excludes medication, extra tests, biopsies and freezing. In 2019 CER quoted US$4,200 plus medication and follow-up visits |
| IVF, 1 attempt (Procrea) | From Q59,499 | 2020 published starting price |
| Treatment budget, timed intercourse to IVF (Santa María) | US$6,000 to 8,000 | 2019 range quoted to a reporter |
| Elective egg freezing | No published price found | Offered by Centro de Fertilidad Santa María and Fertility Guatemala, prices on request |
Sources: Pereira Orozco, Universidad del Valle de Guatemala, 2020, citing clinic price lists; Con Criterio, July 2019; Centro de Fertilidad Santa María and Fertility Guatemala for egg freezing.
| Item | Public support (or own savings) | What the employee still carries |
|---|---|---|
| IGSS (formal employees) | No infertility treatment listed in its 2025 service portfolio | The full private price |
| Ministry of Health | Ovulation induction and insemination at a fertility unit opened in 2015 (latest report found); no IVF | The full private price for IVF |
| Private health insurance | Diagnostic tests only, in a 2020 study | Treatment, medication and storage |
| Elective egg freezing | None; own savings (not a subsidy) | The full private price plus storage |
Sources: IGSS service portfolio 2025; La Hora, June 2015 on the Unidad Nacional de Fertilidad y Reproducción Humana; Universidad del Valle de Guatemala, 2020 on private insurance. We found no IGSS statement on IVF cover and no tax relief for fertility treatment.
Age is one of the strongest predictors of IVF success. We found no published rates for Guatemala alone. Across Latin American registry clinics in 2021, including 2 in Guatemala, 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).
An employee who starts at 40 may need several private cycles, so the size of an allowance, and when employees can use it, matter as much as whether you offer 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 Guatemala:
- Are local-plan employees covered, or only staff on international health plans?
- Do you require an infertility diagnosis before support starts?
- Which fertility clinics can employees use in Guatemala City, and how do you support staff who live outside the capital?
- How does the benefit work alongside the IGSS and private health insurance that covers only diagnosis, and does it cover medication, genetic testing and egg or embryo storage?
- With no law on assisted reproduction and Article 210 of the Civil Code defining the mother as the woman who gives birth, how do you handle donor treatment and surrogacy, and what legal guidance do you give employees?
- With no comprehensive data protection law, how do you protect health data, collect consent under Decree 57-2008, limit what the employer sees, and prepare for Iniciativa 6464 if it passes?
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: Q451,000 to Q1,276,000 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 Guatemala’s Access to Public Information Law (Decree 57-2008), which classes health data as sensitive data; Guatemala has no comprehensive data protection law.
Clinics and doctors in Guatemala
Zora’s clinic and doctor directory does not list providers in Guatemala 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 Guatemala can still use Zora’s education and the Zora app. Ask us how your team in Guatemala would use Zora before you launch. See Zora’s employer guides for every country.
Rules and eligibility in Guatemala
Who can use assisted reproduction
Guatemala has no law on assisted reproduction, either general or on specific techniques (Molina Morán, SCJN, 2024). A 2020 study, drawing on 2019 IFFS data, found no rules on embryo numbers, storage or donor anonymity (Universidad del Valle de Guatemala). No law sets conditions on marital status, so access depends on each clinic’s own policy. The only related bill identified in the 2024 study was Iniciativa 2976 of February 2004, on banning human cloning; we found none filed since.
Surrogacy and donation
No statute regulates or bans surrogacy, and it has not been formally debated with a view to regulation or prohibition (Surrogacy in Latin America, 2024). Article 210 of the Civil Code establishes maternity “from the sole fact of birth”, so the woman who gives birth is the legal mother. On 20 July 2017, the Constitutional Court (Exp. 3590-2016) ordered a child born through surrogacy to be registered to his biological parents. In March 2021 RENAP said it had no rules for registering parenthood under surrogacy agreements, which the author reads as barring registration for children born this way abroad (SCJN, 2024). Private clinics advertise donor sperm insemination and donor eggs (Centro de Fertilidad Santa María).
Egg freezing and storage
We found no law setting an age limit or storage period for egg freezing (Universidad del Valle de Guatemala, 2020). Private clinics in Guatemala City offer it.
Maternity and paternity leave, but no fertility leave
Mothers have 84 days of maternity leave, usually 30 before and 54 after birth, at 100% of salary (Labour Code, Article 152). For IGSS members with at least 4 months of contributions in the previous 6, the IGSS pays the subsidy; otherwise the employer pays (Living in Guatemala, 2026). Fathers have 2 paid days of leave for a birth under Article 61 of the Labour Code (SEGIB).
Discrimination and health data
Article 151 of the Labour Code bars employers from dismissing pregnant or breastfeeding workers except for serious cause approved by a labour court, and from advertising jobs by sex or marital status unless the work requires it. Article 102(k) of the Constitution bars work distinctions between married and single women (SEGIB). Guatemala has no comprehensive data protection law. The Access to Public Information Law (Decree 57-2008) classes physical and mental health as sensitive data and bans private parties from selling personal data without consent (DLA Piper). Iniciativa 6464, a personal data protection bill filed on 29 October 2024, was still awaiting a committee report in July 2026, and we found no later progress (Emisoras Unidas, July 2026).
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 Guatemala?
No. Mothers have 84 days of maternity leave at full pay and fathers 2 paid days for a birth under the Labour Code, and no law gives leave for fertility treatment. Employees can use IGSS sick leave with medical certification, paid at two-thirds of daily base salary up to Q150 a day. Other time off for appointments depends on employer policy.
Does the IGSS pay for IVF?
We found no IGSS cover for IVF. Its 2025 service portfolio lists reproductive health and family planning but no infertility treatment or assisted reproduction. The Ministry of Health opened a fertility unit in 2015 offering ovulation induction and insemination, without IVF. A 2020 study found that private insurers covered only diagnostic tests.
Are egg freezing and surrogacy legal in Guatemala?
No law regulates either. Private clinics offer egg freezing, and no law sets an age limit or storage period. No statute regulates or bans surrogacy, but the Civil Code treats the woman who gives birth as the mother, and RENAP said in 2021 it had no rules for registering parenthood under surrogacy agreements. Employees should take legal advice.
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 Guatemalan 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 Guatemalan team. No obligation.
Not ready to talk yet? Explore how Zora works
Sources
- UNFPA, Country programme document for Guatemala (DP/FPA/CPD/GTM/9), June 2026
- Prensa Latina, Advierten sobre caída de nacimientos en Guatemala en última década (INE data), 19 November 2025
- Zegers-Hochschild et al., Assisted reproductive technologies in Latin America: the Latin American Registry, 2022, JBRA Assisted Reproduction 2026;30(2)
- Latin American Registry of Assisted Reproduction, ART in Latin America 2021, JBRA Assisted Reproduction
- La Hora, Según el Ministerio de Salud, el 17% de matrimonios con problemas para concebir, 12 June 2015
- INE, Encuesta Nacional de Empleo e Ingresos Continua (ENEIC), quarterly results IV-2024 to I-2026, 2026
- Pereira Orozco, Infertilidad y tratamientos de Fertilización In Vitro, Universidad del Valle de Guatemala, 2020
- Con Criterio, Infertilidad: pagar con emociones y con billetera para concebir, 24 July 2019
- IGSS, Portafolio de Servicios 2025
- Centro de Fertilidad Santa María, services
- Fertility Guatemala, Criopreservación de óvulos
- Molina Morán, La gestación por subrogación en Guatemala, in La gestación por subrogación en América Latina, SCJN, January 2024
- Espejo-Yaksic, Fenton-Glynn and Scherpe (eds), Surrogacy in Latin America, Guatemala chapter, Intersentia, published online January 2024
- SEGIB, Textos legales Guatemala (Labour Code and Constitution excerpts)
- Living in Guatemala, IGSS maternity benefits, updated November 2026
- Living in Guatemala, IGSS EMA medical care, updated November 2026
- AGN, Derechos de la mujer trabajadora en periodo de embarazo, 8 December 2020
- DLA Piper, Data Protection Laws of the World: Guatemala
- Emisoras Unidas, Comisión de Asuntos de Seguridad analiza Iniciativa de Ley de Protección de Datos Personales, 16 July 2026
- Aon, Global Medical Trend Rates Report 2026
- Expansión, Mantendrá México de las inflaciones médicas más altas en América Latina en 2027, 10 October 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.
