Zora Health / Employer guide / Ireland
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.
Book an employer consultation Explore the cost calculator
Five things Irish HR leaders should know
- Ireland’s total fertility rate was 1.5 in 2025, unchanged from 2024 and down from 1.9 in 2015 (CSO).
- Since September 2023 the HSE funds one full cycle of IVF or ICSI for eligible couples referred to a regional fertility hub before the woman’s 41st birthday, with a BMI of 18.5 to 30; since 30 June 2025 couples with one child together can also qualify.
- Donor treatment, same-sex couples and single women are outside the public scheme; private IVF starts at €5,200 at one Dublin clinic, before medication.
- There is no statutory fertility leave. Maternity leave is 26 weeks, with Maternity Benefit of €299 a week in 2026, plus 16 weeks unpaid. Licensing under the Health (Assisted Human Reproduction) Act 2024 is not due to start until 2028.
- A fixed annual allowance for second cycles, donor treatment, egg freezing and medication keeps the employer’s budget predictable; employees can also claim 20% tax relief on IVF costs they pay.
Why fertility is a business problem for employers
Fertility treatment runs on the clinic’s timetable. Scans are booked at short notice, egg collection follows about 36 hours after a trigger injection, and many couples need more than one cycle.
The World Health Organization estimates that about 1 in 6 people worldwide are affected by infertility. In 2025 Ireland’s six regional fertility hubs accepted 5,818 referrals, and 1,996 patients were referred on for publicly funded treatment at a private clinic, an average of 166 a month against 122 in 2024 (HSE Fertility Services Report 2025, via Medical Independent, June 2026). We found no Irish workplace survey, so the figures below come from other countries.
- Resignations. 39% of employees 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 fertility treatment.
- Lower performance. 55% of people in Carrot‘s 2023 survey of 5,000 people in Canada, India, Mexico, the UK and the US said fertility challenges hurt their work performance, and 79% were uncomfortable discussing fertility at work.
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. Mothers in Ireland were on average 33.3 in 2025 (CSO), often when employees move into senior roles. A written policy and a funded allowance give them a reason to stay.
Stand out in a tight labour market
73% of employees with fertility challenges said they would be attracted to a role that offers fertility support (Ferring, 2025, Australia, France, Japan, Poland and the UK), and 65% said they would change jobs for fertility benefits (Carrot, 2023, Canada, India, Mexico, the UK and the US).
Make fertility support financially predictable
Employers can set annual or lifetime allowances, decide which treatments qualify, and give employees guidance before they spend.
Zora helps employers structure benefits around local treatment costs, HSE eligibility rules and workforce needs, so HR can run the programme within an agreed budget.
Want to see what this would look like for your Irish workforce?
What IVF costs, and what the state pays
Since September 2023 a GP refers, a regional fertility hub runs tests, and eligible couples receive one full cycle of IVF or ICSI, or IUI, at an HSE-approved private clinic (Department of Health, July 2023, HSE). Everyone else pays privately.
| Item | Typical private cost (€) | Notes |
|---|---|---|
| IVF or ICSI, one cycle | From 5,200 | Monitoring, egg collection, IVF or ICSI and embryo culture; medication not priced on the list |
| IUI | 950 | Scans, the procedure and a pregnancy blood test |
| Egg freezing | 3,990 | Includes the first year of storage |
| Reciprocal IVF for female couples | From 8,460 | IVF, first frozen embryo transfer and first year of embryo storage |
Source: Merrion Fertility Clinic, Dublin, price list, updated October 2026. One clinic’s list; medication, further embryo transfers and later storage are extra. We found no national price data.
| Item | Public support (or own savings) | What the employee still carries |
|---|---|---|
| IVF or ICSI | One full HSE-funded cycle for resident couples referred before the woman’s 41st birthday (men under 60), BMI 18.5 to 30, together 1 year, no sterilisation, at most one previous IVF cycle and no stored embryos | Any second or later cycle, and the full private cost if ineligible |
| Couples with children | Since 30 June 2025, one living child together is allowed; two or more, or children from previous relationships on both sides, rule a couple out | The full private cost if ruled out |
| Donor eggs or sperm, same-sex couples, single women | Not covered by the public scheme | The full private cost, for example from €8,460 for reciprocal IVF |
| Egg freezing without a medical reason | We found no public funding; own savings (not a subsidy). Revenue lists IVF, not egg freezing, as a qualifying expense, so check before claiming relief | About €3,990 plus yearly storage |
| Tax relief | Relief at the standard rate of 20% on IVF costs paid privately (tax relief, not a subsidy), excluding amounts reimbursed | The other 80% |
Sources: HSE, page reviewed 30 June 2025; Department of Health, June 2025; Revenue, health expenses and qualifying expenses; Merrion Fertility Clinic.
We found no Irish registry data on IVF success by age. In the UK, preliminary HFEA data for 2024 show a birth rate per embryo transferred using patients’ own eggs of 38% at ages 18 to 34 and 8% at ages 43 to 44.
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 Ireland:
- Are local-plan employees covered, or only staff on international health plans?
- Do you require an infertility diagnosis before support starts?
- Which HSE-approved and private clinics in Dublin, Cork, Galway and Limerick can employees use, and how do you support staff far from those cities?
- How does the allowance work alongside the HSE-funded cycle, for example for a second cycle, medication, frozen embryo transfers or employees outside the public criteria?
- How do you support employees who need donor eggs or sperm, same-sex couples and single women, who cannot use the public scheme, and how will you adapt as the 2024 Act commences?
- How is employee health data handled under the GDPR and the Data Protection Act 2018 as special category data, 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: €225,500 to €638,000 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 Ireland’s application of the EU General Data Protection Regulation (GDPR) and the Data Protection Act 2018, under which health data is special category data.
Clinics and doctors in Ireland
Zora’s clinic and doctor directory does not list providers in Ireland 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 Ireland can still use Zora’s education and the Zora app. Ask us how your team in Ireland would use Zora before you launch. See Zora’s employer guides for every country.
Rules and eligibility in Ireland
Who can get state-funded treatment
Couples are referred to one of six regional fertility hubs, three in Dublin and the others in Galway, Cork and Nenagh (HSE); donor treatment, same-sex couples and single women are excluded (Department of Health, July 2023). Couples with one child together became eligible on 30 June 2025 (Department of Health). In July 2026 the Minister for Health said women whose infertility is caused by endometriosis will become eligible as funding allows, with no start date (TheJournal.ie, July 2026). HIQA published a review of publicly funded donor-assisted treatment in 10 countries on 21 May 2026 to inform policy; no date has been set for funding it (HIQA).
Regulation, donors and surrogacy
The Act was enacted on 2 July 2024 and many provisions are not yet in force (RTÉ, May 2026). It caps children from one donor at four families, sets a default storage period of 10 years for gametes and embryos, and prohibits commercial surrogacy (Irish Statute Book). The Assisted Human Reproduction Regulatory Authority was set up on 2 April 2026 to approve surrogacy agreements and keep a National Surrogacy Register (Letterkenny Live, April 2026); its chief executive said in October 2026 that its licensing powers will commence in 2028 (Irish Examiner, October 2026).
Leave, and no fertility leave
Employees can take 26 weeks of maternity leave plus up to 16 weeks of unpaid additional leave, and employers generally do not have to pay during it (Citizens Information). Maternity Benefit is €299 a week for 26 weeks in 2026, rising by €10 in January 2027 (Citizens Information). Paternity leave is 2 weeks within 26 weeks of the birth for the father or the mother’s partner, including a same-sex partner, regardless of service (Citizens Information), with Paternity Benefit of €299 a week (gov.ie). Each parent also has 9 weeks of parent’s leave before the child turns 2 (Citizens Information). We found no statutory leave for fertility treatment; the 5 days of unpaid medical care leave a year cover caring for a relative or household member (Work Life Balance Act 2023, s.6).
Remote and flexible work requests, and discrimination law
Any employee can request remote working, and an approved arrangement can start once they have 6 months’ service (s.20). The employer must reply within 4 weeks, extendable by up to 8 weeks, and give written reasons for a refusal (s.21). Parents of children under 12 and carers can request flexible working on the same 6-month basis (Parental Leave Act 1998, s.13B). The Employment Equality Acts protect nine grounds, including gender, civil status and family status, and pregnancy-related discrimination is discrimination on the gender ground (Citizens Information).
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 Ireland?
No. Irish law has no statutory leave for fertility treatment. Employees usually use annual leave, sick leave or company policy for appointments. The 5 days of unpaid medical care leave in the Work Life Balance Act 2023 are for caring for a relative or household member with a serious medical need.
Does the HSE pay for IVF in Ireland?
Yes, for one full cycle of IVF or ICSI per eligible couple, at an HSE-approved private clinic. The couple must be resident in Ireland, referred by a GP to a regional fertility hub before the woman’s 41st birthday, and meet conditions on BMI, previous treatment, sterilisation and children. Since 30 June 2025, couples with one child together can qualify.
Can same-sex couples or single women get state-funded IVF in Ireland?
Not at present. The HSE scheme excludes same-sex couples, single women and anyone who needs donor eggs or sperm. HIQA published a review of publicly funded donor-assisted treatment in May 2026 to inform future policy, but no start date has been announced.
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 Irish 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 Irish team. No obligation.
Not ready to talk yet? Explore how Zora works
Sources
- CSO, Vital Statistics Yearly Summary 2025, 2026
- Department of Health, Minister for Health announces full funding for assisted human reproduction treatment from September, July 2023
- Department of Health, Minister for Health announces expansion of access criteria for state-funded assisted human reproduction treatments, June 2025
- HSE, Getting IVF, ICSI or IUI through the HSE, reviewed June 2025
- HSE, Fertility services and regional fertility hubs
- Merrion Fertility Clinic, Price list, updated October 2026
- Revenue, Health expenses
- Revenue, What are qualifying expenses?
- Irish Statute Book, Health (Assisted Human Reproduction) Act 2024
- RTÉ News, Surrogacy parents call for Act to be commenced, May 2026
- Letterkenny Live, Authority to protect the rights of those involved in surrogacy established today, April 2026
- Irish Examiner, Regulator for fertility services plans to start selecting board by end of year, October 2026
- HIQA, Review of publicly funded services for donor-assisted human reproduction in selected countries, May 2026
- HFEA, Fertility treatment 2024: trends and figures, 2026
- Citizens Information, Maternity leave
- Citizens Information, Maternity Benefit
- Citizens Information, Paternity leave
- gov.ie, Paternity Benefit
- Citizens Information, Parent’s leave
- Irish Statute Book, Work Life Balance and Miscellaneous Provisions Act 2023
- Irish Statute Book, Work Life Balance and Miscellaneous Provisions Act 2023, section 6
- Irish Statute Book, Work Life Balance and Miscellaneous Provisions Act 2023, section 20
- Irish Statute Book, Work Life Balance and Miscellaneous Provisions Act 2023, section 21
- Citizens Information, Equality in the workplace
- General Data Protection Regulation, Article 9
- Medical Independent, Growth in Irish fertility services (HSE Fertility Services Report 2025), June 2026
- TheJournal.ie, Women with endometriosis to become eligible for free IVF, July 2026
- Parental Leave Act 1998, section 13B (revised), Law Reform Commission
- 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.
