Zora Health / Employer guide / Lithuania
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 Lithuanian HR leaders should know
- Lithuania’s total fertility rate was 1.04 in 2025, and 433 children were born after assisted reproduction in 2024.
- Compulsory health insurance pays for 2 IVF cycles, including stimulation drugs, for married or registered couples where the woman is no older than 42.
- Since April 2026, new patients cannot start assisted reproduction until the Seimas amends the law; a bill widening access passed the health committee on 7 October 2026 and had no final vote by 5 November 2026 (LRT, April 2026).
- Maternity benefit lasts 126 days at 77.58% of earnings, fathers get 30 days of paternity leave, and there is no fertility leave.
- A fixed annual allowance can cover extra cycles, storage, egg freezing and treatment outside public cover, and 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 (World Health Organization), and Lithuania’s Ministry of Health puts it at 15 to 20% of couples (Ministry of Health). We found no Lithuanian workplace survey on fertility treatment. In Carrot’s 2023 survey of 5,000 people in Canada, India, Mexico, the UK and the US, 79% felt uncomfortable discussing fertility at work (Carrot).
- Resignations. 39% of respondents with fertility challenges had left or considered leaving their job during treatment, in Ferring’s 2025 survey of more than 3,600 employees and employers in Australia, France, Japan, Poland and the UK (Ferring).
- Lower performance. 55% of respondents in the same Carrot survey said fertility challenges had hurt their work performance (Carrot).
- A pause on new treatment. Since April 2026, clinics have not started assisted reproduction for new patients, when a Constitutional Court ruling on who is eligible took effect and the Seimas had not yet replaced the provisions (Ministry of Health, April 2026).
- Unequal access. Public cover has been limited to married couples and registered partners, with the woman no older than 42, so single women and cohabiting couples could not be treated in Lithuania, and women over 42 pay in full (National Health Insurance Fund).
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. Lithuanian women were almost 29 on average at their first birth in 2025 (LRT, citing the State Data Agency), and 78.0% of women aged 15 to 64 were in the labour force in the second quarter of 2026 (OECD), the years when careers build. A written policy, paid time off and a funded allowance can help address barriers that contribute to employee attrition.
Stand out in a tight labour market
73% of employees with fertility challenges would be attracted to an employer offering fertility support, in the same Ferring survey (Ferring). 65% in the Carrot survey said they would change jobs for fertility benefits (Carrot). We found no published example of a Lithuanian employer funding IVF or egg freezing.
Make fertility support financially predictable
Employers can set annual or lifetime allowances and choose which treatments qualify, such as a 3rd cycle, embryo storage or treatment outside public cover.
Zora helps employers structure benefits around local treatment costs and public cover, so HR can run the programme within an agreed budget.
Want to see what this would look like for your Lithuanian workforce?
What IVF costs, and what the state pays
The Compulsory Health Insurance Fund (PSDF) pays for 2 assisted reproduction cycles, including IVF or ICSI, embryo transfer, genetic testing and stimulation drugs, which make up almost half the cost. The couple must be married or in a registered partnership and the woman no older than 42 (National Health Insurance Fund, April 2025). In 2024, 2,461 people had PSDF-funded assisted reproduction (Ministry of Health). The Fund gives a wider figure of 3,270 people helped by fertility specialists in 2024, which counts more than funded treatment (National Health Insurance Fund).
| Item | Private price (€) | Notes |
|---|---|---|
| IVF cycle | From 1,225 to 1,750 | Vilnius clinics, listed “from” prices (WhatClinic) |
| IVF with ICSI | From 1,685 to 2,000 | Vilnius clinics (WhatClinic) |
| Egg freezing | 3,500 to 4,900 | Average about 4,200 (123.clinic, November 2026) |
| Embryo freezing | 450 to 600 | Per procedure (Ministry of Health) |
| Embryo storage | About 744 a year | Varies by clinic (Ministry of Health) |
Sources: WhatClinic, Lithuania IVF prices, October 2026; 123.clinic, egg freezing in Lithuania, November 2026; Ministry of Health explanatory note on the Assisted Reproduction Law bill, 2026. Listing sites are secondary sources showing starting prices.
| Item | Public support (or own savings) | What the employee still carries |
|---|---|---|
| IVF or ICSI, married or registered couples, woman up to 42 | 2 cycles paid by PSDF, including stimulation drugs | Any 3rd or later cycle; no new patients can start until the law is amended |
| Embryos not transferred | State-funded storage for 2 years from the start of treatment | Storage after 2 years, about €744 a year |
| Single women and cohabiting couples | Not eligible in Lithuania under the current law | Treatment abroad at the full private price until the law is amended |
| Married or registered women over 42 | None | The full private price |
Sources: National Health Insurance Fund; Northway Fertility Centre, reimbursed services; Ministry of Health; LRT, April 2026.
Age is one of the strongest predictors of IVF success, alongside individual medical and treatment factors. We found no national Lithuanian IVF success rates by age. In Germany’s national registry, the birth rate per fresh embryo transfer in 2023 was 30.9% for women aged 30 to 34 and 26.3% at 35, and it fell sharply after 40 (Deutsches IVF-Register).
Public cover stops at 42 and pays for 2 cycles, which is why 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 Lithuania:
- Are local-plan employees covered, or only staff on international health plans?
- Do you require an infertility diagnosis before support starts?
- How does the allowance sit alongside the 2 PSDF-funded cycles, so employees use public cover first and claim extra cycles, storage and other costs from the allowance?
- How will the benefit support employees while new patients cannot start treatment in Lithuania, and how will you update eligibility once the amended Law on Assisted Reproduction is in force?
- Which clinics in Vilnius, Kaunas and Klaipėda do you work with, and can employees use the allowance for treatment in other EU countries?
- How do you handle health data as special category data under the GDPR and the Law on Legal Protection of Personal Data, and what will 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: €135,300 to €382,800 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 Lithuania’s application of the EU General Data Protection Regulation (GDPR) and the Law on Legal Protection of Personal Data, under which health data is special category data.
Clinics and doctors in Lithuania
Zora’s clinic and doctor directory does not list providers in Lithuania 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 Lithuania can still use Zora’s education and the Zora app. Ask us how your team in Lithuania would use Zora before you launch. See Zora’s employer guides for every country.
Rules and eligibility in Lithuania
Who can use assisted reproduction
The Law on Assisted Reproduction, in force since 1 January 2017, allows treatment only when infertility cannot be cured otherwise, for spouses or registered partners. No more than 3 embryos may be transferred at once, and embryos not transferred are stored. Donor identities are confidential and surrogacy agreements are void (Law text, articles 3, 5, 10 and 11; Kavoliūnaitė-Ragauskienė, 2017).
Court ruling, a pause and a new bill
On 10 April 2025, the Constitutional Court ruled that limiting assisted reproduction to married or partnered people breaches the Constitution (LRT). Since April 2026, new patients cannot start treatment until the amendment passes (Ministry of Health). Bill No. XVP-1315 would add single women with a medical indication such as infertility, and men and women who have lived together for at least a year. It passed its first vote by 76 to 8 on 9 April 2026 (tv3.lt) and the health committee approved it on 7 October 2026 (LRT). The full Seimas was due to debate it on 13 October 2026 (tv3.lt). We found no final vote or presidential signature by 5 November 2026, so the pause on new patients continues.
Fertility preservation on medical grounds
The law lets a person preserve eggs or sperm when their health or treatment seriously threatens future fertility (Law text, article 9). It has no provision for elective freezing; one listing site says it is permitted only for medical reasons (123.clinic). The bill would add public cover for preservation, and the committee voted to bring state-funded storage of preserved eggs, sperm and reproductive tissue forward from 2029 to 2027 (LRT; draft law).
Maternity, paternity and parental leave
Maternity benefit is paid for 126 calendar days, at 77.58% of earnings (Ministry of Social Security and Labour). Fathers can take 30 calendar days of paternity leave at any point until the child turns one (Ministry of Social Security and Labour). Childcare benefit runs to 18 or 24 months, and each parent has 2 months that cannot be transferred, paid at 78% (Ministry of Social Security and Labour). There is no fertility leave.
Discrimination and flexible work
The Labour Code bars ending a contract on grounds including sex, sexual orientation, marital or family status and intention to have a child (Eurofound). An employer cannot give notice to a pregnant employee from the time it learns of the pregnancy until the baby is 4 months old, or dismiss a parent of a child under 3 on its own initiative without fault (Labour Code, article 61). The Law on Equal Treatment also covers age, disability and religion (Law No. IX-1826). Parents of children under 8 have a right to remote work unless the employer shows it is not cost-effective (Deloitte Legal).
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 Lithuania?
No. Lithuanian law has no fertility leave, so time off for clinic visits depends on the employer’s policy or the employee’s own leave. Once an employee is pregnant, the employer cannot give notice from the time it learns of the pregnancy until the baby is 4 months old, and maternity benefit is paid for 126 days.
Does health insurance pay for IVF in Lithuania?
Yes, for some couples. The Compulsory Health Insurance Fund pays for 2 cycles, including stimulation drugs, for married couples or registered partners where the woman is no older than 42. Since April 2026, new patients cannot start treatment until the Seimas amends the Law on Assisted Reproduction; people already in treatment can continue. The amending bill had not passed its final vote by 5 November 2026.
Can employees freeze their eggs in Lithuania?
The law provides for preserving eggs when a person’s health or treatment seriously threatens future fertility, and it has no provision for elective egg freezing. Listed prices are about €3,500 to €4,900 a cycle. A bill before the Seimas, with no final vote by 5 November 2026, would add public cover for medical fertility preservation and state-funded storage from 2027.
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 Lithuanian 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 Lithuanian team. No obligation.
Not ready to talk yet? Explore how Zora works
Sources
- LRT, Paskelbti naujausi gimstamumo rodikliai, July 2026 (State Data Agency figures)
- Ministry of Health, explanatory note on the Assisted Reproduction Law bill, 2026
- Draft law amending the Law on Assisted Reproduction No. XII-2608, March 2026
- Law on Assisted Reproduction No. XII-2608 (e-seimas)
- Kavoliūnaitė-Ragauskienė, Is the battle over? The new Lithuanian law on assisted reproduction, 2017
- LRT, Lithuanian court rules assisted reproduction ban for single women unconstitutional, April 2025
- LRT, Lithuania suspends IVF services for new patients after court ruling, April 2026
- Ministry of Health, Regarding misleading interpretations circulating in the public sphere, April 2026
- tv3.lt, Pagalbinio apvaisinimo įstatymo projektas įveikė pirmąjį balsavimą Seime, April 2026
- LRT, Seimo komitetas pritarė: pagalbinio apvaisinimo paslauga galėtų naudotis vienišos moterys, October 2026
- tv3.lt (ELTA), Seimas svarstys įstatymo pataisas dėl pagalbinio apvaisinimo paslaugų prieinamumo didinimo, 13 October 2026
- N. Grubliauskienė, Naujasis Pagalbinio apvaisinimo įstatymo projektas, teise.pro, August 2026
- National Health Insurance Fund, Increasing demand for assisted reproduction services, April 2025
- Northway Fertility Centre, reimbursed assisted reproduction services
- WhatClinic, IVF in Lithuania prices, October 2026
- 123.clinic, Egg freezing in Lithuania, November 2026
- Ministry of Social Security and Labour, Maternity benefit, November 2025
- Ministry of Social Security and Labour, Childcare benefit, November 2025
- Ministry of Social Security and Labour, Working time and rest time, January 2024
- Deloitte Legal, Implementation of the EU directives on work-life balance in Lithuania (CEE Legal Matters)
- Eurofound, Individual employment relations in Lithuania, November 2024
- Labour Code, Article 61, restrictions on termination (lrvalstybe.lt)
- Law on Equal Treatment No. IX-1826 (e-seimas, English)
- DLA Piper, Data protection laws of the world: Lithuania
- OECD via FRED, Labour force participation rate, female, 15 to 64, Lithuania
- LRT, Average monthly wage in Lithuania rises to EUR 1,514, February 2026
- Deutsches IVF-Register, Jahrbuch 2024, edition for couples
- 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.