Zora Health / Employer guide / Luxembourg
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 Luxembourg HR leaders should know
- Luxembourg’s total fertility rate fell to 1.23 children per woman in 2025, the lowest on record (STATEC).
- The CNS covers ovarian stimulation, insemination, IVF and ICSI for women under 43, with prior approval for IVF and ICSI and, according to the CHL, up to 4 IVF attempts. Laboratory costs are paid in full.
- Luxembourg has no specific law on assisted reproduction. The national service at the CHL treats couples and single women. Elective egg freezing and egg donation are not offered.
- Maternity leave is 20 weeks, paternity leave 10 days and parental leave 4 or 6 months full time per parent. There is no statutory fertility leave.
- A fixed annual allowance for egg freezing, donor treatment and time off, open to residents and cross-border staff alike, keeps the employer’s 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.
The World Health Organization estimates that about 1 in 6 people worldwide are affected by infertility. We found no Luxembourg survey on fertility treatment at work. In a 2023 Carrot Fertility survey of 5,000 people in Canada, India, Mexico, the UK and the US, 79% felt uncomfortable discussing fertility 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 considered leaving their job during treatment.
- Unclear time off. 60% in the same survey were not clearly entitled to time off for fertility appointments. In France, home to most of Luxembourg’s cross-border workers, 88% said their workplace offered no support for treatment.
- Two systems in one team. A CNS-insured employee treated in her country of residence is reimbursed under that country’s rules (CNS).
- Treatment abroad. Elective egg freezing and egg donation are not offered in Luxembourg, so employees travel abroad and pay in full (Conseil scientifique, 2023).
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 can help address barriers that contribute to employee attrition.
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), and 65% said they would change jobs for fertility benefits (Carrot, 2023).
Make fertility support financially predictable
Zora helps employers structure benefits around local treatment costs, the law and workforce needs, so HR can run the programme within an agreed budget.
Want to see what this would look like for your Luxembourg workforce?
What IVF costs, and what the state pays
The national service at the Centre Hospitalier de Luxembourg (CHL) carried out all of the country’s IVF activity in 2023 (Carte sanitaire 2025). The CNS covers stimulation, insemination, IVF and ICSI if the woman is under 43 on the date of the last treatment step. IVF and ICSI need prior approval. Laboratory costs are paid at 100%; the patient pays a share of doctors’ fees and the daily hospital contribution (CNS, updated July 2026). The CHL’s patient guide adds that the CNS pays for up to 4 IVF attempts, each an egg collection followed by embryo culture, and 80% of medication (CHL). A 2023 Conseil scientifique guide gave later limits of 45 for IVF and 47 for a frozen embryo transfer; the CNS page states the current rule.
| Item | Price (€) | Notes |
|---|---|---|
| IVF or ICSI at the CHL, CNS-insured woman under 43 | No published total | See CNS rules above |
| Elective egg freezing abroad, one cycle (2025 estimate) | About 3,000 | Figure for France; storage 40 to 60 a year; 2 to 4 collections may be needed (2018) |
| Elective egg freezing at ZOL Genk, Belgium (2026 fees) | 586 plus 62 per egg | Freezing and 10 years’ storage; medication about 1,000; collection 200 to 300 after Belgian (RIZIV) reimbursement |
| IVF with donor eggs | No published price | Not offered in Luxembourg; usually done in Spain or Belgium |
Sources: CNS; Femmes Magazine, September 2025; Reporter.lu, August 2018; ZOL Genk, Social freezing brochure, October 2026; Conseil scientifique, 2023.
| Item | Public support (or own savings) | What the employee still carries |
|---|---|---|
| IVF or ICSI in Luxembourg, woman under 43, up to 4 attempts | CNS: laboratory costs in full, medical acts with a personal share | Part of doctors’ fees, daily hospital charge, time off |
| Treatment after the CNS age or attempt limits | None (own savings) | Full cost |
| Elective egg freezing | None | Full cost abroad, plus travel |
| Egg donation | None | Full cost abroad, plus travel |
| Cross-border worker treated in her home country | That country’s rules: France pays 100% for up to 6 inseminations and 4 IVF attempts; Germany pays 50% for married couples, women 25 to 39; Belgium funds laboratory costs of 6 IVF cycles for women under 43 | Varies by country |
Sources: CNS; CHL; Conseil scientifique; Service-Public.fr; German Social Code V, section 27a; Parentia.
Age is one of the strongest predictors of IVF success, alongside individual medical and treatment factors. We found no Luxembourg registry of live birth rates by age; the Conseil scientifique guide puts IVF pregnancy rates, not live births, at 30% to 35% up to age 35, about 10% at 40 to 44 and close to zero after 45 (Conseil scientifique, 2023).
An employee who starts in her late 30s has little CNS cover left as her chances fall, 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 Luxembourg:
- 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 work alongside CNS cover, for example the personal share of doctors’ fees, treatment after the 43rd birthday or attempts the CNS does not approve?
- How do you support cross-border employees living in France, Germany or Belgium, whose home-country rules on IVF differ?
- Which clinics abroad can employees use for elective egg freezing and donor egg treatment, which are not offered in Luxembourg, and can the allowance pay for travel?
- How is health data handled under the GDPR and the Law of 1 August 2018, and what aggregated information 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: €281,875 to €797,500 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 Luxembourg’s data protection rules under the GDPR and the Law of 1 August 2018, which treat health data as special category data.
Clinics and doctors in Luxembourg
Zora’s clinic and doctor directory does not list providers in Luxembourg 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 Luxembourg can still use Zora’s education and the Zora app. Ask us how your team in Luxembourg would use Zora before you launch. See Zora’s employer guides for every country.
Rules and eligibility in Luxembourg
Who can use assisted reproduction
Luxembourg has no general bioethics law. The CHL service works under a 2003 ministerial authorisation and the amended hospitals law of 8 March 2018. It treats heterosexual couples, female couples and single women. It may not offer posthumous procedures or surrogacy (Conseil scientifique). In a female couple, the partner who did not give birth must adopt the child (CNE, 2026).
Medical freezing only
Eggs and sperm are frozen only for medical reasons, such as before cancer treatment. Freezing for personal reasons is not offered, and the CNS does not pay for it abroad (Conseil scientifique).
An ethics opinion, and no bill yet
In July 2026 the National Ethics Commission (CNE), asked by the Health Ministry in 2023, published its opinion. Members agreed a law on assisted reproduction is needed and supported universal access to egg freezing with restrictive age limits; a majority would allow surrogacy under strict conditions, and a minority opposes it (Government of Luxembourg, August 2026). On 4 August 2026 Justice Minister Elisabeth Margue said the government had no current plan to propose legal changes on assisted reproduction or surrogacy (Luxtoday). Bill 6568A on parentage, on recognising children born abroad through assisted reproduction or surrogacy, drew formal objections from the Council of State, most recently in July 2021 (Council of State); in June 2024 ministers gave no timetable (Parliamentary answer 741).
Maternity, paternity and parental leave, but no fertility leave
Maternity leave is 20 weeks: 8 before the due date and 12 after the birth, paid at the sickness benefit rate up to 5 times the minimum social wage (CNS). Fathers and recognised second parents get 10 days of paternity leave within 2 months of the birth (Guichet.lu). Each parent can take 4 or 6 months of full-time parental leave (Guichet.lu). The government’s list of family leave includes no fertility or IVF leave (Luxembourg.lu). A draft bill on miscarriage leave had not been filed as at August 2026; the Labour Minister said it would go to the Permanent Committee on Employment in autumn 2026 and be filed shortly afterwards if no major changes were needed (Chamber of Deputies, parliamentary question 4466, August 2026).
Discrimination and flexible work
The Labour Code bans discrimination on grounds including sex, family status, age and disability (Elvinger Hoss, 2026). None of these names fertility treatment. A pregnant employee who has notified her employer with a medical certificate is protected from dismissal until 12 weeks after the birth (Guichet.lu). Since 2023, employees with 6 months’ service and a child under 9 can request flexible working, and the employer must reply within 1 month (Chambers, 2023).
What IVF costs
We found no published patient price for an IVF cycle in Luxembourg. With prior CNS authorisation, IVF and ICSI are covered until the woman’s 43rd birthday; laboratory costs are paid in full and doctors’ fees follow the official nomenclature (CNS, 2021). The nearest sourced figure is the patient’s daily hospital contribution: €12.75 per day of day treatment or €25.50 per inpatient day, with hospital doctors’ fees reimbursed at 100% of tariff (CNS, 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 Luxembourg?
No. Luxembourg has no statutory fertility or IVF leave. Maternity leave is 20 weeks and paternity leave 10 days. Employees in treatment usually rely on sick leave, annual leave or flexible hours, and employers can add paid fertility leave in their own policy.
Does the CNS pay for IVF in Luxembourg?
Yes, within limits. The CNS covers ovarian stimulation, insemination, IVF and ICSI if the woman is under 43 on the date of the last treatment step. IVF and ICSI need prior approval, and the CHL says the CNS pays for up to 4 IVF attempts. Laboratory costs are paid in full, and the patient pays a share of doctors’ fees and a daily hospital charge.
Can employees freeze their eggs in Luxembourg?
Only for medical reasons, such as before cancer treatment. Freezing for personal reasons is not offered in Luxembourg, and the CNS does not pay for it abroad. Women travel to centres in Belgium, Germany or elsewhere and pay the full cost.
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 Luxembourg 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 Luxembourg team. No obligation.
Not ready to talk yet? Explore how Zora works
Sources
- Chronicle.lu, Luxembourg’s population reaches 690,959, fertility rate hits record low (STATEC data), May 2026
- Moovijob, Retour sur les chiffres marquants du marché de l’emploi luxembourgeois en 2025 (STATEC, Le Luxembourg en chiffres 2026), September 2026
- Caisse nationale de santé (CNS), Medically assisted procreation, updated July 2026
- CNS, Procréation médicalement assistée, infoletter, November 2021
- Conseil scientifique du domaine de la santé, Prise en charge médicale du désir d’enfant et le traitement de l’infertilité: PMA, 2023 (published March 2024)
- Centre Hospitalier de Luxembourg (CHL), Guide de la procréation médicalement assistée (PMA)
- Ministry of Health, Carte sanitaire 2025, fiche CHL
- Femmes Magazine, Congélation d’ovocytes : mythe ou réalité pour toutes ?, September 2025
- Reporter.lu, Un enfant, oui, mais plus tard !, August 2018
- Ziekenhuis Oost-Limburg (ZOL Genk), Social freezing brochure BR1646, October 2026
- Service-Public.fr, Assistance médicale à la procréation (AMP)
- German Social Code Book V, section 27a, Künstliche Befruchtung
- Parentia, La fécondation in vitro est-elle toujours remboursée ?
- Commission nationale d’éthique (CNE), Avis sur la PMA et la GPA, July 2026
- Government of Luxembourg, CNE opinion on PMA and GPA, press release, 3 August 2026
- Luxtoday, Le gouvernement n’a pas l’intention de modifier la loi sur la maternité de substitution, August 2026
- Council of State, supplementary opinion on bill 6568A (filiation reform), 16 July 2021
- Chamber of Deputies, joint answer of Ministers Margue and Deprez to parliamentary question 741, June 2024
- CNS, Maternity and paternity
- Guichet.lu, Paternity leave
- Guichet.lu, Parental leave for the birth or adoption of a child
- Luxembourg.lu, Types of parental leave
- Elvinger Hoss Prussen, Legal framework and practical guidance on workplace anti-discrimination in Luxembourg, February 2026
- Guichet.lu, Protection of pregnant women against dismissal
- Chambers and Partners, New rights to special leave and flexible working arrangements, August 2023
- CNPD, National legislation (Act of 1 August 2018)
- CNS, Medically assisted procreation (coverage conditions)
- CNS, Medically assisted procreation infoletter, November 2021
- CNS, Hospitals in Luxembourg (daily contribution and fee reimbursement)
- Chamber of Deputies, Answer to parliamentary question 4466 on miscarriage leave, 10 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.
