Zora Health / Employer guide / Panama
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 Panamanian HR leaders should know
- Panama’s total fertility rate was 1.8 children per woman in 2024, with 59,729 live births, according to INEC.
- We found no Caja de Seguro Social (CSS) cover for IVF, so most employees pay private clinics: one Panama City clinic’s IVF cycle is listed at about US$5,600 on medical travel sites (2025 and 2026).
- Panama has no law regulating assisted reproduction; the Family Code touches it only through the paternity rule in Article 286, and surrogacy is unregulated.
- There is no fertility leave. Maternity leave is 14 weeks at full pay and paternity leave is 3 working days under Law 27 of 2017; a September 2025 draft bill would raise it to 10.
- With almost no public funding, a fixed annual allowance 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.
About 1 in 6 people worldwide are affected by infertility (WHO). In Panama, a 2020 La Prensa report cited the national sexual and reproductive health survey (Enasser) as showing that about 10% of couples are affected by infertility (La Prensa, October 2020). We found no Panamanian 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).
- Late starts. In 2021, the scientific director of Panama Fertility said patients “tend to arrive very late” and that Panama should be doing three or four times as many treatments (Panamá América, March 2021).
- Unequal access. The low-cost IVF programme run by the Gorgas Institute at Hospital Santo Tomás accepted only women under 40 with a partner when it launched in 2020 (La Prensa, October 2020), and in 2022 it still treated couples only, on a doctor’s referral (TVN, August 2022).
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
65% of Carrot’s 2023 respondents said they would change jobs for fertility benefits (Carrot, 2023). We found no published example of a Panamanian employer funding fertility treatment, so a clear benefit is still uncommon in the local market.
Make fertility support financially predictable
Aon projects gross medical cost trend in Panama of 10.0% in 2026 (Aon, 2026). Employers can set annual or lifetime allowances and decide which treatments qualify.
Zora helps employers structure benefits around local treatment costs, Panamanian law and workforce needs, so HR can run the programme within an agreed budget.
Want to see what this would look like for your Panamanian workforce?
What IVF costs, and what the state pays
Panama has no official price survey for fertility treatment, and the clinics we checked do not publish prices on their own websites. Prices below come from one clinic’s prices as listed on medical travel sites and from clinics quoted in the press.
| Item | Typical private price | Notes |
|---|---|---|
| IVF cycle | About US$5,600 | Panama Fertility, as listed on PlacidWay (May 2025) and WhatClinic (from B/.5,566, viewed November 2026); what the price includes is not stated |
| IVF cycle | About US$8,000 | Private clinic estimate, 2020 |
| IVF with donor eggs | US$7,600 to about US$8,500; US$10,100 with genetic testing | Panama Fertility, as listed on PlacidWay (May 2025) and WhatClinic (from B/.8,498, November 2026) |
| Intrauterine insemination | About US$850 | Panama Fertility, as listed on PlacidWay (May 2025) and WhatClinic (2026) |
| Elective egg freezing | About US$4,000 to 5,000 | 2024 clinic estimates, including medication of about US$2,000 |
| Egg storage | About US$500 a year | After the years included in the package; one clinic includes the first 5 years |
Sources: PlacidWay, Panama Fertility price list, May 2025, a medical travel listing rather than the clinic’s own site; WhatClinic, Panama Fertility listing, undated “from” prices in balboas (pegged 1:1 to the US dollar), viewed November 2026; La Prensa, October 2020; Panamá América, January 2024, quoting IVI Panamá and The Fertile Group.
| Item | Public support (or own savings) | What the employee still carries |
|---|---|---|
| CSS (social security) | No IVF cover found | The full private price |
| Gorgas and Hospital Santo Tomás programme | Subsidised IVF; patients paid about US$1,500 in 2020 and 2022 | About US$1,500 plus about US$2,000 of medication (2022); couples only, and women under 40 at launch in 2020 |
| Funafes (private foundation) | Not a public subsidy; up to 40% to 50% off for couples earning under US$1,000 a month (2018) | The reduced price |
| Elective egg freezing | None; own savings (not a subsidy) | The full private price plus storage |
Sources: La Prensa, October 2020 and TVN, August 2022 on the Gorgas programme; Panamá América, June 2018, reporting that IVF was not part of the public health scheme; Panamá América, January 2024, reporting that the public system did not offer egg freezing. We found no official CSS statement on IVF cover, and no report on the Gorgas programme later than August 2022.
Age is one of the strongest predictors of IVF success, alongside individual medical and treatment factors. We found no published rates for Panama alone; across the 204 Latin American registry centres reporting for 2022, including 4 in Panama, the delivery rate per egg collection in fresh IVF or ICSI with a patient’s own eggs was 23.2% at 30 or younger, 18.2% at 34 to 36, 11.7% at 37 to 39 and 4.8% at 40 to 42 (Latin American Registry, 2022 data).
An employee who starts at 40 may need several private cycles at about US$5,600 or more each, 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 Panama:
- 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 Panama City, and how do you support staff in David, Colón, Santiago and other areas outside the capital?
- How does the benefit work alongside CSS cover and any private health plan, and does it pay for medication, genetic testing and egg or embryo storage?
- With no assisted reproduction law in Panama, how do you handle donor eggs and surrogacy, and what legal guidance do you give employees?
- How is health data handled under Law 81 of 2019 and Executive Decree 285 of 2021, how is express consent 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: USclass=”zc-note o-rng”>Range: 12,750 to US$319,000 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 Panama’s Law 81 of 2019 on Personal Data Protection, which treats health data as sensitive data that needs the employee’s prior and express consent.
Clinics and doctors in Panama
Zora’s clinic and doctor directory does not list providers in Panama 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 Panama can still use Zora’s education and the Zora app. Ask us how your team in Panama would use Zora before you launch. See Zora’s employer guides for every country.
Rules and eligibility in Panama
Who can use assisted reproduction
Panama has no law or regulation governing assisted reproduction. The Family Code touches it only indirectly: under Article 286, a husband who consents to his wife’s insemination with donor sperm cannot later contest paternity. A draft bill on IVF and a national gamete bank had not been debated in the National Assembly by December 2020 (Sapientia, Órgano Judicial, 2020), and we found no later law or bill. A 2023 review of Latin American surrogacy law also found no Panamanian regulation of assisted reproduction beyond Article 286 (Estudios Socio-Jurídicos, 2023). No statute sets marital status conditions; access rules come from clinics and programmes.
Egg donation and surrogacy
Surrogacy is not regulated in Panama. A 2020 article in the judiciary’s journal argued that the Civil and Family Codes would likely treat surrogacy agreements as null, and that maternity is presumed for the woman who gives birth under Article 243 of the Family Code (Sapientia, 2020). Clinics offer donor egg IVF (US$7,600 at one clinic as listed in 2025, PlacidWay), but no law sets rules for donation.
Egg freezing and storage
We found no law setting an age limit or storage period for egg freezing. In January 2024, IVI Panamá said there was no age limit, that 35 was the ideal age and that women up to 40 could freeze eggs. The public system did not offer it (Panamá América, January 2024).
Maternity and paternity leave, but no fertility leave
Mothers have 14 weeks of maternity leave, 6 before and 8 after birth, paid at 100% by the CSS and the employer together; the employer pays any gap between the CSS subsidy and full salary (Labour Code Articles 107 and 111, SEGIB, SEGIB legal texts). Fathers in the private and public sectors have 3 working days of paternity leave paid by the employer. In September 2025, a deputy presented a draft bill to raise paternity leave to 10 working days (La Estrella de Panamá, September 2025); we found no record of it becoming law by November 2026. No law gives leave for fertility treatment.
Discrimination, flexible work and health data
A pregnant worker can be dismissed only for just cause and with prior court authorisation, and the Constitution bars dismissal for one year after she returns from maternity leave except in cases set by law (Labour Code Article 106 and Constitution Article 72, SEGIB). Law 4 of 1999 on equal opportunities for women prohibits discrimination based on sex (Law 4 of 1999). Law 238 of 2021 extends this protection to fathers in some cases, including when the mother has no formal job during pregnancy or the child’s first 12 months; it has applied since 2024 under Law 439 of 2024 (ECIJA, Legal 500). Telework under Law 126 of 2020 is by written agreement (Chambers). Law 81 treats health data as sensitive, requires prior and express consent to process it, and requires breach notice within 72 hours (ANTAI guide, DLA Piper).
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 Panama?
No. Mothers have 14 weeks of paid maternity leave and fathers 3 working days of paternity leave under Law 27 of 2017, and no law gives leave for fertility treatment. A September 2025 draft bill would raise paternity leave to 10 working days; we found no record of it passing by November 2026. Time off for appointments depends on employer policy and ordinary sick leave.
Does the Caja de Seguro Social pay for IVF?
We found no CSS cover for IVF or egg freezing. In 2020 the Gorgas Institute began a subsidised IVF programme at Hospital Santo Tomás, open at launch to women under 40 with a partner and to small numbers. In 2022 patients paid about US$1,500 plus about US$2,000 of medication, and the programme treated couples only. Most employees pay private clinics, where one clinic’s IVF cycle is listed at about US$5,600.
Is egg freezing legal in Panama?
Yes. No law regulates it or sets an age limit or storage period. Clinics quoted about US$4,000 to 5,000 in 2024, including about US$2,000 of medication, and about US$500 a year for storage after the included period.
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 Panamanian 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 Panamanian team. No obligation.
Not ready to talk yet? Explore how Zora works
Sources
- INEC Panamá, Nacimientos vivos y defunciones fetales 2024, comentarios, March 2026
- INEC Panamá, Encuesta de Mercado Laboral, septiembre 2025, comentario
- Latin American Registry of Assisted Reproduction, ART in Latin America: the Latin American Registry, 2022, JBRA Assisted Reproduction 2026;30(2)
- Latin American Registry, 2022, table of pregnancy and delivery rates by age, fresh autologous IVF and ICSI
- Aon, Global Medical Trend Rates Report 2026
- La Prensa, Programa de fertilidad del Gorgas logra los primeros bebés in vitro, 10 October 2020
- Panamá América, Congelación de óvulos, un procedimiento que gana terreno, 19 January 2024
- Panamá América, Promueven solución a infertilidad en parejas de pocos recursos en Panamá, 2 June 2018
- Panamá América (EFE), Una de cada seis parejas en Panamá sufre infertilidad, 17 March 2021
- PlacidWay, Panama Fertility price list, 15 May 2025
- Guevara Centella, Gestación por sustitución y la necesidad de su regulación en Panamá, Sapientia (Órgano Judicial), December 2020
- La Estrella de Panamá, Licencia de paternidad podría pasar de tres a diez días con nuevo anteproyecto, 1 September 2025
- SEGIB, Ficha país Panamá: licencias de maternidad y paternidad, September 2019
- SEGIB, Textos legales Panamá (Código de Trabajo and Constitución)
- ECIJA, Informe de la Ley 238 del 15 de septiembre de 2021, fuero de maternidad hasta el padre
- Chambers, Panama establishes and regulates teleworking (Law 126 of 2020), March 2020
- ANTAI, Guía de protección de datos personales para el sector privado, 2024
- DLA Piper, Data Protection Laws of the World: Panama
- TVN, El hospital público en Panamá que apoya a las parejas que desean tener hijos, 18 August 2022
- WhatClinic, Panama Fertility listing, prices viewed November 2026
- Estudios Socio-Jurídicos, Gestación subrogada: un análisis de la regulación en algunos países de América Latina, 25(2), 2023
- Legal 500, Paternity privilege law in effect in Panama (Law 238 and Law 439 of 2024), 2024
- Ley 4 de 1999, que instituye la igualdad de oportunidades para las mujeres (Justia Panamá)
- 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.
