Zora Health / Employer guide / Saudi Arabia
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 Saudi Arabia HR leaders should know
- The basic health insurance policy set by Saudi Arabia’s Council of Health Insurance excludes IVF and other infertility treatment, though it covers pregnancy and delivery that follow IVF. Employees who are treated privately usually pay the clinic themselves.
- The Law of Fertilisation, Embryo and Infertility Treatment Units (Royal Decree M/76, 1424 H) limits treatment to married couples using the husband’s sperm and the wife’s eggs during the marriage. Donor gametes and surrogacy are prohibited.
- Since 18 February 2025, the amended Labour Law gives 12 weeks of fully paid maternity leave (6 weeks mandatory after birth) and 3 days of paternity leave within 7 days of the birth. There is no statutory fertility leave.
- Health data is sensitive data under the Personal Data Protection Law, in force since 14 September 2023, so treatment information needs tighter handling than ordinary HR records.
- WTW projects gross medical costs across the Middle East and Africa region to rise 11.3% in 2026 (a regional figure, not Saudi-specific). A fixed annual allowance keeps a fertility benefit’s cost predictable while premiums rise.
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.
We found no published Saudi survey of employees going through fertility treatment, so there is no local figure for how many hide it from their employer. The multi-country evidence is consistent: in Carrot Fertility’s 2023 survey of 5,000 people in Canada, India, Mexico, the UK and the US, 79% said they were uneasy discussing fertility at work.
- Resignations. 39% of employees with fertility challenges 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.
- Lower performance. 55% said fertility challenges had hurt their work performance (Carrot, 2023, Canada, India, Mexico, the UK and the US).
- Insurance gap. The basic health insurance policy excludes drugs, procedures and hormone therapy for infertility, including IVF (Saudi Gazette, 2022). We found no later change to that exclusion, and a 2026 qualitative study found that insurance still generally excludes infertility treatment, so employees pay clinic fees themselves.
- Unequal access. Treatment is open only to married couples, and the basic insurance policy pays nothing toward it, whether the employee is Saudi or expatriate. Public capacity is limited: in a 2026 study in the Eastern Province, a government clinic reported about 1,000 patients on its waiting list, and patients described IVF appointments set up to a year ahead.
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. Employees in treatment are often mid-career staff whose experience is hard to replace. 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 facing fertility challenges said a role offering fertility support would appeal to them (Ferring, 2025), and 65% said they would change jobs for fertility benefits (Carrot, 2023). Saudi women’s labour force participation was 33.9% in the first quarter of 2026 against 64.2% for Saudi men (GASTAT via GLMM; Gulf News).
Make fertility support financially predictable
An annual or lifetime allowance, clear eligibility rules and guidance on choosing a licensed unit set the employer’s maximum cost in advance. That matters when WTW projects gross medical cost growth of 11.3% for the Middle East and Africa region in 2026, up from an expected 10.3% in 2025. WTW does not publish a separate Saudi figure.
Zora helps employers structure benefits around local treatment costs, the exclusions in the basic insurance policy and the legal rules on who can receive treatment, so HR can run the programme within an agreed budget.
Want to see what this would look like for your Saudi Arabia workforce?
What IVF costs, and what the state pays
Saudi Arabia publishes no national IVF registry, standard fee schedule or outcome data, so cost figures come from clinicians quoted in the press. The World Health Organization estimates that about 1 in 6 people worldwide experience infertility in their lifetime; we found no recent national prevalence study strong enough to use here. In 2022 a Saudi professor of obstetrics put delayed childbearing among Saudis at 15% to 20% (Saudi Gazette), a clinician estimate.
| Treatment | Setting | Reported cost |
|---|---|---|
| Artificial insemination (IUI) | Private, per cycle | About SAR 7,000 (2022) |
| ICSI (IVF with sperm injection) | Private, per cycle | About SAR 15,000 (2022) |
| Egg freezing | Private | No verified Saudi price published |
| Pregnancy and delivery after IVF | Under the basic insurance policy | Covered, within the maternity limit |
Sources: Saudi Gazette, 13 November 2022, quoting two Saudi obstetricians. This is the most recent published Saudi price we found; the article does not say whether drugs are included, and prices may have changed since 2022. Al-Mowaten, October 2018, quoting the Council of Health Insurance on pregnancy after IVF.
| Item | Public support (or own savings) | What the employee still carries |
|---|---|---|
| IVF, ICSI and IUI | Excluded from the basic insurance policy. Some government hospitals provide treatment, but capacity is limited and we found no published Ministry of Health rule on cost or eligibility. | Full private cost, or a wait for a government centre |
| Expatriate employees | Basic employer policy only, which excludes infertility treatment | Full cost unless the employer buys a top-up plan |
| Egg freezing | No public support. Own savings only (not a subsidy). | Full cost of stimulation, collection and storage |
| Pregnancy and delivery | Basic policy covers pregnancy and childbirth, with a limit reported at SAR 15,000 (natural or caesarean) in 2022; confirm the current limit with your insurer | Costs above the policy limit, plus time off for treatment |
Sources: Saudi Gazette, 2022; Saudi Expatriates, unified policy benefits, May 2022 (secondary report of Council of Health Insurance rules); Alshallali and Al Shawan, F1000Research, 2026, on government capacity. Check top-up plan wording with your insurer, since some employers buy cover above the basic policy.
Age is one of the strongest predictors of IVF success, alongside individual medical and treatment factors. Saudi Arabia publishes no national success rates by age, so the closest registry data comes from Australia and New Zealand: in 2024, live births per egg collection cycle (own eggs, fresh) were 28.7% for women aged 30 to 34, 19.0% at 35 to 39 and 6.3% at 40 to 44 (ANZARD 2024).
Treatment in Saudi Arabia is limited to married couples, and no more than three embryos may be transferred in a cycle, so couples who start later often need several 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 clinics in Saudi Arabia on the Zora app include Erfan ART and IVF Unit, Dr. Talal Merdad Medical Center and Bnoon Riyadh.
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 teams across Asia
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
Most RFP templates were written for the US. Ours has 40 questions written for Asia, with why each one matters, what a good answer looks like and a scoring sheet for three providers. Six of the questions for Saudi Arabia:
- Are local-plan employees covered, or only staff on international health plans?
- Do you require an infertility diagnosis before support starts?
- Which licensed fertility units do you work with in Riyadh, Jeddah and Dammam, and how do you check their licences and reported outcomes?
- How do you set eligibility under the Law of Fertilisation, Embryo and Infertility Treatment Units, for example for married couples, single employees and egg freezing?
- How does the allowance work alongside the basic health insurance policy and any top-up plan we buy, given that the basic policy excludes infertility treatment?
- Where is employee treatment data stored and who can see it, given that Saudi Arabia’s Personal Data Protection Law treats health data as sensitive and restricts transfers abroad?
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: SAR 676,500 to SAR 1,914,000 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 Saudi Arabia’s Personal Data Protection Law, which treats health data as sensitive data.
Clinics and doctors in Saudi Arabia
Zora’s directory lists 10 clinics and 13 doctors in Saudi Arabia. Locations include Jeddah and Riyadh. All of the clinics list IVF, and 1 lists egg freezing.
Employees can browse clinics in Saudi Arabia, see IVF clinics and find a doctor in Saudi Arabia on the Zora app. The directory is for information only and is not an endorsement. See Zora’s employer guides for every country.
Rules and eligibility in Saudi Arabia
Who can use assisted reproduction
The Law of Fertilisation, Embryo and Infertility Treatment Units and its Implementing Regulations allow treatment only for a married couple, with proof of a subsisting marriage, using the husband’s sperm and the wife’s eggs. Donor gametes and surrogacy are prohibited. Treatment must stop if the husband dies or the couple divorce. Breaches carry fines of SAR 200,000 to 500,000 or up to 5 years in prison (Arab News, 2019).
Egg freezing
For eggs, Council of Senior Scholars Resolution 245 (2019) permits freezing for cancer patients facing treatment that may harm fertility (Muaygil, 2023). Elective freezing by single women is not addressed in the law, and reports differ: a 2025 study of a private Riyadh clinic found that 30% of 100 women who froze eggs were single and 77% froze for social reasons (Alzahrani et al.), while Religion Unplugged (2024) reported that single women may not freeze eggs for social reasons. Frozen eggs can only be used within a marriage. Take local legal advice before extending egg freezing to unmarried staff.
Maternity and paternity leave
Amendments to the Labour Law in force from 18 February 2025 extended maternity leave from 10 to 12 weeks on full pay. 6 weeks must be taken after the birth, and the rest can start up to 4 weeks before the expected delivery date. Fathers get 3 days of paid paternity leave, to be taken within 7 days of the birth (Al Tamimi; King & Spalding). No law provides fertility or IVF leave, so employees use annual, sick or unpaid leave.
Equal opportunity
The 2025 amendments require employers to ensure equal opportunities and prohibit discrimination on grounds including race, colour, sex, age, disability and marital status, for both employees and applicants (Al Tamimi). Check any eligibility rule based on marital status against both this and the treatment law.
Health data
The Personal Data Protection Law (Royal Decree M/19 of 2021, amended by M/148 of 2023) came into force on 14 September 2023. It defines health and genetic data as sensitive data (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 Saudi Arabia?
No. The Labour Law, as amended in February 2025, provides 12 weeks of paid maternity leave and 3 days of paternity leave, but no fertility or IVF leave. Employees usually use annual, sick or unpaid leave unless the employer’s policy gives more.
Does employer health insurance in Saudi Arabia cover IVF?
The basic health insurance policy set by the Council of Health Insurance excludes IVF and other infertility treatment. It does cover pregnancy and delivery that follow IVF. Some top-up plans go further, so check your policy wording.
Can an unmarried employee use an egg freezing benefit in Saudi Arabia?
The law limits fertility treatment to married couples, and a 2019 Council of Senior Scholars resolution permits egg freezing for cancer patients. Elective freezing by single women is not addressed in the law and reports differ on whether clinics offer it. Frozen eggs can only be used within a marriage. Agree eligibility with local legal counsel.
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 Saudi Arabia 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 Saudi Arabia team. No obligation.
Not ready to talk yet? Explore how Zora works
Sources
- Ministry of Health, Law of Fertilisation, Embryo and Infertility Treatment Units, Royal Decree M/76, 1424 H
- Ministry of Health, Implementing Regulations of the Law of Fertilisation, Embryo and Infertility Treatment Units, 1426 H
- Arab News, Public prosecution explains penalties for fertility and surrogacy procedures, 29 January 2019
- Saudi Gazette, Study underway about insurance coverage for infertility treatment, 13 November 2022
- Al-Mowaten, Council of Health Insurance on coverage of pregnancy after IVF, October 2018
- Saudi Expatriates, Health Insurance Council rules benefits of unified health insurance policy, 12 May 2022
- General Authority for Statistics, Population Estimates Statistics 2024 (fertility time series 2011 to 2024)
- Saudi Gazette, GASTAT population estimates, 6 February 2025
- GLMM, Saudi Arabia labour force participation rates by nationality and sex, Q1 2021 to Q1 2026 (GASTAT data)
- Gulf News, Saudi unemployment falls to 6.4% in Q1 2026, June 2026
- WTW, 2026 Global Medical Trends Survey, November 2025
- Al Tamimi & Company, Key amendments to Saudi Arabia’s Labour Law, 27 August 2024
- King & Spalding, Amendments to the Saudi Labor Law approved, 12 September 2024
- DLA Piper, Data protection laws of the world: Saudi Arabia
- Muaygil R., Motherhood, fairness and flourishing: widening reproductive choices in Saudi Arabia, Cambridge Quarterly of Healthcare Ethics, 2023
- Alzahrani F.A. et al., Experiences and perspectives of women undergoing oocyte cryopreservation in Riyadh, International Journal of Women’s Health, March 2025
- Religion Unplugged, Growing number of single women in Islamic nations freezing their eggs, 5 August 2024
- UNSW NPESU, Assisted reproductive technology in Australia and New Zealand 2024 (ANZARD), August 2026
- GLMM, Saudi Arabia: estimated total fertility rate by nationality, 2011 to 2022 (GASTAT data)
- Alshallali A.A.D. and Al Shawan D.S., Exploring infertility in Saudi Arabia: qualitative insights into IVF treatment services and policy recommendations, F1000Research, version 2, February 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.
