Zora Health / Employer guide / Asia Pacific
Compare menopause support for employees across 24 markets in Asia Pacific.
Public cover, sick pay and workplace rules for menopause differ from one market to the next. This page puts the main points from each of Zora’s country guides side by side, so you can see where employees carry the most cost and where the rules are changing. Each country guide has the full detail and sources.
Overview
| Country | Medical cost trend, 2026 | Workplace rules covered in the guide |
|---|---|---|
| Australia | 5.2% | Sick and carer’s leave (Applies now); Government response to the Senate inquiry (February 2025); Victorian Public Service (Public sector); What other employers offer (Employer examples) |
| Bangladesh | 10.0% | Sick leave (Applies now); Women’s participation (Data note); No menopause workplace rules (Guidance) |
| Brunei | Not in Aon’s report | Sick leave (Applies now); Public health charges (Since 1 July 2025); No menopause workplace rules (Guidance) |
| Cambodia | Not in Aon’s report | Sick leave (Applies now); Equal treatment (Applies now); No menopause workplace rules (Guidance) |
| China | 7.8% | Rising retirement age (From 1 January 2025); Menopause workload rules (Provincial); No national menopause rules (Guidance) |
| Hong Kong | 9.0% | Sick leave and sickness allowance (Applies now); More part-time employees on continuous contracts (Since 18 January 2026); Disability and sex discrimination (Applies now); Age and flexible work (No legislation); No statutory menopause leave (Leave) |
| India | 11.5% | The four labour codes (In force since 21 November 2025); Menstrual leave bills (Pending); No menopause policy (Guidance) |
| Indonesia | 16.9% | Sick pay and protection from dismissal (Applies now); Menstrual leave, not menopause leave (Applies now); Equal treatment (Applies now); New Employment Protection Law (Passed October 2026); Health data (Fully in force since October 2024) |
| Japan | 2.7% | Act on Promotion of Women’s Participation (Promulgated 11 June 2025); Disclosure and certification (From 1 April 2026); No standalone menopause rules (Guidance) |
| Kazakhstan | 29.0% | Equality and flexible work (Applies now); Sick pay (Applies now); No menopause workplace rules (Guidance) |
| Macau | Not in Aon’s report | Sick leave (Applies now); Non-discrimination (Applies now); Labour law amendments (From 28 July 2026) |
| Malaysia | 16.0% | Flexible working applications (In force since 1 January 2023); Sick leave and hospitalisation leave (Applies now); Discrimination inquiries (Applies now); Occupational safety and health (Since 1 June 2024); Sabah and Sarawak (Since 1 May 2025); Health data (Phased in during 2025) |
| Myanmar | Not in Aon’s report | Medical leave (Applies now); Social Security sickness benefit (Applies now); No menopause workplace rules (Guidance) |
| Nepal | Not in Aon’s report | Sick leave (Applies now); Equal treatment (Applies now); Health insurance changes (From February 2026) |
| New Zealand | 18.0% | Flexible work requests (Applies now); Discrimination risk (Applies now); Employment Leave Act 2026 (From 6 August 2028) |
| Pakistan | 23.5% | Leave (Applies now); Public health programmes (Applies now); No menopause workplace rules (Guidance) |
| Philippines | 14.0% | Equal treatment (Applies now); Gynaecological surgery leave (Applies now); Menstrual leave bills (Pending) |
| Singapore | 13.0% | Flexible work requests (In force since 1 December 2024); Fair employment practices (Applies now); Workplace Fairness Act (Expected end of 2027); National menopause clinical guidelines (Since 20 February 2026); No statutory menopause leave (Leave) |
| South Korea | 11.5% | Labour Standards Act (Applies now); No menopause workplace rules (Guidance) |
| Sri Lanka | 6.5% | Leave (Applies now); Equality and flexible work (Gap); No menopause workplace rules (Guidance) |
| Taiwan | 8.0% | Menstrual leave (Applies now); Equality in employment (Applies now); No menopause workplace rules (Guidance) |
| Thailand | 14.8% | Sick leave (Applies now); Equal treatment (Applies now); Social Security contributions (From 2026); No menopause workplace rules (Guidance) |
| Uzbekistan | Not in Aon’s report | Sick pay (From 1 January 2026); Equal treatment (Applies now); State health insurance (Rolling out) |
| Vietnam | 12.2% | Sickness benefit (Since 1 July 2025); Equality and flexible work (Applies now); No menopause workplace rules (Guidance) |
Public cover and costs by country
Each card shows what public cover or mandatory insurance pays for and what the employee still carries, as set out in that country’s guide.
Asia Pacific
Australia
- Menopause health assessment with a GP (MBS item 695). Fee A$104.55, with a 100% Medicare benefit of A$104.55, once every 12 months, from 1 July 2025. Employee still carries: any gap the GP charges above the fee.
- Hormone therapy on the PBS (Estrogel, Prometrium, Estrogel Pro). Listed from 1 March 2025. Before listing, these could cost up to A$650 a year. Employee still carries: A$31.60 a month general, A$7.70 concession.
- Time off for appointments. 10 days of paid sick and carer’s leave a year for full-time employees. Employee still carries: no menopause leave in the National Employment Standards.
Asia Pacific
Bangladesh
- Private specialist care. Not covered by a national scheme. Employee still carries: consultation, test and treatment fees, unless covered by group insurance.
- Time off for appointments. 14 days of sick leave a year with full wages under the Bangladesh Labour Act 2006. Employee still carries: no menopause leave.
Asia Pacific
Brunei
- Registration at public facilities. BND 1 for citizens and stateless residents; BND 3 for permanent residents with foreign nationality. Employee still carries: BND 5 for others, including most foreign employees.
- General outpatient consultation. Public outpatient care. Employee still carries: BND 15 in working hours, BND 25 outside them (fees by group not confirmed).
- Time off for appointments. 14 days of outpatient sick leave a year, within up to 60 days of hospitalisation leave. Employee still carries: no menopause leave.
Asia Pacific
Cambodia
- NSSF health care. Inpatient, outpatient and emergency care, plus a daily allowance; employer pays the full contribution since 2018. Employee still carries: care outside NSSF facilities.
- Private specialist care. Through employer group insurance, where offered. Employee still carries: fees not covered by the plan.
- Time off for appointments. Employer pays the first 7 days of sick leave; NSSF then pays 70% of average daily wage for up to 180 days. Employee still carries: no menopause leave.
Asia Pacific
China
- Public hospital care. Covered by basic medical insurance, under rules set locally. Employee still carries: any cost-sharing and uncovered items.
- Private and international clinics. Usually not covered by basic medical insurance. Employee still carries: fees, unless covered by commercial insurance.
- Workload adjustments. Some provinces allow reduced workload or a suitable role on a medical certificate. Employee still carries: depends on the province and employer.
Asia Pacific
Hong Kong
- Hospital Authority family medicine clinic. HK$150 a visit plus HK$5 per drug item for each four weeks, for Eligible Persons. Employee still carries: non-eligible persons pay HK$500 a visit and HK$40 per drug item.
- Hospital Authority gynaecology specialist clinic. HK$250 a visit plus HK$20 per drug item for each four weeks, for Eligible Persons, with a HK$10,000 annual cap on public fees. Employee still carries: routine referrals waited a median of 28 to 61 weeks for a first appointment; non-eligible persons pay HK$850 a visit.
- Family Planning Association menopause service. Non-profit service: menopause assessment and check-up from HK$350, plus a HK$80 nurse fee. Employee still carries: hormone therapy HK$150 to HK$400 a cycle; bone density scan HK$600.
- Private gynaecologist. No public subsidy. Employee still carries: HK$1,000 to HK$2,000 for a first specialist consultation at CUHK Medical Centre, before tests and medication.
- Time off for appointments. No statutory menopause leave. Employee still carries: statutory sick pay only for sick leave of four or more days in a row; otherwise annual leave or unpaid time unless the contract offers more.
Asia Pacific
India
- Annual health check. Under the labour codes, employers must give workers over 40 a free annual health check. Employee still carries: follow-up consultations and treatment.
- ESIC medical care. The labour codes extend ESIC coverage nationwide for covered employees. Employee still carries: private care outside ESIC.
- Time off for appointments. Set by state law and company policy. Employee still carries: no menopause leave.
Asia Pacific
Indonesia
- Primary care under JKN (puskesmas or registered clinic). Entry point for JKN members. Employee still carries: specialist hospital care is only available on referral from primary care.
- Private gynaecologist, Jakarta. No public subsidy. Employee still carries: rp350,000 to Rp650,000 a consultation at listed Jakarta hospitals.
- Hormone tests. No public subsidy at private hospitals. Employee still carries: rp292,000 to Rp580,000 for a hormonal examination at listed Jakarta hospitals (estimates).
- Menopause hormone therapy. JKN cover depends on medical indication; confirm with BPJS Kesehatan. Employee still carries: generic hormone tablets from about Rp100,000 a month when bought privately.
- Time off for appointments. No menopause leave. Employee still carries: sick days with a doctor’s note, annual leave or flexible arrangements.
Asia Pacific
Japan
- Consultations and treatment under public health insurance. Covered, with a co-payment. Employee still carries: the co-payment and any treatment not covered.
- Workplace support. Revised employer action-plan guidance gives examples such as health training, leave, flexible work and consultation services. Employee still carries: depends on the employer.
Asia Pacific
Kazakhstan
- OSMS contributions, 2026. Employee 2% of income (capped at 20 times the minimum wage); employer 3% (capped at 40 times). Employee still carries: the employee contribution.
- OSMS cover. Specialist consultations, diagnostics and day hospital care on top of the free guaranteed package. Employee still carries: care outside the package; out-of-pocket payments were 27.6% of health spending in 2023.
- Time off for appointments. Employer pays temporary disability benefit at its own expense, capped at 25 MRP a month. Employee still carries: pay above the cap.
Asia Pacific
Macau
- Health centres. Free for all legal residents. Employee still carries: long public waiting times reported.
- Conde S. Januário Hospital. Residents get a 30% waiver of charges; referrals from health centres are free. Employee still carries: the remaining charges.
- Time off for appointments. 6 days of paid sick leave a year after probation, with a medical certificate. Employee still carries: no menopause leave.
Asia Pacific
Malaysia
- Government health clinic (Klinik Kesihatan). RM1 registration for citizens. Employee still carries: non-citizens pay RM40 a visit.
- Government hospital specialist clinic. For citizens, the first visit is free on a government referral (RM30 with a private referral), then RM5 a visit. Employee still carries: non-citizens pay RM120 a visit; most hormone therapy formulations in the government formulary need a gynaecologist’s prescription.
- Private specialist clinic. No public subsidy. Employee still carries: RM80 to RM235 for a first consultation and RM40 to RM105 for a follow-up under the private clinic fee schedule, before tests and medication.
- Time off for appointments. No menopause leave. Employee still carries: paid sick leave of 14 to 22 days a year with a medical certificate, plus up to 60 days of hospitalisation leave.
Asia Pacific
Myanmar
- Social Security Board medical care. Care at the registered dispensary; employer and employee each pay 2% of covered earnings. Employee still carries: care outside the registered dispensary.
- Out-of-pocket costs. About 71% of health spending is paid directly by patients. Employee still carries: consultations, tests and medicines not covered.
- Time off for appointments. 30 days of paid medical leave a year after six months’ service. Employee still carries: no menopause leave.
Asia Pacific
Nepal
- Government health insurance. A family of up to 5 pays NPR 3,500 a year for NPR 100,000 of cover. Employee still carries: costs above the cover limit.
- Outpatient care. Capped at NPR 25,000 per patient from 13 February 2026. Employee still carries: outpatient costs above the cap.
- Time off for appointments. 12 days of paid sick leave a year under the Labour Act. Employee still carries: no menopause leave.
Asia Pacific
New Zealand
- Funded HRT. Pharmac funds oestradiol patches (Estradot and Estradiol TDP Mylan from 1 December 2025) and oestradiol gel. Employee still carries: a $5 prescription charge for most adults.
- GP visits. Subsidised. Employee still carries: a GP fee that varies by practice.
- Time off for appointments. 10 days of paid sick leave a year for eligible employees. Employee still carries: no menopause leave.
Asia Pacific
Pakistan
- Sehat Sahulat health card scheme. Relaunched in Islamabad and Rawalpindi in June 2026 with free hospital treatment for deserving patients; outpatient care is planned later. Employee still carries: outpatient consultations and tests.
- Private specialist care. Not covered by a national scheme. Employee still carries: consultation, test and treatment fees, unless covered by group insurance.
- Time off for appointments. 8 days of sick leave a year with full wages under the 1969 Ordinance. Employee still carries: no menopause leave.
Asia Pacific
Philippines
- Outpatient medicines. PhilHealth YAKAP provides 75 free outpatient medicines from 21 August 2025, up to PHP 20,000 a year. Employee still carries: medicines outside the list.
- Specialist consultations. Usually through an employer HMO plan. Employee still carries: consultations and tests not covered by the HMO.
- Time off for appointments. 5 days of service incentive leave a year after one year of service. Employee still carries: no menopause leave.
Asia Pacific
Singapore
- Polyclinic visit. Subsidised for citizens and permanent residents: S$19.60 for an adult citizen and S$43.50 for a permanent resident at National University Polyclinics. Employee still carries: non-residents pay S$83.71 for the same visit.
- Specialist clinic, such as the KK Menopause Centre. Subsidised with a polyclinic or GP referral: S$37.20 to S$98.54 a visit for citizens at KKH. Employee still carries: private-rate patients pay from S$208.84 for a first visit with a senior consultant.
- Menopause hormone therapy. Subsidised for Singaporeans referred to a public specialist clinic and assessed as needing it. Employee still carries: work pass holders and private patients pay in full.
- Time off for appointments. No statutory menopause leave. Employee still carries: sick leave with a medical certificate, annual leave or a flexible work request.
Asia Pacific
South Korea
- Hospital care for menopausal disorders. About 400,000 women a year are treated through the national health system. Employee still carries: co-payments and any uninsured treatment.
- Time off for appointments. Set by company policy. Employee still carries: no menopause leave.
Asia Pacific
Sri Lanka
- Public hospitals and clinics. Free at the point of use, on a walk-in basis. Employee still carries: waiting times.
- Private outpatient care. Not covered by the public system. Employee still carries: consultation and medicine costs; out-of-pocket payments were 54.8% of health spending in 2023.
- Time off for appointments. 7 days of casual leave a year with full pay for ill health or other reasons. Employee still carries: no separate statutory sick leave or menopause leave.
Asia Pacific
Taiwan
- Medicines at medical centres and regional hospitals. Covered by National Health Insurance. Employee still carries: a drug co-payment capped at TWD 300 a visit since 1 July 2023.
- Menstrual leave. One day a month at half pay; up to 3 days a year do not count towards sick leave. Employee still carries: no menopause leave.
- Sick leave. Up to 30 days a year at half pay. Employee still carries: the other half of pay, unless company policy is more generous.
Asia Pacific
Thailand
- Social Security medical benefits (Section 33). Examination, treatment, hospitalisation and medicine at the employee’s registered hospital, with no cost sharing. Employee still carries: choice is limited to the registered hospital; private specialists cost extra.
- Social Security contributions. Wage ceiling of THB 17,500 a month from 2026, so up to THB 875 a month each from employer and employee. Employee still carries: rises to THB 20,000 in 2029.
- Time off for appointments. Up to 30 working days of paid sick leave a year at full wages. Employee still carries: no menopause leave.
Asia Pacific
Uzbekistan
- State health insurance. Funded from taxes; covers taxpayers and other groups; guaranteed-package medicines free on e-prescription. Employee still carries: care outside the guaranteed package.
- Free planned inpatient care. Postponed to 1 July 2026; nationwide coverage due by the end of 2026. Employee still carries: private fees until rollout.
- Time off for appointments. Employer pays the first 5 days a year; the State Fund pays 60% or 80% from day 6, for up to 182 days. Employee still carries: the gap to full pay.
Asia Pacific
Vietnam
- Primary care under social health insurance. Pays 100%, 95% or 80% of costs depending on the facility. Employee still carries: the remaining share.
- Specialised care under social health insurance. Pays 100%, 60% or 40% depending on the facility level. Employee still carries: the remaining share, or private fees for faster care.
- Time off for appointments. Sickness benefit at 75% of the contribution salary for 30 to 60 days a year, depending on contribution years. Employee still carries: no menopause leave.
Related guides
Menopause benefits compared: Middle East and AfricaPublic cover and workplace rules by countryMenopause benefits compared: EuropePublic cover and workplace rules by countryMenopause benefits compared: AmericasPublic cover and workplace rules by countryEmployer guides by countryFertility and menopause guides for 85 marketsMenopause corporate benefits guideOptions for designing a menopause benefit
Sources
- Aon, The Global Medical Trend Rates Report 2026
- Aon, APAC employee medical plan costs to stabilise in 2026 (October 2025)
- Public cover, costs and workplace rules: the sources listed on each country guide linked above
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