Zora Health / Employer guide / Macau
Support your experienced employees through menopause, and help them stay at their best.
Women in a University of Macau study said menopause symptoms affected their concentration and performance at work, and asked employers for flexibility and education. Zora Health helps you build practical menopause support, from workplace policies and manager training 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 Macau HR leaders should know
- In a 2025 University of Macau study of 25 women aged 45 to 60, many reported work pressure from symptoms affecting performance, concentration and dealing with people.
- Participants asked for flexibility and menopause education at work, and some worried about age discrimination and job security.
- Under the Labour Relations Law, employees get 6 days of paid sick leave a year after probation.
- Health centre services are free for all legal residents.
- Maternity leave rose to 90 days for births from 28 July 2026. There is no menopause leave.
Why menopause is a business problem for employers
Menopause rarely announces itself at work. It looks like a senior manager who slept four hours, a wave of heat in the middle of a client meeting, a word that will not come in front of the board. Symptoms come and go for years. Many women do not link them to menopause, and fewer tell their manager.
So the cost stays out of your reports. It shows up instead as:
- Performance and concentration. In a University of Macau study of 25 women aged 45 to 60, many described work pressure from symptoms that affected their performance, concentration and dealings with people (Macau Studies, 2025).
- Hiding symptoms. Women said workplaces lacked privacy and understanding, so they coped by suppressing feelings or avoiding situations.
- Job worries. Some worried about age discrimination and job security, and asked for flexibility and menopause education.
- Common symptoms. Participants described sleep problems, night sweats and hot flushes, fatigue, mood swings and pain.
What employers gain
Keep the people who know how your business runs
Replacing an employee costs one-half to two times their annual salary, according to Gallup. Macau’s unemployment rate was 1.8% in late 2025 (DSEC), so experienced staff are hard to replace. A written policy, trained managers and quick access to the right doctor can help address barriers that contribute to employee attrition.
Stand out to experienced women
The University of Macau researchers recommend creating supportive work environments for menopausal women. A clear offer, explained in your benefits pack, stands out to senior women.
Make menopause support financially predictable
Much of what helps menopause costs very little: a flexible start time, a fan, a manager who knows what to say.
Zora helps employers set an annual allowance or top-up around public care and your private medical plan, so HR can run the programme within an agreed budget. The benefit works alongside your existing insurance.
Want to see what this would look like for your Macau workforce?
What menopause care costs, and what the state pays
Health centres are free for legal residents. Hospital care is charged, with a discount for residents, and many employers add private medical insurance.
| Item | Public support | What the employee still carries |
|---|---|---|
| Health centres | Free for all legal residents | Long public waiting times reported |
| Conde S. Januário Hospital | Residents get a 30% waiver of charges; referrals from health centres are free | The remaining charges |
| Time off for appointments | 6 days of paid sick leave a year after probation, with a medical certificate | No menopause leave |
From the Macao Yearbook 2025 and the Labour Relations Law. We could not confirm hospital fees or private consultation fees. These are published examples, not guaranteed current prices: actual costs depend on cover, clinic, doctor and treatment, so confirm fees with the provider before budgeting.
Women in a University of Macau study asked employers for flexibility and menopause education.
We have found no menopause workplace law or guidance in Macau. For employers, the practical opportunity is to help employees recognise their symptoms, understand their options and reach appropriate clinical advice sooner.
Menopause support that fits your workforce and budget
You do not need to overhaul your existing health insurance to support employees through menopause. Start with awareness and manager education, add confidential one-to-one support, or introduce a fuller programme 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 allowance their employer provides.
Companies starting the conversation
Essentials
Expert-led talks for employees and managers, 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 countries
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 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 menopause benefit providers? Use our RFP question bank
Our question bank has 40 questions for multi-country benefits teams, with why each one matters, what a good answer looks like and a scoring sheet for three providers. Six of the questions for menopause support in Macau:
- Is menopause support included as standard, or only fertility?
- What access do employees get to menopause specialists and hormone testing, and how quickly?
- How does the programme give employees private, confidential support, given the lack of privacy women describe at work?
- Do you provide fertility and menopause policy templates for our markets?
- How can an employee get help confidentially without telling their manager?
- What individual-level data does HR see?
Your download link appears as soon as you submit. Zora Health may contact you about employee benefits; see our privacy policy.
Plan your menopause benefit budget
Menopause care allowance planner
Model the annual claims budget for a menopause care allowance. Change any number.
This is a claims budget, not a Zora quotation. Zora’s programme fees, implementation and optional services are separate.
It estimates the annual budget for a menopause care allowance from your eligible workforce, expected utilisation and allowance per employee, and assumes each user claims the full allowance. Eligible employees defaults to 15% as a stand-in for women aged 45 and over; use your own headcount data. The default allowance of MOP 3,000 is an illustrative figure for private consultations, tests and treatment. Utilisation is an editable assumption, not observed Zora data. For a proposal covering both programme costs and employee benefits, request an employer proposal.
Estimate the potential workforce impact of menopause symptoms
A rough planning scenario. It applies a published 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: MOP 133,866 to MOP 405,216 a year, depending on replacement cost.
Assumptions: 13.4% of working women aged 45 to 60 reported at least one adverse work outcome due to menopause symptoms, and those who missed work lost a median of 3 days a year (Faubion et al., Mayo Clinic Proceedings, 2023). This was a US clinic sample, so treat it as a rough benchmark for Macau. The default salary is median monthly earnings of employed residents, MOP 20,000 (Q4 2025), multiplied by 12. Use your own. 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 is your own assumption.
Already have corporate health insurance? Here is where Zora fits
Your medical plan may cover some consultations and treatment. Employees still need to recognise their symptoms, understand their options and find a doctor who knows menopause care, and many never get that far.
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 training, policy templates and, on the Complete programme, anonymised reporting. You strengthen menopause 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 perimenopause and menopause, understand what your benefit covers, book a confidential care navigation call and find partner doctors 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 menopause policy and flexible work guidance 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
On the Complete programme, HR receives anonymised, aggregated reports only: how many employees used the programme, which services they used and the common themes. On every programme, HR never sees an individual employee’s health information, bookings or test results, and employees can get help without telling their manager. Employee data is stored on Amazon Web Services in Singapore and handled in line with Singapore’s Personal Data Protection Act.
Clinics and doctors in Macau
Zora’s clinic and doctor directory does not list providers in Macau 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 Macau can still use Zora’s education and the Zora app. Ask us how your team in Macau would use Zora before you launch. See Zora’s employer guides for every country.
Rules and eligibility in Macau
Sick leave
Under Article 53 of the Labour Relations Law (Law 7/2008), employees get 6 days of paid sick leave a year after probation, with a certificate from a licensed doctor. For monthly-paid staff these days are part of basic pay (DSAL).
Non-discrimination
Article 6 gives residents equal employment opportunities, with prohibited grounds including gender, age, race and marital status (Labour Relations Law).
Labour law amendments
Maternity leave rose to 90 days, with 60 days right after birth. Seniority-based annual leave starts in 2027 (Macau Daily Times, July 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 doctors and specialists based on their needs.
Zora Health helped me to reclaim my confidence to thrive at work!
Questions HR teams ask us
Do employers in Macau have to give menopause leave?
No. There is no menopause leave. Employees use sick leave, annual leave or flexible arrangements unless their employer offers more.
How much paid sick leave do employees get in Macau?
6 days a year after probation, with a medical certificate.
Is public health care free in Macau?
Health centre services are free for all legal residents. Hospital care is charged, with a 30% waiver for residents at Conde S. Januário.
How does menopause affect work in Macau?
In a University of Macau study, many women reported symptoms affecting performance, concentration and dealing with people.
Does Macau law protect against age and gender discrimination?
Yes. Article 6 of the Labour Relations Law includes gender and age among prohibited grounds.
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 menopause support cost an employer?
It depends on the programme, any allowance 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 Macau employers
Build a menopause support programme for your team
Whether you are introducing menopause 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 Macau team. No obligation.
Sources
- Shi et al., Social support for menopausal women in Macau, Macau Studies, 2025 (25 women)
- DSEC via Government Information Bureau, Employment survey Q4 2025, January 2026
- Government Information Bureau, Macao Yearbook 2025: Health and Social Welfare
- DSAL, Labour Relations Law (Law 7/2008), English translation
- DSAL, Labour rights FAQ for employers
- Macau Daily Times, New labour law with 90-day maternity leave, July 2026
- Gallup, This fixable problem costs US businesses $1 trillion, 2019
- Mayo Clinic News Network, Faubion et al., Impact of menopause symptoms on women in the workplace, Mayo Clinic Proceedings, April 2023