While the net medical inflation for Costa Rica is 11%, a handful of global employers have been able to keep their medical plan costs flat. One company is incentivizing employees to utilize in-network providers via cost-sharing. Most companies have maternity integrated into their medical plan, while one company has it carved out as part of its flexible benefit offering. Companies indicated rising Caesarean section (C-section) rates, but no efforts to promote natural childbirth are in place. Leading companies have increased their paternity leave or introduced parental leave. Well-being efforts include employee assistance programs, on-site medical clinics, financial education/counseling, energy and resilience programs, fitness center/gym subsidy, health apps, health coaching, biometric screening and sports leagues. Stress and work/life balance is the major area of focus for global employers in Costa Rica. Other benefits discussed include meal and car benefits.