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EHPAD nursing home costs in France
EHPAD (Établissement d'Hébergement pour Personnes Âgées Dépendantes) are France's licensed long-term nursing homes for dependent seniors. Average monthly cost is around €2,100, with prices ranging from €1,500/month in rural areas to €4,500/month in Paris.
3-tier pricing structure
- 1. Accommodation tier (€1,500-€4,500/month) — Room, meals, laundry, animation. Paid by the resident (unless ASH support).
- 2. Dependency tier (€100-€800/month) — Daily living assistance based on GIR rating. Covered by the APA benefit paid directly to the EHPAD + a co-payment from the resident.
- 3. Care tier (€0 for resident) — Medical care, nursing, medications. Fully covered by French Health Insurance.
ASH — Social Housing Aid
When resident's income (and family contribution) cannot cover the accommodation tier, the Conseil départemental can pay the gap through the ASH programme.
- Resident contributes 90% of their income
- Minimum €117/month guaranteed for personal expenses
- Family members (children, sons/daughters-in-law) may be required to contribute (obligation alimentaire)
- Recovery on inheritance: ASH benefits are reclaimed from the estate after death (above €39,000 net asset)
- EHPAD must be officially accredited for ASH
25% tax reduction
Residents can claim a 25% reduction on accommodation expenses, capped at €10,000/year (max €2,500 tax savings). Declared in box 7CD of form 2042 RICI. Available regardless of ASH receipt.
Free EHPAD calculator
Estimate your out-of-pocket cost in 1 minute with our calculator (in French, but self-explanatory with input fields).
Open EHPAD cost calculatorCheaper alternatives
- Résidence autonomie — for autonomous 60+ (GIR 5-6), €600-1,200/month
- Accueil familial agréé — certified family caregiver homes, €1,200-1,800/month
- Reinforced home care — APA + SAAD + SSIAD coordinated, €1,500-3,000/month
- Habitat inclusif — shared housing with support staff (growing model)