When hire a caregiver in Monaco?

When a parent, spouse, or loved one begins to have difficulty living alone, the question often arises quite quickly: should you hire a home care assistant in Monaco?

But before looking for someone to provide in-home care, several questions arise: what are your loved one’s actual needs? At what times of day do they require assistance? What solutions are available in Monaco to support aging in place? Are there any financial subsidies or public services that can assist with this process? And, above all, how can you put in place appropriate support without stripping the individual of their autonomy?

In this article, we'll help you see things more clearly. We'll review the main situations in which a home care assistant in Monaco may be useful to understand the differences between home help, personal care assistance, and medical care, as well as the services offered by the Principality. We will also see how the... Autonomy Benefit, what role does the Monaco Gerontological Coordination Centre (CCGM) and what additional solutions might be considered, such as meal delivery services or personal emergency alarm systems.

The goal is simple: to help you more easily identify your loved one’s needs and to know who to turn to in Monaco to arrange tailored at-home support.

When a parent, spouse, or loved one begins to have difficulty living alone, a question often arises quite quickly: should you hire a home care assistant in Monaco?

The answer rarely depends on a single criterion. One person might need assistance only in the morning—to get up and get ready—while another might require daily support with meals, getting around, personal hygiene, running errands, or simply needing reassurance when left alone at home.

In Monaco, there is also a public support system for loss of autonomy. Monaco Gerontological Coordination Centre (CCGM) plays a central role, in particular, in assessing needs and developing a personalized support plan. The Monaco City Hall also offers various services designed to support continued living at home.

The goal of this article is therefore to answer a very concrete question: how do you determine what kind of support to put in place, and where do you begin when looking for a home care assistant in Monaco?

Home care assistant in Monaco: when should you consider in-home support?

There is no need to wait until a person can no longer live alone to consider having a home care assistant.

In many situations, intervention begins while the person still retains a significant degree of autonomy. The goal is precisely to preserve this autonomy, by helping her only where she needs it.

Certain situations, in particular, should prompt consideration of in-home assistance:

• a person has difficulty getting up or going to bed on their own;
• washing or getting dressed becomes difficult;
• preparing a meal now requires too much effort;
• moving around the home becomes less safe;
• running errands and going out can no longer be done easily;
• a person regularly forgets to eat or neglects their diet;
• the spouse or children must intervene more and more frequently;
• a loved one has recently been discharged from the hospital and has not yet fully regained their independence;
• a person lives alone and experiences a strong sense of insecurity when left without anyone else present;
• Difficulties related to age or certain cognitive impairments make a reassuring presence necessary.

The need can therefore be one-off, daily, or evolving gradually.

This is an important distinction: seeking a home care assistant does not necessarily mean arranging for someone to be present in the home at all times. In some cases, a few targeted visits per week may suffice. In others, several visits each day are required.

 

What is the difference between a home care assistant, a domestic helper, and a healthcare professional?

The term "home help" encompasses a variety of different services. For a family, this distinction is important, as not all forms of assistance address the same needs.

The home care assistant

A home care assistant supports an individual with the activities of daily living.

Depending on the situation, this may include, for example, getting up and going to bed, dressing, personal hygiene, moving around, meals, outings, or maintaining social connections.

The règlement du service municipal des auxiliaires de vie de Monaco specifies, in particular, that their role is to promote autonomy and social interaction. It also indicates thatno medical procedure may be performed by a home care assistant..

Home help

The role focuses more on domestic tasks: routine upkeep of the home, laundry, ironing, grocery shopping, or other everyday chores.

The The Monaco City Hall specifies that home-help services are provided primarily to elderly individuals or those with a temporary or permanent disability, and that the service is available subject to certain conditions—notably, the requirement for a medical prescription.

Healthcare professionals

Care falling within the medical or nursing domain requires the intervention of a qualified professional.

In certain situations, home care assistants and healthcare professionals may therefore intervene as a supplement, each in their own field.

This arrangement is particularly relevant following a hospital stay or when an individual has multiple, overlapping needs—such as medical care, rehabilitation, assistance with daily living activities, and social support.

 

In Monaco, the Gerontological Coordination Centre is a key point of contact.

For an elderly person with reduced autonomy residing in Monaco, the Monaco Gerontological Coordination Centre (CCGM) constitue un interlocuteur particulièrement important.

The Gouvernement Princier presents the CCGM as an organization dedicated to supporting the aging process and managing the loss of autonomy.

Its responsibilities include, in particular, providing information to elderly individuals and their families, assessing situations, developing individualized support plans, and coordinating the various parties involved.

The Government also notes that the CCGM provides support to several hundred beneficiaries each year, which illustrates its central role in the Monegasque system for enabling people to continue living at home.

 

 

Autonomy Benefit in Monaco: a form of assistance worth knowing about

When an elderly person gradually loses their independence, the question of how to fund home-based care naturally becomes important.

The Principality has a Autonomy Benefit, intended to help address needs related to a loss of autonomy.

The system is based on an assessment of the level of loss of autonomy and the development of a personalized support plan. The beneficiary’s financial contribution depends, among other factors, on their financial resources.

The official procedure is detailed on MonServicePublic Monaco – Demander la Prestation d’Autonomie.

Who is eligible for the Autonomy Benefit?

The scheme is primarily intended for individuals over the age of 60 who are habitual residents of the Principality and who experience a lack or loss of autonomy related to their physical or mental condition.

The regulations also provide for certain specific cases involving individuals under the age of 60 who have cognitive impairments that result in a loss of autonomy comparable to that associated with pathological aging.

However, the specific conditions must be verified with the relevant authorities of the Principality at the time of the application.

 

What are the payment amounts for the Autonomy Benefit in 2026?

The amounts are periodically adjusted by ministerial decree.

For the year 2026, theArrêté Ministériel n° 2026-40 sets the monthly ceilings for assistance plans as follows:

GIR level	Monthly ceiling for the assistance plan in 2026
GIR 1	5 280 €
GIR 2	4 650 €
GIR 3	3 990 €
GIR 4	2 080 €
GIR 5 et 6	690 €

 

The same order sets at €28.65: the hourly cost of a home care assistant, covered by the Social Protection Office under the Autonomy Benefit., effective January 1, 2026.

It also sets at €35.40 per visit the cost of itinerant night-time care covered under this service.

You can consult the regulatory amounts in l’Arrêté Ministériel n° 2026-40 publié au Journal de Monaco.

Attention : These figures correspond to regulatory caps and reimbursement bases. They do not necessarily represent the price charged by a home-care service provider, nor do they automatically correspond to the amount actually paid to each beneficiary.

 

The Monaco Town Hall also offers a home-care assistant service.

The search for a home care assistant in Monaco is not limited to private service providers.

The The Monaco City Hall has its own service of home-care assistants, enabling an elderly person to remain at home by providing support with the activities of daily living.

The Town Hall specifies that applications are centralized and processed by the Gerontological Coordination Centre before being forwarded to the Town Hall. The service is intended, in particular, for individuals residing in the Principality who are over the age of 60.

The rate depends on the household's income and any "Autonomy Benefit" (Prestation d’Autonomie) that may have been granted.

You can consult directly the official page of the Monaco Town Hall dedicated to home care assistants.

This information is important for families: Before choosing an organization, it can be helpful to know which public schemes or support services an individual may be eligible for..

 

Other Monegasque services that can complement the role of a home care assistant

A person experiencing a loss of autonomy does not always require only a home care assistant.

In certain situations, several solutions can be combined.

Meals at home

The Monaco Town Hall offers a meal delivery service for elderly individuals or those with a temporary or permanent disability.

Meals are provided year-round, 7 days a week. The service can also accommodate various dietary requirements.

This solution can be particularly attractive when an individual retains a good level of overall independence but is no longer able to prepare their own meals under proper conditions.

More information is available on the official home-delivered meal service of the Monaco City Hall.

The personal alarm system

For a person living alone, the issue of safety can be just as important as the need for daily assistance.

The Monaco Town Hall offers a tele-alarm service that allows elderly or ill individuals, or those experiencing a loss of autonomy, to be connected to an alert system 24 hours a day.

Depending on the needs, various devices can be offered, including those for falls, fire, gas, or carbon monoxide.

A telecare alarm obviously does not replace the presence of a caregiver, but it can constitute an additional level of security for a person who lives alone.

The terms and conditions are available at the official page of the Monaco Town Hall dedicated to the telealarm system.

 

Which type of support should be chosen, depending on the situation?

There is no single way to arrange for a home care assistant in Monaco.

Situation 1: the person is independent but requires assistance in the morning

She may need help getting up, washing, getting dressed, preparing breakfast, or starting her day safely.

In this case, a few hours of targeted intervention can sometimes be enough.

Situation 2: meals and daily tasks become difficult

The service may be structured around meal preparation, grocery shopping, routine household maintenance, and assistance with certain activities.

Depending on the needs, a home helper or a personal care assistant may be more suitable.

Situation 3: A loved one returns from a hospital stay

Returning home can be a period of transition.

The individual may be able to live at home but require assistance with getting around, meals, dressing, or organizing their daily routine for a few weeks.

The goal is then to secure the transition without automatically putting in place permanent support.

Situation 4: cognitive impairments emerge

When memory, orientation in time, or certain points of reference become more fragile, human presence can take on particular importance.

A home care assistant can help structure the day, maintain routines, and provide reassurance to the individual.

In this type of situation, a comprehensive assessment by qualified professionals is particularly relevant.

Situation 5: the family lives far from Monaco

This is a particularly delicate situation: a child may live in France or abroad, while their parent resides in the Principality.

In this case, home care also plays a role in human relay.

The point is not merely to carry out a task. It is also about ensuring that someone visits the home on a regular basis, that the individual’s routines are understood, and that the family has a point of contact should the situation change.

 

And what if the person refuses help?

This is often one of the most delicate challenges for families.

An elderly person may very well need help while simultaneously rejecting the idea of ​​being “assisted.”

It is generally preferable not to present the caregiver as a consequence of dependency, but as a means of to continue living at home under good conditions.

Rather than immediately establishing a significant presence, it may be easier to begin with a limited intervention and gradually allow a relationship of trust to develop.

Maintaining autonomy also involves respecting the individual’s choices.

A good home care assistant should not automatically "do things for" the person they are assisting. Whenever possible, they should provide support that enables the individual to continue performing tasks and making decisions they are still capable of handling.

 

How do you prepare an application for home-care assistance?

Before contacting a service, it can be helpful to note down your specific needs over the course of a few days.

In particular, ask yourself the following questions:

• At what times of the day does the person experience the most difficulty?
• Can she get up on her own?
• Can she wash and dress herself without assistance?
• Can she prepare her own meals?
• Can she eat by herself?
• Can she move around in her apartment?
• Does she need assistance to go out?
• Can she stay alone for several hours?
• Are there any particular difficulties during the night?
• How many times a week does the family currently intervene?
• Should the aid be temporary or likely to be long-lasting?
• Which healthcare professionals are already involved?
• Does the person already receive a support plan or an autonomy benefit?

These responses make it possible to move from a vague request—"we need a home care assistant"—to a much more specific one:

“We require assistance every morning from 8:00 a.m. to 10:00 a.m. with getting up, washing, dressing, and breakfast, along with additional support two afternoons a week.”

This level of detail makes it significantly easier to put in place tailored support.

 

Home care assistant in Monaco: why opt for a personalized arrangement?

A person experiencing a loss of autonomy does not necessarily have the same needs every day.

A person’s overall condition can change. Being discharged from the hospital may temporarily increase their needs. Conversely, an individual might regain certain abilities after a few weeks.

This is why the support provided must be able to evolve.

Monaco Santé Services offers a home care assistant service in Monaco intended to support elderly, vulnerable, or less autonomous individuals in their daily lives.

Depending on the situation, the support provided may include assistance with essential daily activities, meals, getting around, going out, maintaining social connections, or simply keeping company with someone who does not wish to be alone.

The goal is to find the right balance between support, safety, and autonomy.

Excessive intervention can sometimes leave a person feeling as though they no longer have any capabilities. Conversely, insufficient intervention may leave the family in a state of constant worry.

The right solution is the one that truly corresponds to the individual’s level of autonomy.

 

Nighttime care: constant presence or periodic night visits?

The question of the night deserves special attention.

Some people simply need reassurance or occasional check-ins. Others require a much more significant level of presence.

It is therefore necessary to distinguish a roving night-time care service, which corresponds to specific time slots, involving a continuous presence throughout the night.

Monégasque regulations have incorporated the possibility of a financial contribution, under the "Autonomy Benefit" (Prestation d’Autonomie), for itinerant night-care services—subject to the limits of the needs assessed by the CCGM and the costs established by ministerial decree.

In 2026, the cost of overnight mobile care covered under this framework is set at €35.40 per visit.

For an individual who gets up several times during the night or who is at risk of falling, this solution may therefore be worth exploring with the CCGM.

 

The 5 steps to arranging a home care assistant in Monaco

1. Identify concrete difficulties encountered on a daily basis.
2. Assess the level of autonomy of the individual and the likely evolution of their needs.
3. Contact the CCGM to identify appropriate measures and, where relevant, have the situation assessed.
4. Explore the available support and services, notably the Autonomy Benefit and the services offered by the Town Hall.
5. Choosing a home-care organization the most suitable: frequency of interventions, tasks, scheduling, continuity, and coordination with the family.

This approach helps avoid a common mistake: choosing a number of hours or a specific service package first, and then trying to fit the individual’s needs into that framework.

It is better to do the opposite: start with the individual, then build the service around them.

 

Home care assistants in Monaco: questions families often ask

How much does a home care assistant cost in Monaco?

The price depends on the chosen arrangement, the number of hours, the schedule, and the services requested. For beneficiaries of the Autonomy Allowance (*Prestation d’Autonomie*), Ministerial Order No. 2026-40 sets the hourly cost of a home care assistant, covered by the Social Protection Office under this allowance at €28.65.

This amount should not be interpreted as the universal rate for all home care assistant services.

Is it possible to obtain financial assistance for a home care aide in Monaco?

Yes, some public services can help address the needs related to loss of autonomy. Autonomy Benefit est notamment destinée à contribuer au financement d’un plan d’aide adapté à la situation du bénéficiaire.

The terms and conditions are detailed on MonServicePublic Monaco.

Is it mandatory to go through the Monaco Town Hall?

Not necessarily. The Principality offers public home-care services, notably through the Town Hall and the system coordinated by the CCGM. There are also options provided by private home-care services.

The most important thing is to determine which organization is appropriate for the situation and for any support that might be available.

Can a home care assistant work just a few hours a week?

Yes. The level of intervention must be tailored to the individual’s actual needs. A person who remains largely independent may require only a few targeted interventions, whereas someone who is highly dependent may need much more regular support.

Does a home care assistant replace a nurse?

No. A home care assistant provides support with the activities of daily living but does not perform medical procedures, which fall under the remit of a healthcare professional. Monegasque municipal regulations explicitly specify this distinction.

What should I do if my loved one lives alone in Monaco?

The first step is to accurately assess one’s needs. The CCGM can serve as a key point of contact for elderly individuals experiencing a loss of autonomy.

Other municipal services can also supplement the support provided, such as home-delivered meals or a remote alarm system.

 

Official resources to consult in Monaco

For reliable information regarding home-care assistance and loss of autonomy, it is best to consult official sources from the Principality:

• Gerontological Coordination Centre of Monaco – Princely Government
• Applying for the Autonomy Benefit – MonServicePublic Monaco
• Home Care Assistants – Monaco City Hall
• Home Support Services – Monaco City Hall
• Meals at Home – Monaco City Hall
• Telealarm – Monaco City Hall
• Ministerial Order No. 2026-40 – Journal de Monaco

These sources make it possible to verify the terms, contact details, and current rules, which may change over time.

 

Conclusion: finding a home care assistant in Monaco is, above all, a matter of finding the right organization.

Search for a home care assistant in Monaco does not simply consist of finding someone to carry out a few tasks at home.

The goal is to understand what the person is still able to do on their own, what is becoming difficult, when they need assistance, and how to best preserve their established lifestyle and habits.

For an elderly person experiencing a loss of autonomy, the Monaco Gerontological Coordination Centre serves as a key point of contact for assessing the situation and developing a personalized support plan. The Monaco Town Hall also offers various services designed to help individuals continue living at home, including home care assistants, domestic support, meal delivery, and a remote alarm system.

In parallel, a specialized structure such as Monaco Santé Services can assist you in finding a personalized home-care solution in Monaco..

Whether the need involves a few hours per week, daily assistance, a period of convalescence, or a situation involving a more significant loss of autonomy, the priority remains the same: to enable the person to remain at home under the best possible conditions, while providing relief to their loved ones and respecting their autonomy.

If you are looking for a home care assistant in Monaco For yourself or a loved one, the simplest approach is to start by describing the situation in detail: the person’s age, the difficulties they are facing, the desired frequency of support, preferred scheduling, and whether the need is temporary or long-term. This makes it possible to develop a support plan that is truly tailored to the individual’s needs.