At present

the large base of the elderly population

the rapid growth of the elderly population

and the aging before getting rich have gradually become the characteristics of this era. The problems of pension and medical guarantee have become increasingly prominent

such as the insufficient allocation of medical resources in the mode of home-based and community-based pension

the lack of medical guarantee funds

the imperfect hierarchical diagnosis and treatment system

the high cost of medical service and elderly care

the shortage of medical insurance funds

and the connection between medical service and pension is not smooth

and there is a shortage of talent resources for the combination of medical service and elderly care. These problems seriously hinder the further development of the combination of medical service and elderly care. In order to prepare for the arrival of a deep aging society

and the elderly can enjoy a happy old age

this paper proposes to build a multi-levels and diversified medical insurance system for the elderly

make full use of the Internet plus endowment resources

establish long-term care insurance system

cultivate the elderly’s initiative health management ability

and build a training system for medical and nursing talents. The operation of the medical and health care combination organization should follow the dual track system of marketization and non marketization. And a forward-looking layout for the development of the combination of medical service and elderly care is also needed.