Currently, in terms of healthcare security for rural residents, some of the disadvantaged groups cannot afford medical insurance premiums, the burden of self payment for medical treatment is still heavy, the risk of becoming impoverished due to illness and returning to poverty due to illness still exists, the different the medical insurance payment policy fails to support primary healthcare system, also rural clinics doesn't work very well after they are included in the designated medical institutions. It is suggested to further increase the subsidy for low-income groups to participate in basic medical insurance services for urban and rural residents, especially those who are disadvantaged, appropriately increase the payment ratio of inpatient and outpatient services within the scope of the medical insurance policy for urban and rural residents, actively promote the construction of a multi-level healthcare security system, make great effort to provide insurance and aid for treating major and serious diseases, and give full play to medical insurance in promoting the construction of the primary healthcare system.