Abstract:Thailand established the first medical care scheme in 1975 until set up 30 Baht Scheme in 2001, which achieved the universal coverage spending 26 years, and China can learn some experience from Thailand’s universal coverage. Firstly, health services purchaser and health services provider split. Secondly, changing the Fee for Service to multi way payment mechanism. Thirdly, establishing the system of gatekeeper. Lastly, encouraging independent research institutions to provide technical support to health insurance system.