Objective: Through to the xinjiang urumqi urban and rural residents’’ medical security system as a whole the policy change before and after the investigation, provide Suggestions for the development of urban and rural medical insurance plan as a whole system. Methods: The health care financing after integration standards, reimbursement ratio, and the change of management methods and so on were analyzed. Results: The combined new farming and ginseng protect personnel to personal financing standard of the third class hospitals and the higher the starting line, to a certain extent affect the ginseng protect personnel to go to a doctor;The economic gap between urban and rural areas affect the integration of urban and rural residents health care work. Conclusion: The system should be considered in the design of ginseng protect personnel to the level of individual pay cost is consistent with the level of treatment, increasing government support, payment standard and treatment standard reference or innovation.