This report reviews the overall development of China’s health insurance industry in 2018. At the same time，it anticipates its development in the future. It is believed that the health insurance industry has achieved rapid growth under the policy guidance of the regulatory authorities’ efforts to develop guarantee industry. Among them，the commercial health insurance business has achieved noteworthy innovation and development in many aspects，such as products，channels and business models，which is also deeply influenced by the digital technology revolution. The government commissioned business continues to expand in many areas，including basic medical insurance，critical illness insurance，medical assistance and long-term care insurance. And it has become the focus of transforming government functions. With the advent of an aging population and healthy China construction，the health insurance industry has broad prospects for development. It also faces new challenges and calls for further reform of the medical and health care system and improvement of regulatory policies.