As the first batch of long-term care insurance pilot cities in China，Guangzhou has been piloted for more than two years. Firstly，this paper reviews the international experience of long-term care policy and the current situation of 15 pilot cities in China. Secondly，this paper takes Guangzhou as the research object and utilizes the analysis of second-hand data to analyze and summarize its practical experience and shortcomings. As the result shows，during the pilot process in Guangzhou，the functional division of relevant departments was gradually clarified，and the shift from institutional care to community care was realized. However，there are also some difficulties in the practice of Guangzhou，such as limited coverage objects，single pattern of payment and financing method，and overlapping insurance functions. Furthermore，this study puts forward corresponding suggestions to help “Active Aging” and “Healthy Aging” to realize “Healthy China” strategy.