In order to explore the pattern of extending medicare service management to the grassroots，we carry out this study by ways of questionnaires，literature review，phone interview，internet survey and inquiry，as well as comparing the medicare service network model at home and abroad. The results show that 81.13% of the insured expect to solve the medicare problems in the community；that more than half of insured people，district offices，and community health service centers believe medicare problems can be resolved more conveniently in the community；that a small number of community health service centers are willing to undertake the task of medicare service. Therefore，we can consider moving the service to grassroots level by administrative operation integration and responsibility adjustment，or by economic incentives like service outsourcing. Medicare organizations should give full play to the functions of medicare in resource allocation and policy regulation，to improve the efficiency of grassroots medicare network service.