Abstract: ObjectiveTo examine the cognition and acceptance of commercial health insurance and medical insurance coverage among residents in Changchun city,and to provide evidence for the improvement of commercial health insurance.MethodsWith multi-stage randomized sampling,the participants were selected and surveyed with a questionnaire.Results Among 936 participants surveyed,the coverage rate of commercial health insurance was 14.10% (132/936).The majority of participants with the comercial health insurance was at the ages of 41-60 years(62.12%,82/132)and with the annual income of more than 100 thousands yuan RMB(62.88%,83/132).ConclusionThe complex of claim process, lack of insurance knowledge,and high insurance expense are the barriers for the development of commercial health insurance.