China is grapping with a rapid increase in demand for public long-term care due to an ageing population. Some regions have initiated social insurance programs as pilot projects, with Qingdao being one of the earliest adopters. Existing literature has predominantly focused on policy introduction and demand analysis, providing limited insights into the operational aspects of such practices in China. This chapter sheds light on the evolution and progress of Qingdao’s long-term care social insurance since its inception. Additionally, it provides estimation of the premiums of this long-term care insurance and compares patients’ total health costs before and after the implementation of the long-term care program.