Abstract:OBJECTIVE To compare the treatment level and medical treatment management methods of outpatient medication for hypertension and diabetes among urban and rural residents in different regions of China, to understand the similarities and differenc⁃ es of the policy guarantee mechanism in different regions, and to put forward suggestions for improving the policy. METHODS Col⁃ lect the corresponding policy content from the public website, and establish Excel database to extract the relevant content for compar⁃ ative analysis. RESULTS Under the current treatment standard, the highest payment limit for hypertension was in Guangxi （2 000 yuan/year）, and the highest payment limit for diabetes was in Jilin （3 100 yuan/year）. The payment ratio in all regions of the coun⁃ try remained at 50% or above. In terms of the management of patients’medical treatment, each region had limited the number and level of medical institutions that patients could enjoy treatment. The vast majority of regions chose to rely on secondary and below medical institutions to guarantee patients’outpatient medication. CONCLUSION The medical insurance payment of outpatient medi⁃ cation for patients with hypertension and diabetes in urban and rural residents had played a positive role in reducing the medical cost burden of hundreds of millions of patients with hypertension and diabetes in China. However, there were great differences in the payment limit and payment ratio in different regions, which was not conducive to the equitable treatment of urban and rural residents.