Objective: To investigate the current situation of hospice care service projects in Jiangsu Province, analyze the demand and implementation of hospice care service projects in hospitals of different levels in Jiangsu Province, and put forward suggestions based on relevant literature and medical insurance policies. Method: The current situation of hospitals providing hospice care services in Jiangsu Province was investigated by using the self-designed “Hospice Care Service Project Status Questionnaire”. Results: A to- tal of 63 hospitals providing hospice services were surveyed, including 41 tertiary hospitals, 10 secondary hospitals and 12 primary hos- pitals. A total of 114 hospice care related service items were grouped according to different hospital levels, and the average demand for covered medical insurance related service items was 10.4% in primary hospitals, 31.1% in secondary hospitals and 23.9% in tertia- ry hospitals. Demand for services not covered by medical insurance: the mean of implementation was 16.4% for primary hospitals, 43.1% for secondary hospitals and 32.4% for tertiary hospitals. Conclusion: Hospice care under the hierarchical diagnosis should be transferred from tertiary hospitals to primary and secondary hospitals. Some of the related service items that have been included in medical insurance are difficult to enjoy medical insurance treatment in hospice care departments and difficult to implement. Hospice care services that are not covered by medical insurance have a large space for development.