我国自2009年开始陆续将大学生纳入城镇居民医保的范畴,并针对大学生的实际情况加大了财政补贴的力度。以笔者所在的学校为例,经过三年多的实践,效果较好:学生门诊医疗费的报销率40%～60%,住院费用报销率45%～70%。尽管该医保制度基本实现了制度设计者的初始目的,但仍然存在一些尚待完善的地方,尤其是针对其中医疗弱势群体的医疗保障问题,需要 Since 2009, China has gradually included undergraduates in the category of urban residents’ health insurance, and stepped up financial subsidies for the actual situation of college students. Take the author’s school as an example. After more than three years of practice, the effect is better: the reimbursement rate of outpatient medical expenses is 40% -60%, and the reimbursement rate of hospital expenses is 45% -70%. Although the medical insurance system has basically realized the initial purpose of the system designer, there are still some areas that need to be improved, especially for the medical care of the vulnerable groups in the medical field.