This study aims to analyze and evaluate the realities of basic elements of the quality of medical examination and treatment services by health insurance in Pho Yen town, Thai Nguyen province, from 2015 to 2017, then proposing some solutions to improve the quality of medical examination and treatment services by health insurance in Pho Yen town, Thai Nguyen province, in the period of 2018 - 2020, contribute to improving the satisfaction of patients in order to reduce overload of upper level hospitals.