The preliminary Long Term Care Insurance(LTCI) of Korea now entered on its rehearsal phase. The economic condition of Korea and the demand for health strengthening through proper medical service of elderly were not fairly reflected in the LTCI. The complex procedure of application for LTC service and unskilled decision system were revealed from the exhibition trial of LTCI. Many requests were suggested to establish operating system. The elderly wanted to take a combined medical and care service than simple care service. Therefore, the professional role of LTCI for a high degree of efficiency should be readjusted and LTCI have to be changed to fit in with the reality of Korea.