During the 14th "Five-Year Plan" period, Huai'an City adhered to the policy of "full coverage, basic protection, multiple levels, and sustainability," established a multi-level system based on basic pension insurance, supported by supplementary pension insurance, and supplemented by personal pension finance, and continued to improve the level of basic support for the elderly.

The city steadily enhanced the implementation of pension insurance. By implementing the universal insurance coverage scheme to expand the coverage of pension insurance, the city has realized full coverage of basic pension insurance for all statutory persons. The city also implemented the basic pension insurance benefit adjustment mechanism, raising the minimum basic pension standard for urban and rural residents to RMB 248 per person per month, with the level of per capita benefit rising continuously. In the city's nine counties and districts, 60 village collectives have carried out pilot projects to provide collective subsidies on basic pension insurance and basic pensions for urban and rural residents, with a cumulative total of 16,400 people subsidized. In addition, the city has been safeguarding the bottom line of social security for people in special difficulties, with 278,800 people paying basic pension insurance premiums on behalf of urban and rural residents over the past five years.

The medical security system has been gradually improved. On the basis of the municipal-level overall planning of basic medical insurance, five types of surgical treatments for cataracts, tear duct obstruction, pterygium, entropion, and ectropion, which are common among the elderly, were included in the management and account settlement of daytime surgery to reduce the medical burden on elderly patients. A long-term care insurance system has been established, and all the insured persons of the city's employee medical insurance have been covered by long-term care insurance. The city has established eight long-term care insurance service centers, seven assessment agencies, and 101 nursing agencies, with more than 3,300 elderly people enjoying long-term care insurance nursing services, effectively reducing the burden on the families of the disabled. The city has also been encouraging the development of commercial supplemental health insurance products, which have covered approximately 300,000 more elderly persons.