Based on the data from 30 province - level divisions in China，this study used the coupling coordination degree and spatial autocorrelation model to evaluate the coupling and coordinated development level and spatial correlation between commercial health insurance and rural revitalization in China. The result showed that the comprehensive development level of commercial health insurance and rural revitalization in China showed distinctive regional differences，with the level of the coupling coordination of the two increasing steadily，featuring a“polarization equilibrium”among regions. The coupling coordination between regions had significant spatial spillover effects. Therefore，each region should formulate commercial health insurance development plans tailored to local conditions，implementing the coupling and coordinated development strategy for commercial health insurance and rural revitalization，thus giving full play to the regional spatial spillover effect.