Based on the Andersen model of health services utilization, this study examined the association between health insurance reimbursement policy awareness and primary care first-visit intention among urban and rural residents, and tested the consistency of this association across different subgroups. A self-administered questionnaire survey was conducted among 826 residents in Anqing City, Anhui Province. Binary logistic regression was used to analyze the relationship between health insurance reimbursement policy awareness and primary care first-visit intention, and stratified analysis with interaction tests was performed to examine this association across different subgroups. Results showed that health insurance reimbursement policy awareness was significantly and positively associated with primary care first-visit intention (OR=4.395, P<0.001), indicating that residents who were aware of health insurance reimbursement policies had higher primary care first-visit intention. Stratified analysis showed that this association was consistent in direction across subgroups of gender, age, income, education, chronic disease, and depressive tendency, with no significant interactions (all P>0.05). Health insurance reimbursement policy awareness was positively associated with primary care first-visit intention, suggesting that strengthening health insurance policy publicity may be associated with higher primary care first-visit intention, thereby facilitating the achievement of hierarchical medical system goals.