In recent years, the problem of aging population in China has been aggravated. The continuous increase in elderly population has brought great demands for elderly care services and also provided new opportunities for the development of elderly care industry. Under the background of the “Internet + ” era, the concept of smart elderly was framed, and the elderly care industry has entered a new phase of rapid development. In response to the various challenges facing the current elderly care industry, this article proposes a smart home elderly care service model based on the integration of medical care and elderly care, and elaborates on the developing strategy of “making use of the advantages of the Internet, improving system construction, laws and regulations, and integration of medical care and elderly care ”. Specific implementation path is also discussed, that is, “building a service platform, strengthening the training of professional talents, encouraging diversified subjects to innovate, research and develop, and enhancing the service individualization and humanization ”.