The applications of Information and Communication Technology (ICT) on new health care service design have drawn vast interests from both academics and industry. In this study we systematically analyzed the needs of different levels for the elderly. From home care service to acute medical treatment at hospital, the selection of appropriate service mainly depends on the level of medication. We address some critical issues and new trends for designing new care service via ICT. The study finds that the availability of enhanced Internet access, innovative interactive tools and devices, integrated health information systems, as well as gene-based screening and diagnostic tools will be the main areas for new health service design which can be tailored for the needs of different service levels.