The population ageing has pushed the older adults from the edge to the center of the consumption stage. Whether the pilot policies for smart elderly health care can promote the enjoyment-oriented consumption of the older adults has become an important issue. Based on the unbalanced panel data of the China Family Panel Studies (CFPS) from 2014 to 2022, this paper explores the impact and mechanism of smart elderly health care on the enjoyment-oriented consumption of the older adults. The results reveal that smart elderly health care has significantly promoted the enjoyment-oriented consumption of the older adults. After a series of robustness tests, this conclusion still holds. Mechanism analysis shows that smart elderly health care increases the enjoyment-oriented consumption of the older adults by reducing medical expenses and decreasing precautionary savings. Heterogeneity analysis reveals that the promotion effect of smart elderly health care on the enjoyment-oriented consumption of the older adults is more significant in the eastern region, among internet users and highly educated people. Therefore, sustained policies for smart elderly health care are recommended.