Medical care is an input to the production of health. People get treatment for their health issues under western medicine , complementary and alternative medicine. Western medicine can be identified as the most famous and modern medical care system in the world. Complementary and alternative medicine refers to a variety of health practices as ayurveda, homeopathy, acupuncture, herbs, yoga, etc. Considering Sri Lankan context, with the rapid increase of ageing population, there is a growing trend in non communicable diseases. Most of people tend to use these two systems to recover from non communicable diseases as asthma, cholesterol, hypertension, arthritis, etc. The main objective of this study was to distinguish between the demand for alternative medicine and western medicine related to non communicable diseases. It was considered socio demographic and economic factors for demand in medical care for both sectors. Primary data was based on Arogya private hospital and Siddhayurvedini private ayurvedic care institution in Gampaha. It was selected 100 non communicable disease patients using systematic sampling method. Logistic regression model was mainly used to distinguish between the alternative and western medical care. According to the findings of this study, females are more likely to demand for both medical cares. Middle age, unemployed, arthritis patient and duration of disease 2-5 years cause to raise demand for alternative medical care. Diabetic patient, employed, believing health status as serious and having employer provided insurance cause to raise demand for western medical care. Relative to the demand for alternative medical care, living in rural area and lower educated people are negatively associated with demand for western medical care.