High-temperature proton exchange membrane (HT-PEM) fuel cells offer more advantages than low-temperature PEM fuel cells. The ideal characteristics of HT-PEMs are high conductivities, low-humidity operation conditions, adequate mechanical properties, and competitive costs. Various molecular moieties, such as benzimidazole, benzothiazole, imide, and ether ether ketone, have been introduced to polymer chain backbones to satisfy the application requirements for HT-PEMs. The most common sulfonated polymers based on the main chain backbones have been employed to improve the rties. Side group/chain engineering, includ crosslinking, has been widely applied to HT-PEMs to further improve their proton conductivity, thermal stability, and mechanical properties. Currently, phosphoric acid-doped polybenzimidazole is the most successful polymer material for application in HT-PEMs. The compositing/blending modification methods of polymers are effective in obtaining high PA-doping levels and superior mechanical properties. In this review, the current progress of various membrane materials used for HT-PEMs is summarized. The synthesis and performance characteristics of polymers containing specific moieties in the chain backbones applied to HT-PEMs are discussed systemically. Various modification approaches and their deficiencies associated with HT-PEMs are analyzed and clarified. Prospects and future challenges are also presented.