With methylsilsesquioxane (MSQ) aerogels synthesized by the sol-gel method as a raw material and Si-Ti sol as a binder, an alcohol-based aerogel slurry consisting of only MSQ aerogel and Si-Ti sol was prepared and coated on expanded polytetrafluoroethylene (ePTFE) to form an MSQ aerogel coating layer, followed by low-temperature heat treatment. The effect of Si-Ti sol content on the microstructure of the MSQ aerogel coating layer was investigated, and the properties of a typical MSQ aerogel-layer-coated ePTFE film were evaluated. The results show that Si-Ti sol has an important role in terms of film-forming capability, surface smoothness, flexibility, and powder dropping of the MSQ aerogel coating layer. With a Si-Ti sol of 10.5 wt.% content as a binder and after heat treatment at 170 °C for 30 min, the coated ePTFE flexible thin film with a layer thickness of 30 μm shows high uniformity, integrity, and electrical insulation properties, with an elongation at break decrease over 130%, a thermal conductivity of 0.1753 W/(m·K) at 25 °C, a dielectric constant of 16.5674, and a dielectric loss of 0.06369, which can be promisingly applied in cable sheaths.