The burden of neonicotinoid insecticides (neonics) in humans has attracted widespread attention in recent years due to the potential adverse effects. Nonetheless, information on the partitioning behavior and distribution in human blood is still limited. Herein, we obtained 115 adult whole blood and plasma specimens for analysis of eight neonics to better understand neonics’ partitioning and distribution in human blood. At least one neonic was detected in 49.6% of the red blood cells and 55.7% of the plasma. In red blood cells, the highest detection rate and concentration was thiamethoxam (THI) with 19.1% and 3832 ng/L, respectively. Imidacloprid had the highest detection rate with 26.1% in the plasma. The mass fraction (Fp) of neonics detected indicates that thiacloprid, imidacloprid, and dinotefuran are mostly resided in plasma upon entering into human blood, while thiamethoxam is mostly present in red blood cells. The distribution of clothianidin and acetamiprid between plasma and red blood cells is similar. The mass fraction (Fp) values for THI were significantly different compared to other neonics, and the effect of age and gender on THI partitioning concluded that there may not be significant variability in the distribution of THI in the sampled population. Overall, this study was the first to investigate neonics residuals in red blood cells and provided fundamental information on the partitioning and distribution of neonics in human blood.