Highest-Rated Health Plans in Wisconsin

Each year, NCQA rates commercial, Medicare and Medicaid health plans in all 50 states, U.S. territories and the District of Columbia. Ratings offer valuable insights into how well plans perform on key health measures and how satisfied members are with their care. By making this information publicly available, NCQA aims to empower consumers, employers and policymakers to make informed health care decisions and to encourage health plans to improve performance and prioritize member needs.

How Ratings Work

Health plans are rated on a scale of 0-5 stars. NCQA considers plans with 4.5 and 5 stars to be the highest-rated health plans in the nation. Ratings are based on three types of quality:

Measures of clinical quality from HEDIS^® and the Health Outcomes Survey (HOS).
Measures of patient experience using the Consumer Assessment of Healthcare Providers and Systems (CAHPS^®).
Results from NCQA's review of a health plan's structure and quality processes (NCQA Health Plan Accreditation).

The overall rating is the weighted average of a plan's HEDIS, CAHPS and HOS measure ratings, plus Accreditation bonus points, if the plan is Accredited by NCQA.

Highest-Rated Plans

Below are the highest-rated health plans in Wisconsin. View more details about each plan on NCQA's website.

Plan Name	Product Line & Reporting Product	Overall Rating
Network Health Insurance Corporation (NHIC)	Medicare PPO	5
Group Health Cooperative of South Central Wisconsin	Commercial HMO	4.5
HealthPartners Administrators Inc.	Commercial HMO/POS/PPO Combined	4.5
Managed Health Services Insurance Corp. dba MHS Health Wisconsin	Medicaid HMO	4.5
Medical Associates Clinic Health Plan of Wisconsin dba Medical Associates Health Plans	Medicare HMO	4.5
MercyCare HMO, Inc d/b/a/ MercyCare Health Plans	Commercial HMO/EPO Combined	4.5
Network Health Plan	Commercial HMO/POS Combined	4.5
UCare Health Inc.	Medicare PPO	4.5
UnitedHealthcare Insurance Company (H1537)	Medicare PPO	4.5

Ratings are based on NCQA's 2025 Health Plan Ratings. Plans that reported partial or no data did not receive a rating.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).