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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2017 Local High Deductible Health Plan Insurance Program
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2017 It's Your Choice - Local High Deductible Health Plan Insurance for Employees and Retirees
Wisconsin Department Of Employee Trust Funds It's Your Choice 2017

Local High Deductible Health Plan
Insurance for Employees
and Retirees
(PO7, PO17)

2016 Health Plan Report Card

Overuse of Services Rating

The “Overuse of Services Ratings” in the table below looks at how well a plan does using services wisely. In other words, we look at avoiding using services when they are not needed.

Providing services that are not necessary can be harmful to your health. For example, unneeded antibiotics can put you at greater risk of infections. A CT scan exposes you to 400 times the radiation of an X-ray or more. Also, overuse simply means health care dollars are spent unwisely.

The measures that make up the rating look at:

  • Overuse of imaging: CT scans, MRIs and x rays
  • Not using antibiotics appropriately in regard to:
    • Children with upper respiratory infections
    • Children with pharyngitis
    • Adults with bronchitis

More stars mean more appropriate use.  In other words, less overuse of services.  Less stars mean more overuse of services.

Overuse of Services Rating

Health Plan Star Rating
Anthem Blue 11
Arise Health Plan 33
Dean Health Insurance (all plans)1 33
GHC of Eau Claire 11
GHC of South Central Wisconsin 55
Gundersen Health Plan 33
Health Tradition Health Plan 33
HealthPartners Health Plan 55
Humana (all plans)2 33
Medical Associates Health Plans 11
MercyCare Health Plans 33
Network Health (all plans)3 22
Physicians Plus  33
Security Health Plan (all plans)4 22
UnitedHealthcare of Wisconsin 22
Unity Health Insurance (all plans)5 33
WEA Trust (all plans)6 33


Sort columns by clicking on the header.


Highest rating








lowest rating


List of MeasuresList of measures that make up ratings and the health plans’ results in each.

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

List of MeasuresHealth Plan Features and links to plan description pages.


1.Participating Dean plans include Dean Health Insurance and Dean Prevea360
2.Participating Humana plans include Eastern and Western
3.Participating Network Health plans include Northeast and Southeast
4.Participating Security Health plans include Central and Valley
5.Participating Unity Health Insurance plans include Community and UW Health
6.Participating WEA Trust plans include East, Northwest Chippewa Valley and Northwest Mayo Clinic Health System

Note: WPS does not submit results for the measures used to create the ratings above.

Every effort has been made to ensure that this information is accurate, but may be subject to change. Please note revision dates located at the bottom of each page. In the event of conflicting information, federal law, state statute, state health contracts and/or policies and provisions established by the State of Wisconsin Group Insurance Board shall be followed.

This page was last modified on: 10/3/2016 2:41:01 PM