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Medical Costs Payable (Notes) | 9 Months Ended
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Sep. 30, 2025
Insurance [Abstract] |
Short-Duration Insurance and Deposit Contracts | Medical Costs Payable The following table shows the components of the change in medical costs payable for the nine months ended September 30:
(in millions) |  | 2025 |  | 2024
Medical costs payable, beginning of period |  | $ | 34,224 |  |  | $ | 32,395 |
Acquisitions (dispositions), net |  | 20 |  |  | (755) |
Reported medical costs: |  |  |  |
Current year |  | 231,984 |  |  | 197,750 |
Prior years |  | (30) |  |  | (600) |
Total reported medical costs |  | 231,954 |  |  | 197,150 |
Medical payments: |  |  |  |
Payments for current year |  | (195,548) |  |  | (165,544) |
Payments for prior years |  | (30,453) |  |  | (29,095) |
Total medical payments |  | (226,001) |  |  | (194,639) |
Less: increase in medical costs payable included within businesses held for sale |  | (16) |  |  | (200) |
Medical costs payable, end of period |  | $ | 40,181 |  |  | $ | 33,951 |
For the nine months ended September 30, 2025 and 2024, prior years’ medical cost reserve development included no individual factors that were significant. Medical costs payable included reserves for claims incurred by consumers but not yet reported to the Company of $27.8 billion and $23.7 billion at September 30, 2025 and December 31, 2024, respectively.

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- Definition The entire disclosure for insurance products considered to be short-duration contracts because the contract provides insurance protection for a fixed period of short duration and enables the insurer to cancel the contract or to adjust the provisions of the contract at the end of any contract period, such as adjusting the amount of premiums charged or coverage provided, and on contracts on which amounts are paid but insurance risk is not transferred. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 944 -Name Accounting Standards Codification -Publisher FASB -URI https://asc.fasb.org/944/tableOfContent Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 944 -SubTopic 40 -Name Accounting Standards Codification -Section 50 -Paragraph 4D -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147480081/944-40-50-4D + Details
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