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Health Care Costs Payable | 9 Months Ended
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Sep. 30, 2025
Health Care And Other Insurance Liabilities [Abstract] |
Health Care Costs Payable | Health Care Costs Payable The following table shows the components of the change in health care costs payable during the nine months ended September 30, 2025 and 2024:
| Nine Months Ended September 30,
In millions | 2025 |  | 2024
Health care costs payable, beginning of the period | $ | 15,064 |  |  | $ | 12,049 |
Less: Reinsurance recoverables | 81 |  |  | 5 |
Less: Impact of discount rate on long-duration insurance reserves (1) | (1) |  |  | (23) |
Health care costs payable, beginning of the period, net | 14,984 |  |  | 12,067 |
Add: Components of incurred health care costs |  |  |
Current year | 93,496 |  |  | 85,541 |
Prior years | (1,926) |  |  | (845) |
Total incurred health care costs (2) | 91,570 |  |  | 84,696 |
Less: Claims paid |  |  |
Current year | 79,687 |  |  | 71,356 |
Prior years | 11,567 |  |  | 10,886 |
Total claims paid | 91,254 |  |  | 82,242 |
Health care costs payable, end of the period, net | 15,300 |  |  | 14,521 |
Add: Premium deficiency reserves | 728 |  |  | 670 |
Add: Reinsurance recoverables | 94 |  |  | 65 |
Add: Impact of discount rate on long-duration insurance reserves (1) | (24) |  |  | (19) |
Health care costs payable, end of the period | $ | 16,098 |  |  | $ | 15,237 |
_____________________________________________ (1)Reflects the difference between the current discount rate and the locked-in discount rate on long-duration insurance reserves which is recorded within accumulated other comprehensive income (loss) on the unaudited condensed consolidated balance sheets. (2)Total incurred health care costs for the nine months ended September 30, 2025 and 2024 in the table above exclude $41 million and $70 million, respectively, of health care costs recorded in the Health Care Benefits segment that are included in other insurance liabilities on the unaudited condensed consolidated balance sheets and $133 million and $142 million, respectively, of health care costs recorded in the Corporate/Other segment that are included in other insurance liabilities on the unaudited condensed consolidated balance sheets. Total incurred health care costs for the nine months ended September 30, 2025 also exclude $728 million for premium deficiency reserves for the 2025 coverage year related to the Company’s individual exchange and Group Medicare Advantage product lines. Total incurred health care costs for the nine months ended September 30, 2024 also exclude $670 million for premium deficiency reserves related to the Company’s Medicare, individual exchange and Medicaid product lines. The Company’s estimates of prior years’ health care costs payable decreased by $1.9 billion and $845 million, respectively, in the nine months ended September 30, 2025 and 2024, because claims were settled for amounts less than originally estimated (i.e., the amount of claims incurred was lower than originally estimated), primarily due to lower health care cost trends as well as the actual claim submission time being faster than originally assumed (i.e., the Company’s completion factors were higher than originally assumed) in estimating health care costs payable at the end of the prior year. At September 30, 2025, the Company’s liabilities for the ultimate cost of (i) services rendered to the Company’s Insured members but not yet reported to the Company and (ii) claims which have been reported to the Company but not yet paid (collectively, “IBNR”) plus expected development on reported claims totaled approximately $10.6 billion. Substantially all of the Company’s liabilities for IBNR plus expected development on reported claims at September 30, 2025 related to the current year.

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- Definition The entire disclosure for liabilities related to future policy benefits and unpaid claims and claim adjustments. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 944 -SubTopic 40 -Name Accounting Standards Codification -Section 50 -Paragraph 3 -Publisher FASB -URI https://asc.fasb.org/1943274/2147480081/944-40-50-3 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 944 -SubTopic 40 -Name Accounting Standards Codification -Publisher FASB -URI https://asc.fasb.org/944-40/tableOfContent + Details
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