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Condensed Financial Information of Registrant - Condensed Balance Sheets (Details) - USD ($)
$ in Millions
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Current assets:        
Cash and cash equivalents $ 5,342 $ 4,072    
Short-term investments 722 531    
Other current assets 784 687    
Total current assets 11,998 8,703    
Long-term investments 6,861 5,312    
Other long-term assets 527 454    
Total assets 30,901 21,855 $ 20,197  
LIABILITIES, REDEEMABLE NONCONTROLLING INTERESTS AND STOCKHOLDERS’ EQUITY        
Current liabilities 11,971 9,332    
Long-term debt 6,648 4,695    
Other long-term liabilities 1,259 952    
Total liabilities 19,878 14,979    
Redeemable noncontrolling interests 10 12    
Stockholders’ equity:        
Preferred stock, $.001 par value; authorized 10,000 shares; no shares issued or outstanding at December 31, 2018 and December 31, 2017 0 0    
Common stock, $.001 par value; authorized 800,000 shares; 417,695 issued and 412,478 outstanding at December 31, 2018, and 360,758 issued and 346,874 outstanding at December 31, 2017 0 0    
Additional paid-in capital 7,449 4,349    
Accumulated other comprehensive loss (56) (3)    
Retained earnings 3,663 2,748    
Treasury stock, at cost (5,217 and 13,884 shares, respectively) (139) (244)    
Total Centene stockholders’ equity 10,917 6,850    
Noncontrolling interest 96 14    
Total stockholders’ equity 11,013 6,864 5,909 $ 2,168
Total liabilities, redeemable noncontrolling interests and stockholders’ equity 30,901 21,855    
Parent Company        
Current assets:        
Cash and cash equivalents 6 6 $ 5 $ 4
Short-term investments 2 2    
Other current assets 61 46    
Total current assets 69 54    
Long-term investments 14 17    
Investment in subsidiaries 17,409 11,303    
Other long-term assets 278 302    
Total assets 17,770 11,676    
LIABILITIES, REDEEMABLE NONCONTROLLING INTERESTS AND STOCKHOLDERS’ EQUITY        
Current liabilities 109 100    
Long-term debt 6,521 4,624    
Other long-term liabilities 117 76    
Total liabilities 6,747 4,800    
Redeemable noncontrolling interests 10 12    
Stockholders’ equity:        
Preferred stock, $.001 par value; authorized 10,000 shares; no shares issued or outstanding at December 31, 2018 and December 31, 2017 0 0    
Common stock, $.001 par value; authorized 800,000 shares; 417,695 issued and 412,478 outstanding at December 31, 2018, and 360,758 issued and 346,874 outstanding at December 31, 2017 0 0    
Additional paid-in capital 7,449 4,349    
Accumulated other comprehensive loss (56) (3)    
Retained earnings 3,663 2,748    
Treasury stock, at cost (5,217 and 13,884 shares, respectively) (139) (244)    
Total Centene stockholders’ equity 10,917 6,850    
Noncontrolling interest 96 14    
Total stockholders’ equity 11,013 6,864    
Total liabilities, redeemable noncontrolling interests and stockholders’ equity $ 17,770 $ 11,676