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Condensed Financial Information of Registrant - Schedule of Condensed Statements of Operations (Details) - USD ($)
$ / shares in Units, $ in Millions
 12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Expenses:      
Selling, general and administrative expenses $ 12,400 $ 12,563 $ 11,589
Other income (expense):      
Investment and other income 1,784 1,393 1,279
Gain (loss) on divestiture 120 152 772
Debt extinguishment 0 0 30
Interest expense (702) (725) (665)
Income tax (benefit) 963 899 760
Net earnings 3,294 2,699 1,202
Loss attributable to noncontrolling interests 11 3 0
Net earnings attributable to Centene Corporation $ 3,305 $ 2,702 $ 1,202
Net earnings per common share attributable to Centene Corporation:      
Basic earnings per common share (in usd per share) $ 6.33 $ 4.97 $ 2.09
Diluted earnings per common share (in usd per share) $ 6.31 $ 4.95 $ 2.07
Parent Company      
Expenses:      
Selling, general and administrative expenses $ 13 $ 14 $ 21
Legal settlement 0 0 33
Other income (expense):      
Investment and other income (34) (47) 55
Gain (loss) on divestiture (34) 108 13
Debt extinguishment 0 0 14
Interest expense (700) (710) (643)
(Loss) before income taxes (781) (663) (615)
Income tax (benefit) (76) (118) (208)
Net (loss) before equity in subsidiaries (705) (545) (407)
Equity in earnings from subsidiaries 3,999 3,244 1,609
Net earnings 3,294 2,699 1,202
Loss attributable to noncontrolling interests 11 3 0
Net earnings attributable to Centene Corporation $ 3,305 $ 2,702 $ 1,202
Net earnings per common share attributable to Centene Corporation:      
Basic earnings per common share (in usd per share) $ 6.33 $ 4.97 $ 2.09
Diluted earnings per common share (in usd per share) $ 6.31 $ 4.95 $ 2.07