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Condensed Financial Information of Registrant - Schedule of Condensed Balance Sheets (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Current assets:        
Cash and cash equivalents $ 14,063 $ 17,193 $ 12,074  
Other current assets 1,601 5,572    
Total current assets 37,999 40,756    
Long-term investments 17,429 16,286    
Other long-term assets 593 535    
Total assets 82,445 84,641    
Current liabilities:        
Current portion of long-term debt 110 119    
Total current liabilities 34,261 36,716    
Long-term debt 18,423 17,710    
Other long-term liabilities 2,567 3,618    
Total liabilities 55,935 58,685    
Commitments and contingencies    
Redeemable noncontrolling interests 10 19    
Stockholders' equity:        
Preferred stock, $0.001 par value; authorized 10,000 shares; no shares issued or outstanding at December 31, 2024 and December 31, 2023 0 0    
Common stock, $0.001 par value; authorized 800,000 shares; 620,195 issued and 495,907 outstanding at December 31, 2024, and 615,291 issued and 534,484 outstanding at December 31, 2023 1 1    
Additional paid-in capital 20,562 20,304    
Accumulated other comprehensive (loss) (504) (652)    
Retained earnings 15,348 12,043    
Total Centene stockholders' equity 26,410 25,840    
Nonredeemable noncontrolling interest 90 97    
Total stockholders' equity 26,500 25,937 $ 24,181 $ 26,940
Total liabilities, redeemable noncontrolling interests and stockholders' equity 82,445 84,641    
Parent Company        
Current assets:        
Cash and cash equivalents 7 7    
Other current assets 9 7    
Total current assets 16 14    
Long-term investments 206 264    
Investment in subsidiaries 45,148 43,853    
Other long-term assets 85 186    
Total assets 45,455 44,317    
Current liabilities:        
Current liabilities 243 417    
Current portion of long-term debt 110 110    
Total current liabilities 353 527    
Long-term debt 18,423 17,708    
Other long-term liabilities 169 126    
Total liabilities 18,945 18,361    
Commitments and contingencies    
Redeemable noncontrolling interests 10 19    
Stockholders' equity:        
Preferred stock, $0.001 par value; authorized 10,000 shares; no shares issued or outstanding at December 31, 2024 and December 31, 2023 0 0    
Common stock, $0.001 par value; authorized 800,000 shares; 620,195 issued and 495,907 outstanding at December 31, 2024, and 615,291 issued and 534,484 outstanding at December 31, 2023 1 1    
Additional paid-in capital 20,562 20,304    
Accumulated other comprehensive (loss) (504) (652)    
Retained earnings 15,348 12,043    
Treasury stock, at cost (124,288 and 80,807 shares, respectively) (8,997) (5,856)    
Total Centene stockholders' equity 26,410 25,840    
Nonredeemable noncontrolling interest 90 97    
Total stockholders' equity 26,500 25,937    
Total liabilities, redeemable noncontrolling interests and stockholders' equity $ 45,455 $ 44,317