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v3.25.4

Segment Information (Tables) | 12 Months Ended
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Dec. 31, 2025
Segment Reporting [Abstract] |
Schedule of Segment Information | Segment information for the year ended December 31, 2025, is as follows ($ in millions):
|  | Medicaid |  | Medicare |  | Commercial |  | Other/Eliminations |  |  |  | Consolidated Total
Premium | $ | 90,137 |  |  | $ | 37,210 |  |  | $ | 42,001 |  |  | $ | 2,208 |  |  |  |  | $ | 171,556 |
Service | 101 |  |  | — |  |  | 2 |  |  | 2,922 |  |  |  |  | 3,025 |
Premium and service revenues | 90,238 |  |  | 37,210 |  |  | 42,003 |  |  | 5,130 |  |  |  |  | 174,581 |
Premium tax | 20,196 |  |  | — |  |  | — |  |  | — |  |  |  |  | 20,196 |
Total external revenues | 110,434 |  |  | 37,210 |  |  | 42,003 |  |  | 5,130 |  |  |  |  | 194,777 |
Internal revenues | — |  |  | — |  |  | — |  |  | 16,854 |  |  |  |  | 16,854 |
Eliminations | — |  |  | — |  |  | — |  |  | (16,854) |  |  |  |  | (16,854) |
Total revenues | $ | 110,434 |  |  | $ | 37,210 |  |  | $ | 42,003 |  |  | $ | 5,130 |  |  |  |  | $ | 194,777 |
Medical costs | $ | 84,450 |  |  | $ | 34,227 |  |  | $ | 36,902 |  |  | $ | 2,123 |  |  |  |  | $ | 157,702 |
Cost of services | 98 |  |  | — |  |  | — |  |  | 2,572 |  |  |  |  | 2,670 |
Other operating expenses (1) |  |  |  |  |  |  |  |  |  |  | 42,028 |
Other income (expense) (2) |  |  |  |  |  |  |  |  |  |  | 895 |
Loss before income tax expense |  |  |  |  |  |  |  |  |  |  | $ | (6,728) |
Segment gross margin (3) | $ | 5,690 |  |  | $ | 2,983 |  |  | $ | 5,101 |  |  | $ | 435 |  |  |  |  | $ | 14,209 |
(1) | Other operating expenses include selling, general and administrative expenses, depreciation, amortization, premium tax expense and impairment.
(2) | Other income (expense) includes investment and other income, debt extinguishment and interest expense.
(3) | Segment gross margin represents premium and service revenues less medical costs and cost of services.
Segment information for the year ended December 31, 2024, is as follows ($ in millions):
|  | Medicaid |  | Medicare |  | Commercial |  | Other/Eliminations |  |  |  | Consolidated Total
Premium | $ | 83,758 |  |  | $ | 23,032 |  |  | $ | 33,699 |  |  | $ | 1,814 |  |  |  |  | $ | 142,303 |
Service | 93 |  |  | — |  |  | 3 |  |  | 3,106 |  |  |  |  | 3,202 |
Premium and service revenues | 83,851 |  |  | 23,032 |  |  | 33,702 |  |  | 4,920 |  |  |  |  | 145,505 |
Premium tax | 17,566 |  |  | — |  |  | — |  |  | — |  |  |  |  | 17,566 |
Total external revenues | 101,417 |  |  | 23,032 |  |  | 33,702 |  |  | 4,920 |  |  |  |  | 163,071 |
Internal revenues | — |  |  | — |  |  | — |  |  | 16,879 |  |  |  |  | 16,879 |
Eliminations | — |  |  | — |  |  | — |  |  | (16,879) |  |  |  |  | (16,879) |
Total revenues | $ | 101,417 |  |  | $ | 23,032 |  |  | $ | 33,702 |  |  | $ | 4,920 |  |  |  |  | $ | 163,071 |
Medical costs | $ | 77,516 |  |  | $ | 20,437 |  |  | $ | 26,039 |  |  | $ | 1,715 |  |  |  |  | $ | 125,707 |
Cost of services | 89 |  |  | — |  |  | — |  |  | 2,640 |  |  |  |  | 2,729 |
Other operating expenses (1) |  |  |  |  |  |  |  |  |  |  | 31,460 |
Other income (expense) (2) |  |  |  |  |  |  |  |  |  |  | 1,082 |
Earnings before income tax expense |  |  |  |  |  |  |  |  |  |  | $ | 4,257 |
Segment gross margin (3) | $ | 6,246 |  |  | $ | 2,595 |  |  | $ | 7,663 |  |  | $ | 565 |  |  |  |  | $ | 17,069 |
(1) | Other operating expenses include selling, general and administrative expenses, depreciation, amortization, premium tax expense and impairment.
(2) | Other income (expense) includes investment and other income, debt extinguishment and interest expense.
(3) | Segment gross margin represents premium and service revenues less medical costs and cost of services.
Segment information for the year ended December 31, 2023, is as follows ($ in millions):
|  | Medicaid |  | Medicare |  | Commercial |  | Other/Eliminations |  |  |  | Consolidated Total
Premium | $ | 86,853 |  |  | $ | 22,261 |  |  | $ | 24,843 |  |  | $ | 1,679 |  |  |  |  | $ | 135,636 |
Service | 2 |  |  | — |  |  | 2 |  |  | 4,455 |  |  |  |  | 4,459 |
Premium and service revenues | 86,855 |  |  | 22,261 |  |  | 24,845 |  |  | 6,134 |  |  |  |  | 140,095 |
Premium tax | 13,904 |  |  | — |  |  | — |  |  | — |  |  |  |  | 13,904 |
Total external revenues | 100,759 |  |  | 22,261 |  |  | 24,845 |  |  | 6,134 |  |  |  |  | 153,999 |
Internal revenues | — |  |  | — |  |  | — |  |  | 16,735 |  |  |  |  | 16,735 |
Eliminations | — |  |  | — |  |  | — |  |  | (16,735) |  |  |  |  | (16,735) |
Total revenues | $ | 100,759 |  |  | $ | 22,261 |  |  | $ | 24,845 |  |  | $ | 6,134 |  |  |  |  | $ | 153,999 |
Medical costs | $ | 78,210 |  |  | $ | 19,394 |  |  | $ | 19,816 |  |  | $ | 1,474 |  |  |  |  | $ | 118,894 |
Cost of services | 4 |  |  | — |  |  | — |  |  | 3,560 |  |  |  |  | 3,564 |
Other operating expenses (1) |  |  |  |  |  |  |  |  |  |  | 28,611 |
Other income (expense) (2) |  |  |  |  |  |  |  |  |  |  | 668 |
Earnings before income tax expense |  |  |  |  |  |  |  |  |  |  | $ | 3,598 |
Segment gross margin (3) | $ | 8,641 |  |  | $ | 2,867 |  |  | $ | 5,029 |  |  | $ | 1,100 |  |  |  |  | $ | 17,637 |
(1) | Other operating expenses include selling, general and administrative expenses, depreciation, amortization, premium tax expense and impairment.
(2) | Other income (expense) includes investment and other income, debt extinguishment and interest expense.
(3) | Segment gross margin represents premium and service revenues less medical costs and cost of services.

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