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Condensed Financial Information of Registrant - Schedule of Condensed Balance Sheets (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Current assets:        
Cash and cash equivalents $ 17,888 $ 14,063 $ 17,193  
Other current assets 1,945 1,601    
Total current assets 40,370 37,999    
Long-term investments 17,035 17,429    
Other long-term assets 528 593    
Total assets 76,747 82,445    
Current liabilities:        
Current portion of long-term debt 50 110    
Total current liabilities 36,696 34,261    
Long-term debt 17,351 18,423    
Other long-term liabilities 1,811 2,567    
Total liabilities 56,691 55,935    
Commitments and contingencies    
Redeemable noncontrolling interests 23 10    
Stockholders' equity:        
Preferred stock, $0.001 par value; authorized 10,000 shares; no shares issued or outstanding at December 31, 2025 and December 31, 2024 0 0    
Common stock, $0.001 par value; authorized 800,000 shares; 623,463 issued and 491,757 outstanding at December 31, 2025, and 620,195 issued and 495,907 outstanding at December 31, 2024 1 1    
Additional paid-in capital 20,777 20,562    
Accumulated other comprehensive (loss) (58) (504)    
Retained earnings 8,674 15,348    
Total Centene stockholders' equity 19,953 26,410    
Nonredeemable noncontrolling interest 80 90    
Total stockholders' equity 20,033 26,500 $ 25,937 $ 24,181
Total liabilities, redeemable noncontrolling interests and stockholders' equity 76,747 82,445    
Parent Company        
Current assets:        
Cash and cash equivalents 0 7    
Other current assets 1 9    
Total current assets 1 16    
Long-term investments 251 206    
Investment in subsidiaries 37,445 45,148    
Other long-term assets 104 85    
Total assets 37,801 45,455    
Current liabilities:        
Current liabilities 172 243    
Current portion of long-term debt 50 110    
Total current liabilities 222 353    
Long-term debt 17,351 18,423    
Other long-term liabilities 172 169    
Total liabilities 17,745 18,945    
Commitments and contingencies    
Redeemable noncontrolling interests 23 10    
Stockholders' equity:        
Preferred stock, $0.001 par value; authorized 10,000 shares; no shares issued or outstanding at December 31, 2025 and December 31, 2024 0 0    
Common stock, $0.001 par value; authorized 800,000 shares; 623,463 issued and 491,757 outstanding at December 31, 2025, and 620,195 issued and 495,907 outstanding at December 31, 2024 1 1    
Additional paid-in capital 20,777 20,562    
Accumulated other comprehensive (loss) (58) (504)    
Retained earnings 8,674 15,348    
Treasury stock, at cost (131,706 and 124,288 shares, respectively) (9,441) (8,997)    
Total Centene stockholders' equity 19,953 26,410    
Nonredeemable noncontrolling interest 80 90    
Total stockholders' equity 20,033 26,500    
Total liabilities, redeemable noncontrolling interests and stockholders' equity $ 37,801 $ 45,455