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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, 2025
Dec. 31, 2024
Dec. 31, 2023
Expenses:      
Selling, general and administrative expenses $ 12,904 $ 12,400 $ 12,563
Other income (expense):      
Investment and other income (expense) 1,572 1,784 1,393
Gain (loss) on divestiture 2 120 152
Debt extinguishment 1 0 0
Interest expense (678) (702) (725)
Income tax (benefit) (51) 963 899
Net earnings (loss) (6,677) 3,294 2,699
Loss attributable to noncontrolling interests 3 11 3
Net earnings (loss) attributable to Centene Corporation $ (6,674) $ 3,305 $ 2,702
Net earnings (loss) per common share attributable to Centene Corporation:      
Basic earnings (loss) per common share (in usd per share) $ (13.53) $ 6.33 $ 4.97
Diluted earnings (loss) per common share (in usd per share) $ (13.53) $ 6.31 $ 4.95
Parent Company      
Expenses:      
Selling, general and administrative expenses $ 15 $ 13 $ 14
Other income (expense):      
Investment and other income (expense) 24 (34) (47)
Gain (loss) on divestiture 0 (34) 108
Debt extinguishment 1 0 0
Interest expense (677) (700) (710)
(Loss) before income taxes (667) (781) (663)
Income tax (benefit) (85) (76) (118)
Net (loss) before equity in subsidiaries (582) (705) (545)
Equity in earnings (loss) from subsidiaries (6,095) 3,999 3,244
Net earnings (loss) (6,677) 3,294 2,699
Loss attributable to noncontrolling interests 3 11 3
Net earnings (loss) attributable to Centene Corporation $ (6,674) $ 3,305 $ 2,702
Net earnings (loss) per common share attributable to Centene Corporation:      
Basic earnings (loss) per common share (in usd per share) $ (13.53) $ 6.33 $ 4.97
Diluted earnings (loss) per common share (in usd per share) $ (13.53) $ 6.31 $ 4.95