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Segment Information (Tables)

12 Months Ended

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.

X

- Definition

Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 25
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-25

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 22
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-22

Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 30
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-30

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- References

No definition available.

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