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CONSOLIDATED STATEMENTS OF COMPREHENSIVE EARNINGS (LOSS) - USD ($)
$ in Millions
 12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Statement of Comprehensive Income [Abstract]      
Net earnings (loss) $ (6,677) $ 3,294 $ 2,699
Change in unrealized gain (loss) on investments 565 94 520
Change in unrealized gain (loss) on investments, tax effect (134) (29) (128)
Change in unrealized gain (loss) on investments, net of tax 431 65 392
Reclassification adjustment, net of tax 15 83 62
Foreign currency translation adjustments, net of tax 0 0 36
Net unrealized (loss) on cash flow hedge, net of tax 0 0 (10)
Other comprehensive earnings (loss) 446 148 480
Comprehensive earnings (loss) (6,231) 3,442 3,179
Comprehensive loss attributable to noncontrolling interests 3 11 3
Comprehensive earnings (loss) attributable to Centene Corporation $ (6,228) $ 3,453 $ 3,182