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v3.26.1

Segment Information (Tables) | 3 Months Ended
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Mar. 31, 2026
Segment Reporting [Abstract] |
Schedule of Segment Information | Segment information for the three months ended March 31, 2026, is as follows ($ in millions):
|  | Medicaid |  | Medicare |  | Commercial |  | Other/Eliminations |  |  |  | Consolidated Total
Premium | $ | 23,573 |  |  | $ | 10,326 |  |  | $ | 9,555 |  |  | $ | 433 |  |  |  |  | $ | 43,887 |
Service | 23 |  |  | — |  |  | 1 |  |  | 744 |  |  |  |  | 768 |
Premium and service revenues | 23,596 |  |  | 10,326 |  |  | 9,556 |  |  | 1,177 |  |  |  |  | 44,655 |
Premium tax | 5,289 |  |  | — |  |  | — |  |  | — |  |  |  |  | 5,289 |
Total external revenues | 28,885 |  |  | 10,326 |  |  | 9,556 |  |  | 1,177 |  |  |  |  | 49,944 |
Internal revenues | — |  |  | — |  |  | — |  |  | 4,146 |  |  |  |  | 4,146 |
Eliminations | — |  |  | — |  |  | — |  |  | (4,146) |  |  |  |  | (4,146) |
Total revenues | $ | 28,885 |  |  | $ | 10,326 |  |  | $ | 9,556 |  |  | $ | 1,177 |  |  |  |  | $ | 49,944 |
Medical costs | $ | 21,955 |  |  | $ | 8,772 |  |  | $ | 7,198 |  |  | $ | 378 |  |  |  |  | $ | 38,303 |
Cost of services | 23 |  |  | — |  |  | — |  |  | 679 |  |  |  |  | 702 |
Other operating expenses (1) |  |  |  |  |  |  |  |  |  |  | 9,078 |
Other income (expense) (2) |  |  |  |  |  |  |  |  |  |  | 238 |
Earnings before income tax |  |  |  |  |  |  |  |  |  |  | $ | 2,099 |
Segment gross margin (3) | $ | 1,618 |  |  | $ | 1,554 |  |  | $ | 2,358 |  |  | $ | 120 |  |  |  |  | $ | 5,650 |
(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 three months ended March 31, 2025, is as follows ($ in millions):
|  | Medicaid |  | Medicare |  | Commercial |  | Other/Eliminations |  |  |  | Consolidated Total
Premium | $ | 22,275 |  |  | $ | 8,759 |  |  | $ | 10,148 |  |  | $ | 530 |  |  |  |  | $ | 41,712 |
Service | 24 |  |  | — |  |  | 1 |  |  | 752 |  |  |  |  | 777 |
Premium and service revenues | 22,299 |  |  | 8,759 |  |  | 10,149 |  |  | 1,282 |  |  |  |  | 42,489 |
Premium tax | 4,131 |  |  | — |  |  | — |  |  | — |  |  |  |  | 4,131 |
Total external revenues | 26,430 |  |  | 8,759 |  |  | 10,149 |  |  | 1,282 |  |  |  |  | 46,620 |
Internal revenues | — |  |  | — |  |  | — |  |  | 4,164 |  |  |  |  | 4,164 |
Eliminations | — |  |  | — |  |  | — |  |  | (4,164) |  |  |  |  | (4,164) |
Total revenues | $ | 26,430 |  |  | $ | 8,759 |  |  | $ | 10,149 |  |  | $ | 1,282 |  |  |  |  | $ | 46,620 |
Medical costs | $ | 20,843 |  |  | $ | 7,555 |  |  | $ | 7,607 |  |  | $ | 498 |  |  |  |  | $ | 36,503 |
Cost of services | 24 |  |  | — |  |  | — |  |  | 674 |  |  |  |  | 698 |
Other operating expenses (1) |  |  |  |  |  |  |  |  |  |  | 7,885 |
Other income (expense) (2) |  |  |  |  |  |  |  |  |  |  | 212 |
Earnings before income tax |  |  |  |  |  |  |  |  |  |  | $ | 1,746 |
Segment gross margin (3) | $ | 1,432 |  |  | $ | 1,204 |  |  | $ | 2,542 |  |  | $ | 110 |  |  |  |  | $ | 5,288 |
(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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