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Segment Information (Tables)

3 Months Ended

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.

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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