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CONSOLIDATED STATEMENTS OF COMPREHENSIVE EARNINGS (LOSS) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Statement of Comprehensive Income [Abstract]
Net earnings	$ 1,539	$ 1,314
Change in unrealized gain (loss) on investments	(149)	216
Change in unrealized gain (loss) on investments, tax effect	35	(50)
Change in unrealized gain (loss) on investments, net of tax	(114)	166
Reclassification adjustment, net of tax	1	1
Other comprehensive earnings (loss)	(113)	167
Comprehensive earnings	1,426	1,481
Comprehensive (earnings) loss attributable to noncontrolling interests	2	(3)
Comprehensive earnings attributable to Centene Corporation	$ 1,428	$ 1,478

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