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v3.25.2

Segments - Reconciliation of Gross Margin to Consolidated Income (Details) - USD ($) $ in Millions | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2025 | Jun. 30, 2024 | Jun. 30, 2025 | Jun. 30, 2024
Revenue: |  |  |  |
Premium revenue | $ 10,868 | $ 9,446 | $ 21,496 | $ 18,950
Service revenue | 22 | 20 | 44 | 40
Revenue from external customers | 10,890 | 9,466 | 21,540 | 18,990
Other operating revenues | 537 | 414 | 1,034 | 821
Total revenue | 11,427 | 9,880 | 22,574 | 19,811
Operating expenses: |  |  |  |
Medical care costs | 9,829 | 8,368 | 19,308 | 16,782
Cost of service revenue | 19 | 18 | 38 | 36
Segment expenses | 9,848 | 8,386 | 19,346 | 16,818
Other operating expenses | 1,206 | 1,060 | 2,422 | 2,133
Operating income | 373 | 434 | 806 | 860
Less: interest expense | 48 | 28 | 91 | 55
Income before income tax expense | 325 | 406 | 715 | 805
Medical margin |  |  |  |
Operating expenses: |  |  |  |
Segment margin | 1,039 | 1,078 | 2,188 | 2,168
Service margin |  |  |  |
Operating expenses: |  |  |  |
Segment margin | 3 | 2 | 6 | 4
Operating segments | Medicaid |  |  |  |
Revenue: |  |  |  |
Premium revenue | 8,029 | 7,378 | 16,159 | 14,870
Service revenue | 0 | 0 | 0 | 0
Revenue from external customers | 8,029 | 7,378 | 16,159 | 14,870
Operating expenses: |  |  |  |
Medical care costs | 7,332 | 6,695 | 14,671 | 13,412
Cost of service revenue | 0 | 0 | 0 | 0
Segment expenses | 7,332 | 6,695 | 14,671 | 13,412
Operating segments | Medicaid | Medical margin |  |  |  |
Operating expenses: |  |  |  |
Segment margin | 697 | 683 | 1,488 | 1,458
Operating segments | Medicaid | Service margin |  |  |  |
Operating expenses: |  |  |  |
Segment margin | 0 | 0 | 0 | 0
Operating segments | Medicare |  |  |  |
Revenue: |  |  |  |
Premium revenue | 1,608 | 1,441 | 3,076 | 2,883
Service revenue | 0 | 0 | 0 | 0
Revenue from external customers | 1,608 | 1,441 | 3,076 | 2,883
Operating expenses: |  |  |  |
Medical care costs | 1,447 | 1,224 | 2,743 | 2,503
Cost of service revenue | 0 | 0 | 0 | 0
Segment expenses | 1,447 | 1,224 | 2,743 | 2,503
Operating segments | Medicare | Medical margin |  |  |  |
Operating expenses: |  |  |  |
Segment margin | 161 | 217 | 333 | 380
Operating segments | Medicare | Service margin |  |  |  |
Operating expenses: |  |  |  |
Segment margin | 0 | 0 | 0 | 0
Operating segments | Marketplace |  |  |  |
Revenue: |  |  |  |
Premium revenue | 1,200 | 627 | 2,204 | 1,197
Service revenue | 0 | 0 | 0 | 0
Revenue from external customers | 1,200 | 627 | 2,204 | 1,197
Operating expenses: |  |  |  |
Medical care costs | 1,025 | 449 | 1,846 | 867
Cost of service revenue | 0 | 0 | 0 | 0
Segment expenses | 1,025 | 449 | 1,846 | 867
Operating segments | Marketplace | Medical margin |  |  |  |
Operating expenses: |  |  |  |
Segment margin | 175 | 178 | 358 | 330
Operating segments | Marketplace | Service margin |  |  |  |
Operating expenses: |  |  |  |
Segment margin | 0 | 0 | 0 | 0
Operating segments | Other |  |  |  |
Revenue: |  |  |  |
Premium revenue | 31 | 0 | 57 | 0
Service revenue | 22 | 20 | 44 | 40
Revenue from external customers | 53 | 20 | 101 | 40
Operating expenses: |  |  |  |
Medical care costs | 25 | 0 | 48 | 0
Cost of service revenue | 19 | 18 | 38 | 36
Segment expenses | 44 | 18 | 86 | 36
Operating segments | Other | Medical margin |  |  |  |
Operating expenses: |  |  |  |
Segment margin | 6 | 0 | 9 | 0
Operating segments | Other | Service margin |  |  |  |
Operating expenses: |  |  |  |
Segment margin | $ 3 | $ 2 | $ 6 | $ 4

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