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Segments (Tables)
6 Months Ended
Jun. 30, 2025
Segment Reporting [Abstract]  
Schedule of Operating Segment Information
Three Months Ended June 30, 2025
MedicaidMedicare MarketplaceOtherTotal
(In millions)
Revenue:
Premium revenue$8,029 $1,608 $1,200 $31 $10,868 
Service revenue— — — 22 22 
Revenue from external customers8,029 1,608 1,200 53 10,890 
Other operating revenues (1)
537 
Total revenue11,427 
Operating Expenses:
Medical care costs7,332 1,447 1,025 25 9,829 
Cost of service revenue— — — 19 19 
Segment expenses7,332 1,447 1,025 44 9,848 
Other operating expenses (2)
1,206 
Operating income373 
Less: interest expense48 
Income before income tax expense$325 
Segment Margin:
Medical margin$697 $161 $175 $$1,039 
Service margin— — — 
Three Months Ended June 30, 2024
MedicaidMedicare MarketplaceOtherTotal
(In millions)
Revenue:
Premium revenue$7,378 $1,441 $627 $— $9,446 
Service revenue— — — 20 20 
Revenue from external customers7,378 1,441 627 20 9,466 
Other operating revenues (1)
414 
Total revenue9,880 
Operating Expenses:
Medical care costs6,695 1,224 449 — 8,368 
Cost of service revenue— — — 18 18 
Segment expenses6,695 1,224 449 18 8,386 
Other operating expenses (2)
1,060 
Operating income434 
Less: interest expense28 
Income before income tax expense$406 
Segment Margin:
Medical margin$683 $217 $178 $— $1,078 
Service margin— — — 
Six Months Ended June 30, 2025
MedicaidMedicare MarketplaceOtherTotal
(In millions)
Revenue:
Premium revenue$16,159 $3,076 $2,204 $57 $21,496 
Service revenue— — — 44 44 
Revenue from external customers16,159 3,076 2,204 101 21,540 
Other operating revenues (1)
1,034 
Total revenue22,574 
Operating Expenses:
Medical care costs14,671 2,743 1,846 48 19,308 
Cost of service revenue— — — 38 38 
Segment expenses14,671 2,743 1,846 86 19,346 
Other operating expenses (2)
2,422 
Operating income806 
Less: interest expense91 
Income before income tax expense$715 
Segment Margin:
Medical margin$1,488 $333 $358 $$2,188 
Service margin— — — 
Six Months Ended June 30, 2024
MedicaidMedicare MarketplaceOtherTotal
(In millions)
Revenue:
Premium revenue$14,870 $2,883 $1,197 $— $18,950 
Service revenue— — — 40 40 
Revenue from external customers14,870 2,883 1,197 40 18,990 
Other operating revenues (1)
821 
Total revenue19,811 
Operating Expenses:
Medical care costs13,412 2,503 867 — 16,782 
Cost of service revenue— — — 36 36 
Segment expenses13,412 2,503 867 36 16,818 
Other operating expenses (2)
2,133 
Operating income860 
Less: interest expense55 
Income before income tax expense$805 
Segment Margin:
Medical margin$1,458 $380 $330 $— $2,168 
Service margin— — — 
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(1)Other operating revenues include premium tax revenue, investment income, and certain other revenue.
(2)Other operating expenses include general and administrative expenses, premium tax expenses, depreciation and amortization, and certain other operating expenses