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Medical Claims and Benefits Payable (Tables) | 9 Months Ended
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Sep. 30, 2025
Insurance [Abstract] |
Schedule of Components of The Change in Medical Claims and Benefits Payable | The following tables present the components of the change in our medical claims and benefits payable for the periods indicated. The amounts presented for “Components of medical care costs related to: Prior years” represent the amount by which our original estimate of medical claims and benefits payable at the beginning of the year varied from the actual liabilities, based on information (principally the payment of claims) developed since those liabilities were first reported.
| Nine Months Ended September 30, 2025
| Medicaid |  | Medicare |  | Marketplace |  | Other |  | Consolidated
| (In millions)
Medical claims and benefits payable, beginning balance | $ | 3,667 |  |  | $ | 722 |  |  | $ | 251 |  |  | $ | — |  |  | $ | 4,640 |
Components of medical care costs related to: |  |  |  |  |  |  |  |  |
Current year | 22,165 |  |  | 4,306 |  |  | 2,940 |  |  | 65 |  |  | 29,476 |
Prior years | (118) |  |  | (56) |  |  | 50 |  |  | — |  |  | (124) |
Total medical care costs | 22,047 |  |  | 4,250 |  |  | 2,990 |  |  | 65 |  |  | 29,352 |
Payments for medical care costs related to: |  |  |  |  |  |  |  |  |
Current year | 19,074 |  |  | 3,753 |  |  | 2,525 |  |  | 73 |  |  | 25,425 |
Prior years | 3,067 |  |  | 676 |  |  | 306 |  |  | 10 |  |  | 4,059 |
Total paid | 22,141 |  |  | 4,429 |  |  | 2,831 |  |  | 83 |  |  | 29,484 |
Acquired balances, net of post-acquisition adjustments | — |  |  | 152 |  |  | 173 |  |  | 36 |  |  | 361 |
Change in non-risk and other payables | (25) |  |  | — |  |  | — |  |  | — |  |  | (25) |
Medical claims and benefits payable, ending balance | $ | 3,548 |  |  | $ | 695 |  |  | $ | 583 |  |  | $ | 18 |  |  | $ | 4,844 |
| Nine Months Ended September 30, 2024
| Medicaid |  | Medicare |  | Marketplace |  | Other |  | Consolidated
| (In millions)
Medical claims and benefits payable, beginning balance | $ | 3,444 |  |  | $ | 532 |  |  | $ | 228 |  |  | $ | — |  |  | $ | 4,204 |
Components of medical care costs related to: |  |  |  |  |  |  |  |  |
Current year | 20,903 |  |  | 3,798 |  |  | 1,349 |  |  | — |  |  | 26,050 |
Prior years | (553) |  |  | (70) |  |  | (2) |  |  | — |  |  | (625) |
Total medical care costs | 20,350 |  |  | 3,728 |  |  | 1,347 |  |  | — |  |  | 25,425 |
Payments for medical care costs related to: |  |  |  |  |  |  |  |  |
Current year | 17,813 |  |  | 3,237 |  |  | 1,122 |  |  | — |  |  | 22,172 |
Prior years | 2,256 |  |  | 742 |  |  | 217 |  |  | — |  |  | 3,215 |
Total paid | 20,069 |  |  | 3,979 |  |  | 1,339 |  |  | — |  |  | 25,387 |
Acquired balances, net of post-acquisition adjustments | — |  |  | 463 |  |  | — |  |  | — |  |  | 463 |
Change in non-risk and other payables | 27 |  |  | — |  |  | — |  |  | — |  |  | 27 |
Medical claims and benefits payable, ending balance | $ | 3,752 |  |  | $ | 744 |  |  | $ | 236 |  |  | $ | — |  |  | $ | 4,732 |

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