Segment Information - Summarized Segment Financial Information (Details) - USD ($)
$ in Millions |
3 Months Ended |
6 Months Ended |
18 Months Ended |
Jun. 30, 2026 |
Jun. 30, 2025 |
Jun. 30, 2026 |
Jun. 30, 2025 |
Jun. 30, 2026 |
| Segment Reporting [Line Items] |
|
|
|
|
|
| Revenues from customers |
$ 71,396
|
$ 66,942
|
$ 139,688
|
$ 132,206
|
|
| Net investment income (loss) |
272
|
236
|
474
|
474
|
|
| TOTAL REVENUES |
71,668
|
67,178
|
140,162
|
132,680
|
|
| Net investment results from certain equity method investments |
(110)
|
(44)
|
(87)
|
(94)
|
|
| Adjusted revenues |
71,558
|
67,134
|
140,075
|
132,586
|
|
| Pharmacy and other service costs |
56,703
|
53,268
|
110,803
|
101,666
|
|
| Medical costs and other benefit expenses |
8,430
|
7,749
|
16,354
|
18,247
|
|
| Interest expense and other |
(356)
|
(337)
|
(713)
|
(699)
|
|
| Pre-tax adjusted income (loss) from operations |
2,550
|
2,433
|
5,153
|
4,743
|
|
| Income before income taxes |
2,257
|
2,021
|
4,527
|
3,669
|
|
| Pre-tax adjustments to reconcile to adjusted income from operations |
|
|
|
|
|
| (Income) loss attributable to noncontrolling interests |
(230)
|
(117)
|
(456)
|
(219)
|
|
| Net realized investment (gains) losses |
(41)
|
(96)
|
(276)
|
(144)
|
|
| Amortization of acquired intangible assets |
389
|
422
|
779
|
844
|
|
| Special items |
|
|
|
|
|
| Integration and transaction-related costs |
34
|
74
|
69
|
290
|
|
| (Benefits) charges associated with litigation matters |
77
|
0
|
66
|
0
|
|
| (Gain) loss on sale of business(es) |
(6)
|
0
|
(6)
|
(41)
|
|
| Deferred tax expenses |
0
|
0
|
0
|
0
|
|
| Pre-tax adjusted income (loss) from operations |
2,550
|
2,433
|
5,153
|
4,743
|
|
| Depreciation and amortization |
655
|
682
|
1,305
|
1,356
|
|
| Strategic Optimization Program |
|
|
|
|
|
| Special items |
|
|
|
|
|
| Strategic optimization program costs |
70
|
129
|
450
|
344
|
$ 1,199
|
| Evernorth Health Services |
|
|
|
|
|
| Segment Reporting [Line Items] |
|
|
|
|
|
| Revenues from customers |
61,077
|
57,486
|
119,283
|
109,488
|
|
| Cigna Healthcare |
|
|
|
|
|
| Segment Reporting [Line Items] |
|
|
|
|
|
| Revenues from customers |
10,268
|
9,358
|
20,307
|
22,526
|
|
| Other Operations |
|
|
|
|
|
| Segment Reporting [Line Items] |
|
|
|
|
|
| Revenues from customers |
51
|
98
|
98
|
192
|
|
| Operating Segments | Evernorth Health Services |
|
|
|
|
|
| Segment Reporting [Line Items] |
|
|
|
|
|
| Net investment income (loss) |
19
|
31
|
44
|
62
|
|
| TOTAL REVENUES |
61,468
|
57,825
|
119,910
|
111,506
|
|
| Net investment results from certain equity method investments |
0
|
0
|
0
|
0
|
|
| Adjusted revenues |
61,468
|
57,825
|
119,910
|
111,506
|
|
| Pharmacy and other service costs |
58,531
|
54,939
|
114,231
|
106,060
|
|
| Medical costs and other benefit expenses |
0
|
0
|
0
|
0
|
|
| Selling, general and administrative expenses |
1,044
|
1,074
|
2,093
|
2,098
|
|
| Interest expense and other |
0
|
1
|
(1)
|
1
|
|
| Less: Income attributable to noncontrolling interests |
230
|
117
|
456
|
219
|
|
| Pre-tax adjusted income (loss) from operations |
1,663
|
1,696
|
3,129
|
3,130
|
|
| Income before income taxes |
1,423
|
1,430
|
2,984
|
2,538
|
|
| Pre-tax adjustments to reconcile to adjusted income from operations |
|
|
|
|
|
| (Income) loss attributable to noncontrolling interests |
(230)
|
(117)
|
(456)
|
(219)
|
|
| Net realized investment (gains) losses |
76
|
(80)
|
(185)
|
(84)
|
|
| Amortization of acquired intangible assets |
387
|
416
|
775
|
831
|
|
| Special items |
|
|
|
|
|
| Integration and transaction-related costs |
0
|
0
|
0
|
0
|
|
| (Benefits) charges associated with litigation matters |
0
|
|
0
|
|
|
| (Gain) loss on sale of business(es) |
0
|
|
0
|
(4)
|
|
| Pre-tax adjusted income (loss) from operations |
1,663
|
1,696
|
3,129
|
3,130
|
|
| Depreciation and amortization |
564
|
587
|
1,124
|
1,171
|
|
| Operating Segments | Evernorth Health Services | Strategic Optimization Program |
|
|
|
|
|
| Special items |
|
|
|
|
|
| Strategic optimization program costs |
7
|
47
|
11
|
68
|
|
| Operating Segments | Cigna Healthcare |
|
|
|
|
|
| Segment Reporting [Line Items] |
|
|
|
|
|
| Net investment income (loss) |
175
|
127
|
278
|
260
|
|
| TOTAL REVENUES |
11,838
|
10,798
|
23,292
|
25,330
|
|
| Net investment results from certain equity method investments |
(110)
|
(44)
|
(87)
|
(94)
|
|
| Adjusted revenues |
11,728
|
10,754
|
23,205
|
25,236
|
|
| Pharmacy and other service costs |
0
|
0
|
0
|
0
|
|
| Medical costs and other benefit expenses |
8,161
|
7,482
|
15,825
|
17,867
|
|
| Selling, general and administrative expenses |
2,293
|
2,180
|
4,594
|
4,992
|
|
| Interest expense and other |
2
|
2
|
4
|
4
|
|
| Less: Income attributable to noncontrolling interests |
0
|
0
|
0
|
0
|
|
| Pre-tax adjusted income (loss) from operations |
1,276
|
1,094
|
2,790
|
2,381
|
|
| Income before income taxes |
1,308
|
1,098
|
2,789
|
2,462
|
|
| Pre-tax adjustments to reconcile to adjusted income from operations |
|
|
|
|
|
| (Income) loss attributable to noncontrolling interests |
0
|
0
|
0
|
0
|
|
| Net realized investment (gains) losses |
(127)
|
(20)
|
(98)
|
(67)
|
|
| Amortization of acquired intangible assets |
2
|
6
|
4
|
13
|
|
| Special items |
|
|
|
|
|
| Integration and transaction-related costs |
0
|
0
|
0
|
0
|
|
| (Benefits) charges associated with litigation matters |
77
|
|
66
|
|
|
| (Gain) loss on sale of business(es) |
(6)
|
|
(6)
|
(37)
|
|
| Pre-tax adjusted income (loss) from operations |
1,276
|
1,094
|
2,790
|
2,381
|
|
| Depreciation and amortization |
83
|
81
|
166
|
164
|
|
| Operating Segments | Cigna Healthcare | Strategic Optimization Program |
|
|
|
|
|
| Special items |
|
|
|
|
|
| Strategic optimization program costs |
22
|
10
|
35
|
10
|
|
| Operating Segments | Other Operations |
|
|
|
|
|
| Segment Reporting [Line Items] |
|
|
|
|
|
| Net investment income (loss) |
73
|
73
|
143
|
142
|
|
| TOTAL REVENUES |
131
|
184
|
251
|
359
|
|
| Net investment results from certain equity method investments |
0
|
0
|
0
|
0
|
|
| Adjusted revenues |
131
|
184
|
251
|
359
|
|
| Pre-tax adjusted income (loss) from operations |
21
|
25
|
48
|
25
|
|
| Income before income taxes |
10
|
(20)
|
34
|
(40)
|
|
| Pre-tax adjustments to reconcile to adjusted income from operations |
|
|
|
|
|
| (Income) loss attributable to noncontrolling interests |
0
|
0
|
0
|
0
|
|
| Net realized investment (gains) losses |
10
|
4
|
10
|
7
|
|
| Amortization of acquired intangible assets |
0
|
0
|
0
|
0
|
|
| Special items |
|
|
|
|
|
| Integration and transaction-related costs |
0
|
0
|
0
|
0
|
|
| (Benefits) charges associated with litigation matters |
0
|
|
0
|
|
|
| (Gain) loss on sale of business(es) |
0
|
|
0
|
0
|
|
| Pre-tax adjusted income (loss) from operations |
21
|
25
|
48
|
25
|
|
| Depreciation and amortization |
2
|
9
|
4
|
11
|
|
| Operating Segments | Other Operations | Strategic Optimization Program |
|
|
|
|
|
| Special items |
|
|
|
|
|
| Strategic optimization program costs |
1
|
41
|
4
|
58
|
|
| Corporate and Eliminations |
|
|
|
|
|
| Segment Reporting [Line Items] |
|
|
|
|
|
| TOTAL REVENUES |
(1,769)
|
(1,629)
|
(3,291)
|
(4,515)
|
|
| Adjusted revenues |
(1,769)
|
(1,629)
|
(3,291)
|
(4,515)
|
|
| Special items |
|
|
|
|
|
| Depreciation and amortization |
6
|
5
|
11
|
10
|
|
| Corporate |
|
|
|
|
|
| Segment Reporting [Line Items] |
|
|
|
|
|
| Revenues from customers |
0
|
0
|
0
|
0
|
|
| Net investment income (loss) |
5
|
5
|
9
|
10
|
|
| Net investment results from certain equity method investments |
0
|
0
|
0
|
0
|
|
| Pre-tax adjusted income (loss) from operations |
(410)
|
(382)
|
(814)
|
(793)
|
|
| Income before income taxes |
(484)
|
(487)
|
(1,280)
|
(1,291)
|
|
| Pre-tax adjustments to reconcile to adjusted income from operations |
|
|
|
|
|
| (Income) loss attributable to noncontrolling interests |
0
|
0
|
0
|
0
|
|
| Net realized investment (gains) losses |
0
|
0
|
(3)
|
0
|
|
| Amortization of acquired intangible assets |
0
|
0
|
0
|
0
|
|
| Special items |
|
|
|
|
|
| Integration and transaction-related costs |
34
|
74
|
69
|
290
|
|
| (Benefits) charges associated with litigation matters |
0
|
|
0
|
|
|
| (Gain) loss on sale of business(es) |
0
|
|
0
|
0
|
|
| Pre-tax adjusted income (loss) from operations |
(410)
|
(382)
|
(814)
|
(793)
|
|
| Corporate | Strategic Optimization Program |
|
|
|
|
|
| Special items |
|
|
|
|
|
| Strategic optimization program costs |
40
|
31
|
400
|
208
|
|
| Intersegment Eliminations |
|
|
|
|
|
| Segment Reporting [Line Items] |
|
|
|
|
|
| Revenues from customers |
(1,774)
|
(1,634)
|
(3,300)
|
(4,525)
|
|
| Intersegment Eliminations | Evernorth Health Services |
|
|
|
|
|
| Segment Reporting [Line Items] |
|
|
|
|
|
| Revenues from customers |
(372)
|
(308)
|
(583)
|
(1,956)
|
|
| Intersegment Eliminations | Cigna Healthcare |
|
|
|
|
|
| Segment Reporting [Line Items] |
|
|
|
|
|
| Revenues from customers |
(1,395)
|
(1,313)
|
(2,707)
|
(2,544)
|
|
| Intersegment Eliminations | Other Operations |
|
|
|
|
|
| Segment Reporting [Line Items] |
|
|
|
|
|
| Revenues from customers |
$ (7)
|
$ (13)
|
$ (10)
|
$ (25)
|
|