v3.26.1
Segment Information - Revenue from External Customers (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Premiums $ 9,859 $ 9,156 $ 19,671 $ 21,892
Total revenues from external customers 71,396 66,942 139,688 132,206
Pharmacy revenues        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Revenue from contract with customer 57,172 53,649 111,209 102,282
Service        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Revenue from contract with customer 4,365 4,137 8,808 8,032
Service, Fees And Other Revenues [Member]        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Revenue from contract with customer 4,365 4,137 8,808 8,032
Other revenue        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Revenue from contract with customer 315 114 474 276
Evernorth Health Services        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Total revenues from external customers 61,077 57,486 119,283 109,488
Cigna Healthcare        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Total revenues from external customers 10,268 9,358 20,307 22,526
Other Operations        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Total revenues from external customers 51 98 98 192
Operating Segments | Evernorth Health Services | Pharmacy revenues        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Revenue from contract with customer 57,490 53,989 111,784 104,215
Operating Segments | Evernorth Health Services | Network revenues        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Revenue from contract with customer 33,326 30,582 64,406 58,794
Operating Segments | Evernorth Health Services | Home delivery and specialty revenues        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Revenue from contract with customer 20,444 19,974 40,232 38,911
Operating Segments | Evernorth Health Services | Other revenues        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Revenue from contract with customer 3,720 3,433 7,146 6,510
Operating Segments | Evernorth Health Services | Service, Fees And Other Revenues [Member]        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Revenue from contract with customer 3,959 3,805 8,082 7,229
Operating Segments | Cigna Healthcare        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Premiums 9,656 8,992 19,261 21,620
Operating Segments | Cigna Healthcare | Service, Fees And Other Revenues [Member]        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Revenue from contract with customer 2,007 1,679 3,753 3,450
Operating Segments | Cigna Healthcare | U.S. Healthcare        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Premiums 8,512 7,966 17,004 19,616
Operating Segments | Cigna Healthcare | U.S. Healthcare | Employer insured        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Premiums 4,989 4,684 9,985 9,372
Operating Segments | Cigna Healthcare | U.S. Healthcare | Medicare Advantage        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Premiums 0 0 0 2,363
Operating Segments | Cigna Healthcare | U.S. Healthcare | Stop loss        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Premiums 2,138 1,879 4,254 3,747
Operating Segments | Cigna Healthcare | U.S. Healthcare | Individual and Family Plans        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Premiums 860 941 1,733 1,800
Operating Segments | Cigna Healthcare | U.S. Healthcare | Other        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Premiums 525 462 1,032 2,334
Operating Segments | Cigna Healthcare | International Health        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Premiums 1,144 1,026 2,257 2,004
Operating Segments | Other Operations        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Premiums 55 78 108 159
Operating Segments | Other Operations | Pharmacy revenues        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Revenue from contract with customer 0 14 0 27
Operating Segments | Other Operations | Service, Fees And Other Revenues [Member]        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Revenue from contract with customer 3 19 0 31
Corporate and Eliminations        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Premiums 148 86 302 113
Corporate and Eliminations | Pharmacy revenues        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Revenue from contract with customer (318) (354) (575) (1,960)
Corporate and Eliminations | Service, Fees And Other Revenues [Member]        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Revenue from contract with customer (1,604) (1,366) (3,027) (2,678)
Corporate        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Total revenues from external customers 0 0 0 0
Intersegment Eliminations        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Total revenues from external customers (1,774) (1,634) (3,300) (4,525)
Intersegment Eliminations | Evernorth Health Services        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Total revenues from external customers (372) (308) (583) (1,956)
Intersegment Eliminations | Cigna Healthcare        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Total revenues from external customers (1,395) (1,313) (2,707) (2,544)
Intersegment Eliminations | Other Operations        
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Line Items]        
Total revenues from external customers $ (7) $ (13) $ (10) $ (25)