Medical Costs Payable (Notes)

6 Months Ended

Jun. 30, 2026

Short-Duration Insurance and Deposit Contracts

Medical Costs Payable

The following table shows the components of the change in medical costs payable for the six months ended June 30:


(in millions)	2026		2025
Medical costs payable, beginning of period	$	39,337	$	34,224
Reported medical costs:
Current year	150,333		152,316
Prior years	(1,250)		(320)
Changes in premium deficiency and loss contract reserves	(236)		—
Total reported medical costs	148,847		151,996
Medical payments:
Payments for current year	(116,846)		(118,793)
Payments for prior years	(32,474)		(28,998)
Total medical payments	(149,320)		(147,791)
Change in medical costs payable included within businesses held for sale	66		(2)
Medical costs payable, end of period	$	38,930	$	38,427

For the six months ended June 30, 2026, prior years’ medical cost reserve development was driven by a favorable respiratory illness season along with various other individually insignificant factors. For the six months ended June 30, 2025, prior years’ medical cost reserve development did not include any individually significant factors. Medical costs payable included reserves for claims incurred by consumers but not yet reported to the Company of $26.5 billion and $26.7 billion at June 30, 2026 and December 31, 2025, respectively.