v3.24.3
Segment Information - Summarized Segment Financial Information (Details) - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Segment Reporting Information [Line Items]        
Revenues from customers $ 63,609 $ 48,727 $ 180,776 $ 143,275
Net investment income (loss) 85 321 696 876
TOTAL REVENUES 63,694 49,048 181,472 144,151
Net realized investment results from certain equity method investments (177) 30 (238) 22
Special item related to impairment of dividend receivable 182 0 182 0
Adjusted revenues 63,699 49,078 181,416 144,173
Depreciation and amortization     2,129 2,270
Income before income taxes 1,192 1,840 3,260 5,325
Pre-tax adjustments to reconcile to adjusted income from operations        
(Income) loss attributable to noncontrolling interests (99) (44) (271) (142)
Net realized investment (gains) losses 744 44 2,567 66
Amortization of acquired intangible assets 436 454 1,279 1,368
Special items        
Impairment of dividend receivable 182 0 182 0
Integration and transaction-related costs 77 13 177 20
(Gain) loss on sale of business 87 21 106 21
(Benefits) charges associated with litigation matters 0 201 0 201
Pre-tax adjusted income (loss) from operations 2,619 2,529 7,300 6,859
Evernorth Health Services        
Segment Reporting Information [Line Items]        
Revenues from customers 51,552 37,230 144,689 108,462
Cigna Healthcare        
Segment Reporting Information [Line Items]        
Revenues from customers 11,919 11,426 35,752 34,581
Other Operations        
Segment Reporting Information [Line Items]        
Revenues from customers 137 71 333 232
Operating Segments | Evernorth Health Services        
Segment Reporting Information [Line Items]        
Net investment income (loss) (142) 63 (18) 175
TOTAL REVENUES 52,455 38,596 148,229 112,980
Net realized investment results from certain equity method investments 0 0 0 0
Special item related to impairment of dividend receivable 182   182  
Adjusted revenues 52,637 38,596 148,411 112,980
Income before income taxes 631 1,272 1,494 3,318
Pre-tax adjustments to reconcile to adjusted income from operations        
(Income) loss attributable to noncontrolling interests (99) (44) (271) (140)
Net realized investment (gains) losses 748 1 2,203 0
Amortization of acquired intangible assets 414 443 1,247 1,330
Special items        
Impairment of dividend receivable 182   182  
Integration and transaction-related costs 0 0 0 0
(Gain) loss on sale of business 0 0 0 0
(Benefits) charges associated with litigation matters   44   44
Pre-tax adjusted income (loss) from operations 1,876 1,716 4,855 4,552
Operating Segments | Cigna Healthcare        
Segment Reporting Information [Line Items]        
Net investment income (loss) 142 176 463 454
TOTAL REVENUES 13,340 12,738 39,821 38,178
Net realized investment results from certain equity method investments (177) 30 (238) 22
Special item related to impairment of dividend receivable 0   0  
Adjusted revenues 13,163 12,768 39,583 38,200
Income before income taxes 1,073 1,019 3,221 3,252
Pre-tax adjustments to reconcile to adjusted income from operations        
(Income) loss attributable to noncontrolling interests 0 0 0 (2)
Net realized investment (gains) losses (8) 35 359 64
Amortization of acquired intangible assets 22 11 32 38
Special items        
Impairment of dividend receivable 0   0  
Integration and transaction-related costs 0 0 0 0
(Gain) loss on sale of business 87 0 106 0
(Benefits) charges associated with litigation matters   157   157
Pre-tax adjusted income (loss) from operations 1,174 1,222 3,718 3,509
Operating Segments | Other Operations        
Segment Reporting Information [Line Items]        
Net investment income (loss) 79 76 231 230
TOTAL REVENUES 234 147 627 462
Net realized investment results from certain equity method investments 0 0 0 0
Special item related to impairment of dividend receivable 0   0  
Adjusted revenues 234 147 627 462
Income before income taxes (10) (3) (9) 47
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 4 8 5 2
Amortization of acquired intangible assets 0 0 0 0
Special items        
Impairment of dividend receivable 0   0  
Integration and transaction-related costs 0 0 0 0
(Gain) loss on sale of business 0 21 0 21
(Benefits) charges associated with litigation matters   0   0
Pre-tax adjusted income (loss) from operations (6) 26 (4) 70
Corporate and Eliminations        
Segment Reporting Information [Line Items]        
TOTAL REVENUES (2,335) (2,433) (7,205) (7,469)
Adjusted revenues (2,335) (2,433) (7,205) (7,469)
Corporate        
Segment Reporting Information [Line Items]        
Revenues from customers 1 0 2 0
Net investment income (loss) 6 6 20 17
Net realized investment results from certain equity method investments 0 0 0 0
Special item related to impairment of dividend receivable 0   0  
Income before income taxes (502) (448) (1,446) (1,292)
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 0 0
Amortization of acquired intangible assets 0 0 0 0
Special items        
Impairment of dividend receivable 0   0  
Integration and transaction-related costs 77 13 177 20
(Gain) loss on sale of business 0 0 0 0
(Benefits) charges associated with litigation matters   0   0
Pre-tax adjusted income (loss) from operations (425) (435) (1,269) (1,272)
Intersegment Eliminations        
Segment Reporting Information [Line Items]        
Revenues from customers (2,342) (2,439) (7,227) (7,486)
Intersegment Eliminations | Evernorth Health Services        
Segment Reporting Information [Line Items]        
Revenues from customers (1,045) (1,303) (3,558) (4,343)
Intersegment Eliminations | Cigna Healthcare        
Segment Reporting Information [Line Items]        
Revenues from customers (1,279) (1,136) (3,606) (3,143)
Intersegment Eliminations | Other Operations        
Segment Reporting Information [Line Items]        
Revenues from customers $ (18) $ 0 $ (63) $ 0