| Metric | Oct 25, 2024 FY24 Q3 | Feb 4, 2025 FY24 Q4 | Apr 25, 2025 FY25 Q1 | Jul 1, 2025 FY25 Q2 | Oct 29, 2025 FY25 Q3 | Feb 6, 2026 FY25 Q4 | Apr 28, 2026 FY26 Q1 | Jul 28, 2026 FY26 Q2 |
|---|---|---|---|---|---|---|---|---|
| For FY2026 | ||||||||
| Premium and service revenues | — | — | — | — | — | — | New“$171.0 billion to $175.0 billion” | Raised“$173.0 billion to $177.0 billion” |
| Premium and service revenues (in billions) | — | — | — | — | — | New“$170.0” – “$174.0” | Raised“$171.0” – “$175.0” | Raised“$173.0” – “$177.0” |
| Total revenues | — | — | — | — | — | — | — | New“$193.5 billion to $197.5 billion” |
| Total revenues (in billions) | — | — | — | — | — | New“$186.5” – “$190.5” | Raised“$187.5” – “$191.5” | Raised“$193.5” – “$197.5” |
| Adjusted diluted EPS | — | — | — | — | — | New“greater than $3.00” | — | — |
| Adjusted diluted EPS floor | — | — | — | — | — | — | New“greater than $3.40” | Raised“greater than $4.80” |
| GAAP diluted EPS | — | — | — | — | — | New“> $1.98” | — | — |
| GAAP diluted EPS floor | — | — | — | — | — | — | New“greater than $2.37” | Raised“greater than $3.11” |
| Adjusted effective tax rate | — | — | — | — | — | — | — | New“25.5 % 26.5 %” |
| Adjusted effective tax rate (3) | — | — | — | — | — | New“26.0%” – “27.0%” | Reiterated“26.0%” – “27.0%” | Lowered“25.5%” – “26.5%” |
| Adjusted SG&A expense ratio | — | — | — | — | — | — | — | New“6.9 % 7.5 %” |
| Adjusted SG&A expense ratio (2) | — | — | — | — | — | New“7.1%” – “7.7%” | Lowered“7.0%” – “7.6%” | Lowered“6.9%” – “7.5%” |
| Diluted shares outstanding (in millions) | — | — | — | — | — | New“495.6” – “498.6” | Reiterated“495.6” – “498.6” | Raised“497.0” – “500.0” |
| Effective tax rate | — | — | — | — | — | New“27.0%” – “28.0%” | Reiterated“27.0%” – “28.0%” | Lowered“26.5 % 27.5 %” |
| HBR | — | — | — | — | — | New“90.9%” – “91.7%” | Reiterated“90.9%” – “91.7%” | Lowered“90.5 % 91.3 %” |
| Investment and other income expectation | — | — | — | — | — | — | New“$1.45 billion” | Raised“$1.50 billion” |
| SG&A expense ratio | — | — | — | — | — | — | — | New“7.2 % 7.8 %” |
| For FY2025 | ||||||||
| Premium and service revenues | — | New“a range of $158.0 billion to $160.0 billion” | Raised“$164.0 billion to $166.0 billion” | — | — | — | — | — |
| Premium and service revenues (in billions) | — | — | New“$164.0” – “$166.0” | — | — | — | — | — |
| Premium and service revenues increase | — | — | New“$6.0 billion” | — | — | — | — | — |
| Total revenues (in billions) | — | — | New“$178.5” – “$181.5” | — | — | — | — | — |
| Adjusted diluted earnings per share outlook | — | — | New“greater than $7.25” | — | — | — | — | — |
| Adjusted diluted EPS floor | — | New“greater than $7.25” | Reiterated“greater than $7.25” | — | — | — | — | — |
| Adjusted diluted EPS forecast | — | — | — | — | New“at least $2.00” | — | — | — |
| GAAP diluted EPS attributable to Centene | — | New“greater than $6.19” | — | — | — | — | — | — |
| GAAP diluted EPS floor | — | New“greater than $6.19” | Reiterated“greater than $6.19” | — | — | — | — | — |
| Adjusted effective tax rate (3) | — | — | New“22.0%” – “23.0%” | — | — | — | — | — |
| Adjusted SG&A expense ratio (2) | — | — | New“7.7%” – “8.2%” | — | — | — | — | — |
| Cost of services expense ratio | — | — | New“88.2%” – “88.8%” | — | — | — | — | — |
| Diluted shares outstanding (in millions) | — | — | New“491.0” – “494.0” | — | — | — | — | — |
| Effective tax rate | — | — | New“21.5%” – “22.5%” | — | — | — | — | — |
| Expected full year adjusted effective tax rate | — | — | — | — | New“20-21%” | — | — | — |
| GAAP forecast diluted loss per share | — | — | — | — | New“not to exceed $(12.85)” | — | — | — |
| HBR | — | — | New“88.9%” – “89.5%” | — | — | — | — | — |
| For FY2024 | ||||||||
| Premium and service revenues (in billions) | New“$143.5” – “$144.5” | — | — | — | — | — | — | — |
| Total revenues (in billions) | New“$159.0” – “$161.0” | — | — | — | — | — | — | — |
| Adjusted diluted EPS floor | New“greater than $6.80” | — | — | — | — | — | — | — |
| GAAP diluted EPS floor | New“greater than $5.92” | — | — | — | — | — | — | — |
| Adjusted effective tax rate (3) | New“24.0%” – “24.5%” | — | — | — | — | — | — | — |
| Adjusted SG&A expense ratio (2) | New“8.5%” – “8.7%” | — | — | — | — | — | — | — |
| Diluted shares outstanding (in millions) | New“522.2” – “525.2” | — | — | — | — | — | — | — |
| Effective tax rate | New“22.9%” – “23.9%” | — | — | — | — | — | — | — |
| HBR | New“88.3%” – “88.5%” | — | — | — | — | — | — | — |