Centene is a managed care company that focuses on providing health care services to underserved populations across the United States. The company delivers Medicaid Medicare and commercial health insurance products along with ancillary services such as specialty pharmacy vision dental and behavioral health. Its mission is to improve the health of the communities it serves one person at a time through local partnerships and data driven approaches.

Centene generates revenue primarily from premium payments received under government contracts for its Medicaid Medicare and Commercial plans. In 2025 Medicaid contributed 57 percent of total external revenues Commercial contributed 21 percent Medicare contributed 19 percent and the Other segment contributed 3 percent. The company also earns income from specialty pharmacy operations vision and dental services clinical health programs and centralized support services. Total revenues for the year ended December 31 2025 were 194 point eight billion dollars.

The company operates through the following segments: Medicaid Medicare Commercial and Other.

• The Medicaid segment provides health coverage to low income families individuals with disabilities children and elderly through programs such as Temporary Assistance for Needy Families Medicaid Expansion Aged Blind or Disabled Children's Health Insurance Program Long Term Services and Supports Foster Care and Medicare Medicaid Plans. It serves approximately 12 point five million Medicaid members in thirty states and generates the majority of the company's revenue.

• The Medicare segment offers Medicare Advantage plans Dual Eligible Special Needs Plans Medicare Prescription Drug Plans and Medicare Supplement products. As of December 31 2025 it served 1 point zero million Medicare Advantage members across thirty two states and 8 point one million Medicare Part D members nationwide making it the largest stand alone PDP provider.

• The Commercial segment includes Health Insurance Marketplace offerings individual and group plans Individual Coverage Health Reimbursement Arrangement products and other off exchange individual products. It provides coverage to 5 point five million Marketplace members across twenty nine states under the Ambetter Health brand and supports employers seeking to use ICHRA arrangements.

• The Other segment encompasses specialty pharmacy operations through AcariaHealth vision and dental services clinical healthcare provided by Community Medical Group and Denova Collaborative Health behavioral health services previously offered by Magellan Health and centralized administrative functions that support the company's health plans.

Centene holds a leading position in the managed care industry as the nation's largest Medicaid and Marketplace insurer and the largest stand alone Medicare Part D provider. Its competitive advantages stem from a deep focus on low income populations a strong local presence with community based teams and a broad portfolio of government and commercial products. The company also maintains one of the highest concentrations of Dual Eligible Special Needs Plan enrollees among its peers which positions it well for the growing demand for integrated care.

Centene serves a diverse customer base that includes low income families individuals with disabilities seniors and children eligible for Medicaid Medicare Advantage or Part D coverage as well as individuals and families purchasing coverage through the Health Insurance Marketplace. Specific large contracts include state Medicaid programs in Florida and New York which each accounted for ten percent or more of the company's Medicaid premium revenues in 2025. The company also works with healthcare providers employers and government agencies to deliver its services.