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Dec 31, 2025
Cigna Q4 2025 Earnings Report
Cigna delivered strong fourth-quarter results with higher revenues and adjusted earnings.
Key Takeaways
The Cigna Group reported solid Q4 2025 performance, driven by growth in Evernorth Health Services and improved profitability, partially offset by impacts from the HCSC transaction.
Total revenue increased year over year driven by Evernorth growth.
Adjusted income from operations rose significantly versus prior year.
SG&A expense ratios improved reflecting business mix shift.
Medical Care Ratio remained stable year over year.
Revenue by Segment
Forward Guidance
Cigna issued a constructive outlook for 2026, supported by Evernorth growth and disciplined cost management.
Positive Outlook
- Expected growth in adjusted income from operations.
- Continued strength in Evernorth Health Services.
- Improved operating efficiency.
- Stable medical cost trends.
- Ongoing shareholder returns including higher dividend.
Challenges Ahead
- Impact of HCSC transaction on healthcare revenues.
- Medical cost inflation pressures.
- Regulatory and policy uncertainty.
- Competitive pricing environment.
- Macroeconomic uncertainty.
Historical Earnings Impact
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Avg. Return Before/After Earnings
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