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Cigna forecasts 2026 outlook below expectations
5 Feb
Summary
- Cigna projects 2026 profit and revenue below estimates.
- Higher medical costs impact individual and family plans.
- Evernorth health services unit revenue increased by 20%.
Cigna anticipates that its 2026 financial performance, including profit and revenue, will not meet market expectations. This projection is influenced by ongoing increases in medical costs and anticipated margin challenges within its pharmacy benefit operations.
In the fourth quarter of 2025, Cigna reported earnings that surpassed analyst predictions. This positive outcome was supported by robust performance from its Evernorth health services division and growth in its specialty pharmacy business. Evernorth, which encompasses the pharmacy benefit management segment, saw its quarterly revenue climb by 20% to $36.3 billion.
The company's medical loss ratio for the quarter was 88%, slightly higher than the 87.34% analysts expected. Cigna attributed these elevated costs primarily to its individual and family plans business. Looking ahead, Cigna projects 2026 adjusted revenue to be around $280 billion, with adjusted profit per share of at least $30.25, both below current estimates.
