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Medical Claims Payable (Incurred and Paid Claims Development, Net of Reinsurance) (Details) - USD ($)
$ in Millions
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Claims Development [Line Items]      
Cumulative incurred claims and allocated claim adjustment expenses, net of reinsurance $ 305,246    
Cumulative paid claims and allocated claim adjustment expenses, net of reinsurance 289,904    
Commercial and Specialty Business [Member]      
Claims Development [Line Items]      
Cumulative incurred claims and allocated claim adjustment expenses, net of reinsurance 85,128    
Cumulative paid claims and allocated claim adjustment expenses, net of reinsurance 81,014    
Commercial and Specialty Business [Member] | Short-duration Insurance Contracts, Claim Year 2020 and Prior [Member]      
Claims Development [Line Items]      
Cumulative incurred claims and allocated claim adjustment expenses, net of reinsurance 27,101 $ 27,080 $ 27,545
Cumulative paid claims and allocated claim adjustment expenses, net of reinsurance 27,049 26,876 24,263
Commercial and Specialty Business [Member] | Short-duration Insurance Contracts, Claim Year 2021 [Member]      
Claims Development [Line Items]      
Cumulative incurred claims and allocated claim adjustment expenses, net of reinsurance 27,957 28,132  
Cumulative paid claims and allocated claim adjustment expenses, net of reinsurance 27,691 24,502  
Commercial and Specialty Business [Member] | Short-Duration Insurance Contract, Claim Year 2022 [Member]      
Claims Development [Line Items]      
Cumulative incurred claims and allocated claim adjustment expenses, net of reinsurance 30,070    
Cumulative paid claims and allocated claim adjustment expenses, net of reinsurance 26,274    
Government Business Segment [Member]      
Claims Development [Line Items]      
Cumulative incurred claims and allocated claim adjustment expenses, net of reinsurance 215,498    
Cumulative paid claims and allocated claim adjustment expenses, net of reinsurance 204,569    
Government Business Segment [Member] | Short-duration Insurance Contracts, Claim Year 2020 and Prior [Member]      
Claims Development [Line Items]      
Cumulative incurred claims and allocated claim adjustment expenses, net of reinsurance 63,123 63,158 64,379
Cumulative paid claims and allocated claim adjustment expenses, net of reinsurance 62,981 62,821 56,767
Government Business Segment [Member] | Short-duration Insurance Contracts, Claim Year 2021 [Member]      
Claims Development [Line Items]      
Cumulative incurred claims and allocated claim adjustment expenses, net of reinsurance 70,450 71,045  
Cumulative paid claims and allocated claim adjustment expenses, net of reinsurance 70,125 62,233  
Government Business Segment [Member] | Short-Duration Insurance Contract, Claim Year 2022 [Member]      
Claims Development [Line Items]      
Cumulative incurred claims and allocated claim adjustment expenses, net of reinsurance 81,925    
Cumulative paid claims and allocated claim adjustment expenses, net of reinsurance 71,463    
Other Segment [Member]      
Claims Development [Line Items]      
Cumulative incurred claims and allocated claim adjustment expenses, net of reinsurance 4,620    
Cumulative paid claims and allocated claim adjustment expenses, net of reinsurance 4,321    
Other Segment [Member] | Short-duration Insurance Contracts, Claim Year 2020 and Prior [Member]      
Claims Development [Line Items]      
Cumulative incurred claims and allocated claim adjustment expenses, net of reinsurance 1,459 1,470 1,486
Cumulative paid claims and allocated claim adjustment expenses, net of reinsurance 1,458 1,454 $ 1,292
Other Segment [Member] | Short-duration Insurance Contracts, Claim Year 2021 [Member]      
Claims Development [Line Items]      
Cumulative incurred claims and allocated claim adjustment expenses, net of reinsurance 1,609 1,683  
Cumulative paid claims and allocated claim adjustment expenses, net of reinsurance 1,603 $ 1,421  
Other Segment [Member] | Short-Duration Insurance Contract, Claim Year 2022 [Member]      
Claims Development [Line Items]      
Cumulative incurred claims and allocated claim adjustment expenses, net of reinsurance 1,552    
Cumulative paid claims and allocated claim adjustment expenses, net of reinsurance $ 1,260