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Goodwill, Other Intangibles, and Property and Equipment - Other Intangible Assets (Details) - USD ($)
$ in Millions
Dec. 31, 2023
Dec. 31, 2022
Finite-lived intangible assets    
Accumulated Amortization   $ 6,230
Accumulated Amortization, including held for sale assets $ 7,755  
Indefinite-lived intangible assets    
Cost 8,500 8,500
Net Carrying Value 8,500 8,500
Other intangible assets    
Cost   38,722
Net Carrying Value 30,863 32,492 [1]
Cost, including held for sale assets 38,695  
Net Carrying Value, including held for sale assets 30,940  
Value of business acquired ("VOBA" reported in Other assets)    
Cost   210
Accumulated Amortization   133
Net Carrying Value   77
Cost, including held for sale assets 211  
Accumulated Amortization, including held for sale assets 142  
Net Carrying Value, including held for sale assets 69  
Total    
Cost   38,932
Accumulated Amortization   6,363
Net Carrying Value   32,569
Cost, including held for sale assets 38,906  
Accumulated Amortization, including held for sale assets 7,897  
Net Carrying Value, including held for sale assets 31,009  
Held-for-Sale | Medicare Advantage and related Cigna Healthcare businesses    
Total    
VOBA, held for sale 69  
Other intangible assets, held for sale 77  
Customer relationships    
Finite-lived intangible assets    
Cost   29,974
Accumulated Amortization   6,099
Net Carrying Value   23,875
Cost, including held for sale assets 29,978  
Accumulated Amortization, including held for sale assets 7,645  
Net Carrying Value, including held for sale assets 22,333  
Trade Name - Express Scripts    
Indefinite-lived intangible assets    
Cost   8,400
Net Carrying Value   8,400
Cost, including held for sale assets 8,400  
Net Carrying Value, including held for sale assets 8,400  
Other    
Finite-lived intangible assets    
Accumulated Amortization   131
Accumulated Amortization, including held for sale assets 110  
Other intangible assets    
Cost   348
Net Carrying Value   $ 217
Cost, including held for sale assets 317  
Net Carrying Value, including held for sale assets $ 207  
[1] Amounts have been restated to reflect the adoption of Targeted Improvements to the Accounting for Long-Duration Contracts in 2023. See Note 2 to the Consolidated Financial Statements for further information.