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Segment Information - Additional Information (Detail)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2015
USD ($)
Jun. 30, 2014
USD ($)
Jun. 30, 2015
USD ($)
Segment
Jun. 30, 2014
USD ($)
Segment Reporting [Abstract]        
Number of reportable segments | Segment     3  
Member co-share amounts and government subsidies $ 3,000 $ 2,300 $ 5,500 $ 4,100
Depreciation and amortization classified as benefit expense $ 24 $ 27 $ 45 $ 52