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Summary of Significant Accounting Policies - Additional Information (Detail) - USD ($)
12 Months Ended
Jul. 02, 2015
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Significant Accounting Policies [Line Items]        
Maximum dividend allowed prior to merger $ 0.29      
Member co-share amounts and government subsidies   $ 12,300,000,000 $ 9,700,000,000 $ 7,300,000,000
Typical term (in years) of short-duration employer-group prepaid health services policies   1 year    
Number of days notice for employer group to cancel short-duration prepaid health services policies   30 days    
Consumer discounts on brand name prescription drugs   50.00%    
Benefits expense   $ 44,269,000,000 38,166,000,000 32,564,000,000
Document Fiscal Year Focus   2015    
New Tricare South Region Contract        
Significant Accounting Policies [Line Items]        
TRICARE Health care cost payments   $ 3,300,000,000 3,200,000 3,200,000,000
TRICARE Health care cost reimbursements   3,300,000,000 3,200,000,000 3,200,000
Difference between TRICARE health care costs payments and reimbursements   $ (4,000,000)   5,000,000
Equipment | Minimum        
Significant Accounting Policies [Line Items]        
Useful life   3 years    
Equipment | Maximum        
Significant Accounting Policies [Line Items]        
Useful life   10 years    
Computer Software | Minimum        
Significant Accounting Policies [Line Items]        
Useful life   3 years    
Computer Software | Maximum        
Significant Accounting Policies [Line Items]        
Useful life   7 years    
Building | Minimum        
Significant Accounting Policies [Line Items]        
Useful life   20 years    
Building | Maximum        
Significant Accounting Policies [Line Items]        
Useful life   40 years    
Commercial Medical        
Significant Accounting Policies [Line Items]        
Percentage of premiums and services revenue   18.00%    
CMS Reinsurance Subsidies Or Discounts        
Significant Accounting Policies [Line Items]        
Subsidy and discount payments   $ 8,900,000,000 6,700,000,000 4,800,000,000
Subsidy and discount reimbursements   8,600,000,000 5,800,000,000 4,600,000,000
Subsidy and discount payments in excess of reimbursements   $ (361,000,000) (945,000,000) (154,000,000)
Settlement period after close   9 months    
CMS Brand Name Prescription Drug Discounts [Member] | Minimum        
Significant Accounting Policies [Line Items]        
Settlement period after close   14 months    
CMS Brand Name Prescription Drug Discounts [Member] | Maximum        
Significant Accounting Policies [Line Items]        
Settlement period after close   18 months    
Agreement and Plan of Merger With Aetna Inc.        
Significant Accounting Policies [Line Items]        
Number of shares one share of common stock is converted into 0.8375      
Cash received for each share converted $ 125      
Total transaction cost, including assumption of debt $ 37,000,000,000      
MCCI        
Significant Accounting Policies [Line Items]        
Related party receivable   $ 284,000,000    
Interest rate on receivable   10.00%    
Maximum borrowing capacity   $ 55,000,000    
Advances to affiliate   9,000,000    
Benefits expense   1,037,000,000 962,000,000 873,000,000
Health and Human Services | Reinsurance Contribution        
Significant Accounting Policies [Line Items]        
Member co-share amounts and government subsidies   478,000,000 281,000,000 0
Government and health plan member payments   (409,000,000) (255,000,000) 0
Government and health plan member subsidies, amount in excess of payments   $ 69,000,000 $ 26,000,000 $ 0