XML 79 R60.htm IDEA: XBRL DOCUMENT v3.21.1
SEGMENT INFORMATION - Segment Results (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2021
Mar. 31, 2020
Segment Reporting Information [Line Items]    
Premiums $ 20,124 $ 18,362
Services revenue 466 424
Total external revenues 20,590 18,786
Intersegment revenues 0 0
Investment income 78 149
Total revenues 20,668 18,935
Benefits 17,296 15,629
Operating costs 2,007 2,117
Depreciation and amortization 142 115
Total operating expenses 19,445 17,861
Income from operations 1,223 1,074
Interest expense 68 60
Other expense, net 115 297
Income before income taxes and equity in net earnings 1,040 717
Equity in net earnings 21 8
Segment earnings (loss) 1,061 725
Individual Medicare Advantage    
Segment Reporting Information [Line Items]    
Premiums 14,815 12,794
Group Medicare Advantage    
Segment Reporting Information [Line Items]    
Premiums 1,755 2,011
Medicare stand-alone PDP    
Segment Reporting Information [Line Items]    
Premiums 664 755
Total Medicare    
Segment Reporting Information [Line Items]    
Premiums 17,234 15,560
Fully-insured    
Segment Reporting Information [Line Items]    
Premiums 1,277 1,392
Specialty    
Segment Reporting Information [Line Items]    
Premiums 434 429
Medicaid and other    
Segment Reporting Information [Line Items]    
Premiums 1,179 981
Provider    
Segment Reporting Information [Line Items]    
Services revenue 115 104
ASO and other    
Segment Reporting Information [Line Items]    
Services revenue 195 199
Pharmacy    
Segment Reporting Information [Line Items]    
Services revenue 156 121
Services    
Segment Reporting Information [Line Items]    
Intersegment revenues 0 0
Products    
Segment Reporting Information [Line Items]    
Intersegment revenues 0 0
Operating segments | Retail    
Segment Reporting Information [Line Items]    
Premiums 18,591 16,704
Services revenue 5 4
Total external revenues 18,596 16,708
Intersegment revenues 0 0
Investment income 52 54
Total revenues 18,648 16,762
Benefits 16,299 14,464
Operating costs 1,451 1,532
Depreciation and amortization 104 81
Total operating expenses 17,854 16,077
Income from operations 794 685
Interest expense 0 0
Other expense, net 0 0
Income before income taxes and equity in net earnings 794 685
Equity in net earnings 0 0
Segment earnings (loss) 794 685
Operating segments | Retail | Individual Medicare Advantage    
Segment Reporting Information [Line Items]    
Premiums 14,815 12,794
Operating segments | Retail | Group Medicare Advantage    
Segment Reporting Information [Line Items]    
Premiums 1,755 2,011
Operating segments | Retail | Medicare stand-alone PDP    
Segment Reporting Information [Line Items]    
Premiums 664 755
Operating segments | Retail | Total Medicare    
Segment Reporting Information [Line Items]    
Premiums 17,234 15,560
Operating segments | Retail | Fully-insured    
Segment Reporting Information [Line Items]    
Premiums 178 163
Operating segments | Retail | Specialty    
Segment Reporting Information [Line Items]    
Premiums 0 0
Operating segments | Retail | Medicaid and other    
Segment Reporting Information [Line Items]    
Premiums 1,179 981
Operating segments | Retail | Provider    
Segment Reporting Information [Line Items]    
Services revenue 0 0
Operating segments | Retail | ASO and other    
Segment Reporting Information [Line Items]    
Services revenue 5 4
Operating segments | Retail | Pharmacy    
Segment Reporting Information [Line Items]    
Services revenue 0 0
Operating segments | Retail | Services    
Segment Reporting Information [Line Items]    
Intersegment revenues 0 0
Operating segments | Retail | Products    
Segment Reporting Information [Line Items]    
Intersegment revenues 0 0
Operating segments | Group and Specialty    
Segment Reporting Information [Line Items]    
Premiums 1,533 1,658
Services revenue 190 195
Total external revenues 1,723 1,853
Intersegment revenues 10 7
Investment income 4 5
Total revenues 1,737 1,865
Benefits 1,145 1,311
Operating costs 397 429
Depreciation and amortization 21 20
Total operating expenses 1,563 1,760
Income from operations 174 105
Interest expense 0 0
Other expense, net 0 0
Income before income taxes and equity in net earnings 174 105
Equity in net earnings 0 0
Segment earnings (loss) 174 105
Operating segments | Group and Specialty | Individual Medicare Advantage    
Segment Reporting Information [Line Items]    
Premiums 0 0
Operating segments | Group and Specialty | Group Medicare Advantage    
Segment Reporting Information [Line Items]    
Premiums 0 0
Operating segments | Group and Specialty | Medicare stand-alone PDP    
Segment Reporting Information [Line Items]    
Premiums 0 0
Operating segments | Group and Specialty | Total Medicare    
Segment Reporting Information [Line Items]    
Premiums 0 0
Operating segments | Group and Specialty | Fully-insured    
Segment Reporting Information [Line Items]    
Premiums 1,099 1,229
Operating segments | Group and Specialty | Specialty    
Segment Reporting Information [Line Items]    
Premiums 434 429
Operating segments | Group and Specialty | Medicaid and other    
Segment Reporting Information [Line Items]    
Premiums 0 0
Operating segments | Group and Specialty | Provider    
Segment Reporting Information [Line Items]    
Services revenue 0 0
Operating segments | Group and Specialty | ASO and other    
Segment Reporting Information [Line Items]    
Services revenue 190 195
Operating segments | Group and Specialty | Pharmacy    
Segment Reporting Information [Line Items]    
Services revenue 0 0
Operating segments | Group and Specialty | Services    
Segment Reporting Information [Line Items]    
Intersegment revenues 10 7
Operating segments | Group and Specialty | Products    
Segment Reporting Information [Line Items]    
Intersegment revenues 0 0
Operating segments | Healthcare Services    
Segment Reporting Information [Line Items]    
Premiums 0 0
Services revenue 271 225
Total external revenues 271 225
Intersegment revenues 6,926 6,860
Investment income 1 0
Total revenues 7,198 7,085
Benefits 0 0
Operating costs 6,910 6,800
Depreciation and amortization 40 43
Total operating expenses 6,950 6,843
Income from operations 248 242
Interest expense 0 0
Other expense, net 0 0
Income before income taxes and equity in net earnings 248 242
Equity in net earnings 21 8
Segment earnings (loss) 269 250
Operating segments | Healthcare Services | Individual Medicare Advantage    
Segment Reporting Information [Line Items]    
Premiums 0 0
Operating segments | Healthcare Services | Group Medicare Advantage    
Segment Reporting Information [Line Items]    
Premiums 0 0
Operating segments | Healthcare Services | Medicare stand-alone PDP    
Segment Reporting Information [Line Items]    
Premiums 0 0
Operating segments | Healthcare Services | Total Medicare    
Segment Reporting Information [Line Items]    
Premiums 0 0
Operating segments | Healthcare Services | Fully-insured    
Segment Reporting Information [Line Items]    
Premiums 0 0
Operating segments | Healthcare Services | Specialty    
Segment Reporting Information [Line Items]    
Premiums 0 0
Operating segments | Healthcare Services | Medicaid and other    
Segment Reporting Information [Line Items]    
Premiums 0 0
Operating segments | Healthcare Services | Provider    
Segment Reporting Information [Line Items]    
Services revenue 115 104
Operating segments | Healthcare Services | ASO and other    
Segment Reporting Information [Line Items]    
Services revenue 0 0
Operating segments | Healthcare Services | Pharmacy    
Segment Reporting Information [Line Items]    
Services revenue 156 121
Operating segments | Healthcare Services | Services    
Segment Reporting Information [Line Items]    
Intersegment revenues 4,774 4,950
Operating segments | Healthcare Services | Products    
Segment Reporting Information [Line Items]    
Intersegment revenues 2,152 1,910
Eliminations/ Corporate    
Segment Reporting Information [Line Items]    
Premiums 0 0
Services revenue 0 0
Total external revenues 0 0
Intersegment revenues (6,936) (6,867)
Investment income 21 90
Total revenues (6,915) (6,777)
Benefits (148) (146)
Operating costs (6,751) (6,644)
Depreciation and amortization (23) (29)
Total operating expenses (6,922) (6,819)
Income from operations 7 42
Interest expense 68 60
Other expense, net 115 297
Income before income taxes and equity in net earnings (176) (315)
Equity in net earnings 0 0
Segment earnings (loss) (176) (315)
Eliminations/ Corporate | Individual Medicare Advantage    
Segment Reporting Information [Line Items]    
Premiums 0 0
Eliminations/ Corporate | Group Medicare Advantage    
Segment Reporting Information [Line Items]    
Premiums 0 0
Eliminations/ Corporate | Medicare stand-alone PDP    
Segment Reporting Information [Line Items]    
Premiums 0 0
Eliminations/ Corporate | Total Medicare    
Segment Reporting Information [Line Items]    
Premiums 0 0
Eliminations/ Corporate | Fully-insured    
Segment Reporting Information [Line Items]    
Premiums 0 0
Eliminations/ Corporate | Specialty    
Segment Reporting Information [Line Items]    
Premiums 0 0
Eliminations/ Corporate | Medicaid and other    
Segment Reporting Information [Line Items]    
Premiums 0 0
Eliminations/ Corporate | Provider    
Segment Reporting Information [Line Items]    
Services revenue 0 0
Eliminations/ Corporate | ASO and other    
Segment Reporting Information [Line Items]    
Services revenue 0 0
Eliminations/ Corporate | Pharmacy    
Segment Reporting Information [Line Items]    
Services revenue 0 0
Eliminations/ Corporate | Services    
Segment Reporting Information [Line Items]    
Intersegment revenues (4,784) (4,957)
Eliminations/ Corporate | Products    
Segment Reporting Information [Line Items]    
Intersegment revenues $ (2,152) $ (1,910)