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Health Care Costs Payable - Reconciliation of Health Care Costs Payable (Details) - USD ($)
$ in Millions
12 Months Ended
Nov. 28, 2018
Dec. 31, 2019
Dec. 31, 2018
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]      
Health care costs payable, beginning of the period   $ 6,147  
Reclassification from pharmacy claims and discounts payable $ 776    
Less: Claims paid      
Health care costs payable, end of period   6,879 $ 6,147
Health Care Benefits      
Less: Claims paid      
Amounts excluded from total incurred health care costs   41 4
Corporate/ Other      
Less: Claims paid      
Amounts excluded from total incurred health care costs   285 22
Health Insurance Product Line      
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]      
Health care costs payable, beginning of the period   6,147 5
Less: Reinsurance recoverables   4 0
Health care costs payable, beginning of the period   6,143 5
Acquisitions, net   0 5,357
Reclassification from pharmacy claims and discounts payable   0 776
Add: Components of incurred health care costs      
Current year   52,723 6,594
Prior years   (524) (42)
Total incurred health care costs   52,199 6,552
Less: Claims paid      
Current year   46,158 6,303
Prior years   5,314 260
Total claims paid   51,472 6,563
Add: Premium deficiency reserve   4 16
Health care costs payable, end of period   6,874 6,143
Add: Reinsurance recoverables   5 4
Health care costs payable, end of period   $ 6,879 $ 6,147