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Health Care Costs Payable - Incurred and Paid Health Care Claims Development (Details) - Health Insurance Product Line - USD ($)
$ in Millions
Dec. 31, 2020
Dec. 31, 2019
Claims Development [Line Items]    
Incurred Health Care Claims,Net of Reinsurance $ 105,585  
Cumulative Paid Health Care Claims,Net of Reinsurance 97,961  
All outstanding liabilities for health care costs payable prior to 2019, net of reinsurance 144  
Total outstanding liabilities for health care costs payable, net of reinsurance 7,768  
2019    
Claims Development [Line Items]    
Incurred Health Care Claims,Net of Reinsurance 51,056 $ 51,426
Cumulative Paid Health Care Claims,Net of Reinsurance 50,394 $ 44,987
2020    
Claims Development [Line Items]    
Incurred Health Care Claims,Net of Reinsurance 54,529  
Cumulative Paid Health Care Claims,Net of Reinsurance $ 47,567