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Segment Reporting - Reconciliation from Operating Income to Adjusted Operating Income (Details)
1 Months Ended 3 Months Ended 12 Months Ended
Jul. 31, 2020
USD ($)
Jun. 30, 2021
USD ($)
Dec. 31, 2021
USD ($)
store
Sep. 30, 2020
USD ($)
Sep. 30, 2019
USD ($)
Dec. 31, 2021
USD ($)
store
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
store
Aug. 31, 2019
USD ($)
Segment Reporting [Abstract]                  
Operating income (GAAP measure)           $ 13,193,000,000 $ 13,911,000,000 $ 11,987,000,000  
Amortization of intangible assets           2,259,000,000 2,341,000,000 2,436,000,000  
Acquisition-related integration costs           132,000,000 332,000,000 480,000,000  
Store impairments           1,358,000,000 0 231,000,000  
Goodwill impairment       $ 0 $ 0 431,000,000 0 0  
Acquisition purchase price adjustments outside of measurement period           (61,000,000) 0 0  
(Gain) loss on sale of subsidiaries           0 (269,000,000) 205,000,000  
Receipt of fully reserved ACA risk corridor receivable           0 (307,000,000) 0  
Adjusted operating income           $ 17,312,000,000 16,008,000,000 $ 15,339,000,000  
Segment Reporting Information [Line Items]                  
Number of stores, planned closure | store           900   68  
Proceeds from sale of subsidiary           $ 0 840,000,000 $ 0  
U.S. Department of Health and Human Services, ACA Risk Corridor Receivables | Settled Litigation                  
Segment Reporting Information [Line Items]                  
Gain contingency, unrecorded amount             313,000,000   $ 313,000,000
Former gain contingency, recognized in current period, before tax             307,000,000    
Retail/ LTC                  
Segment Reporting [Abstract]                  
Store impairments     $ 1,400,000,000     1,400,000,000      
Goodwill impairment           $ 431,000,000      
Segment Reporting Information [Line Items]                  
Number of stores, planned closure | store     900     900   68  
Health Care Benefits                  
Segment Reporting [Abstract]                  
Goodwill impairment           $ 0      
Segment Reporting Information [Line Items]                  
Receipt related purchase price adjustment from acquisition   $ 61,000,000              
Coventry Health Care Workers Compensation Business | Health Care Benefits | Discontinued Operations, Disposed of by Sale                  
Segment Reporting [Abstract]                  
(Gain) loss on sale of subsidiaries             (269,000,000)    
Segment Reporting Information [Line Items]                  
Proceeds from sale of subsidiary $ 850,000,000           $ 850,000,000