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Goodwill and Other Intangibles - Goodwill (Details) - USD ($)
3 Months Ended 12 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Goodwill [Roll Forward]          
Balance, beginning of the period     $ 79,552,000,000 $ 79,749,000,000  
Acquisitions       308,000,000  
Divestiture of Workers’ Compensation business       (505,000,000)  
Impairment $ 0 $ 0 (431,000,000) 0 $ 0
Balance, end of the period     79,121,000,000 79,552,000,000 79,749,000,000
Health Care Benefits          
Goodwill [Roll Forward]          
Balance, beginning of the period     45,130,000,000 45,361,000,000  
Acquisitions       274,000,000  
Divestiture of Workers’ Compensation business       (505,000,000)  
Impairment     0    
Balance, end of the period     45,130,000,000 45,130,000,000 45,361,000,000
Pharmacy Services          
Goodwill [Roll Forward]          
Balance, beginning of the period     23,615,000,000 23,581,000,000  
Acquisitions       34,000,000  
Divestiture of Workers’ Compensation business       0  
Impairment     0    
Balance, end of the period     23,615,000,000 23,615,000,000 23,581,000,000
Retail/ LTC          
Goodwill [Roll Forward]          
Balance, beginning of the period     10,807,000,000 10,807,000,000  
Acquisitions       0  
Divestiture of Workers’ Compensation business       0  
Impairment     (431,000,000)    
Balance, end of the period     $ 10,376,000,000 $ 10,807,000,000 $ 10,807,000,000