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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, 2021
Dec. 31, 2020
Claims Development [Line Items]    
Incurred Health Care Claims, Net of Reinsurance $ 116,634  
Cumulative Paid Health Care Claims, Net of Reinsurance 108,190  
All outstanding liabilities for health care costs payable prior to 2020, net of reinsurance 130  
Total outstanding liabilities for health care costs payable, net of reinsurance 8,574  
2020    
Claims Development [Line Items]    
Incurred Health Care Claims, Net of Reinsurance 53,804 $ 54,529
Cumulative Paid Health Care Claims, Net of Reinsurance 53,590 $ 47,567
2021    
Claims Development [Line Items]    
Incurred Health Care Claims, Net of Reinsurance 62,830  
Cumulative Paid Health Care Claims, Net of Reinsurance $ 54,600