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Health Care Costs Payable - Components of Change in Health Care Costs Payable (Details) - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]    
Health care costs payable, beginning of the period $ 8,808  
Less: Claims paid    
Health care costs payable, end of the period 10,351  
Health Care Benefits    
Less: Claims paid    
Benefit costs recorded in other insurance liabilities 56 $ 45
Corporate / Other    
Less: Claims paid    
Benefit costs recorded in other insurance liabilities 274 168
Health Insurance Product Line    
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]    
Health care costs payable, beginning of the period 8,808 7,936
Less: Reinsurance recoverables 8 10
Health care costs payable, beginning of the period, net 8,800 7,926
Add: Components of incurred health care costs    
Current year 53,311 48,243
Prior years (670) (771)
Total incurred health care costs 52,641 47,472
Less: Claims paid    
Current year 43,632 39,887
Prior years 7,468 6,639
Total claims paid 51,100 46,526
Add: Premium deficiency reserve 5 1
Health care costs payable, end of the period, net 10,346 8,873
Add: Reinsurance recoverables 5 4
Health care costs payable, end of the period 10,351 8,877
Premium deficiency reserve $ 5 $ 1