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Goodwill and Other Intangibles - Goodwill (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Goodwill [Roll Forward]      
Balance, beginning of the period $ 79,121 $ 79,552  
Impairment 0 (431) $ 0
Balance, end of the period 78,150 79,121 79,552
Disposal Group, Disposed of by Sale, Not Discontinued Operations      
Goodwill [Roll Forward]      
Divestitures (971)    
Health Care Benefits      
Goodwill [Roll Forward]      
Balance, beginning of the period 45,130 45,130  
Impairment   0  
Balance, end of the period 44,159 45,130 45,130
Health Care Benefits | Disposal Group, Disposed of by Sale, Not Discontinued Operations      
Goodwill [Roll Forward]      
Divestitures (971)    
Pharmacy Services      
Goodwill [Roll Forward]      
Balance, beginning of the period 23,615 23,615  
Impairment   0  
Balance, end of the period 23,615 23,615 23,615
Pharmacy Services | Disposal Group, Disposed of by Sale, Not Discontinued Operations      
Goodwill [Roll Forward]      
Divestitures 0    
Retail/ LTC      
Goodwill [Roll Forward]      
Balance, beginning of the period 10,376 10,807  
Impairment   (431)  
Balance, end of the period 10,376 $ 10,376 $ 10,807
Retail/ LTC | Disposal Group, Disposed of by Sale, Not Discontinued Operations      
Goodwill [Roll Forward]      
Divestitures $ 0