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Health Care Costs Payable - Components of Change in Health Care Costs Payable (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]    
Health care costs payable, beginning of the period $ 10,142  
Less: Claims paid    
Health care costs payable, end of the period 10,895  
Health Care Benefits    
Less: Claims paid    
Benefit costs recorded in other insurance liabilities 22 $ 21
Corporate / Other    
Less: Claims paid    
Benefit costs recorded in other insurance liabilities 51 61
Health Insurance Product Line    
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]    
Health care costs payable, beginning of the period 10,142 8,678
Less: Reinsurance recoverables 5 8
Less: Impact of discount rate on long-duration insurance reserves 8 0
Health care costs payable, beginning of the period, net 10,129 8,670
Add: Components of incurred health care costs    
Current year 21,068 18,504
Prior years (693) (676)
Total incurred health care costs 20,375 17,828
Less: Claims paid    
Current year 11,957 10,225
Prior years 7,645 6,183
Total claims paid 19,602 16,408
Add: Premium deficiency reserve 0 13
Health care costs payable, end of the period, net 10,902 10,090
Add: Reinsurance recoverables 5 8
Add: Impact of discount rate on long-duration insurance reserves (12) 7
Health care costs payable, end of the period 10,895 10,105
Premium deficiency reserve 0 13
Health Insurance Product Line | Thailand Business    
Less: Claims paid    
Other $ 0 $ (13)