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Global Health Care Medical Claims Payable (Details) (USD $)
In Millions, unless otherwise specified
9 Months Ended 12 Months Ended
Sep. 30, 2013
Sep. 30, 2012
Dec. 31, 2012
Paid claims related to:      
Ending balance, net $ 4,195   $ 4,062
Add: Reinsurance and other amounts recoverable 7,371   6,256
Accident and Health Insurance Segment [Member]
     
Schedule Of Reported and Incurred but not Reported (IBNR) Medical Claims Payable (Details) [Abstract]      
Incurred but not yet reported 1,669   1,541
Reported claims in process 210   243
Physician incentives and other medical expense payable 83   72
Medical claims payable 1,962   1,856
Schedule Of Medical Claims Payable Activity [Abstract]      
Claims payable, beginning balance, gross 1,856 1,305 1,305
Less: Reinsurance and other amounts recoverable 242 249 249
Balance at January 1, net 1,614 1,056 1,056
Acquired net: 0   504
Incurred claims related to:      
Current year 12,039   14,428
Prior years (175)   (200)
Total incurred 11,864   14,228
Paid claims related to:      
Current year 10,351   12,854
Prior years 1,344   1,320
Total paid 11,695   14,174
Ending balance, net 1,783   1,614
Add: Reinsurance and other amounts recoverable 179   242
Claims payable, ending balance, gross 1,962   1,856
Causes of Increase (Decrease) in Liability for Unpaid Claims and Claims Adjustment Expense [Abstract]      
(Favorable) Unfavorable incurred claims related to prior years' claims payable (175)   (200)
Incurred claims related to prior years' claims payable percentage 1.20%   2.20%
Favorable (Unfavorable) Impact Of Prior Year Development On Shareholders Net Income 77 64  
Completion Factors [Member] | Accident and Health Insurance Segment [Member]
     
Causes of Increase (Decrease) in Liability for Unpaid Claims and Claims Adjustment Expense [Abstract]      
(Favorable) Unfavorable incurred claims related to prior years' claims payable (70)   (91)
Incurred claims related to prior years' claims payable percentage 0.50%   1.00%
Medical Cost Trend [Member] | Accident and Health Insurance Segment [Member]
     
Causes of Increase (Decrease) in Liability for Unpaid Claims and Claims Adjustment Expense [Abstract]      
(Favorable) Unfavorable incurred claims related to prior years' claims payable $ (105)   $ (109)
Incurred claims related to prior years' claims payable percentage 0.70%   1.20%