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Segment Information - Revenue by Geographical Area (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2015
Jun. 30, 2014
Jun. 30, 2015
Jun. 30, 2014
Revenues from External Customers and Long-Lived Assets [Line Items]        
Premiums and fees, mail order pharmacy revenues and other revenues $ 9,174 $ 8,374 $ 18,292 $ 16,551