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Global Health Care Medical Costs Payable - Activity (Details) - Global Health Benefits Segment [Member] - USD ($)
$ in Millions
6 Months Ended 12 Months Ended
Jun. 30, 2016
Dec. 31, 2015
Medical Claims Payable Activity [Abstract]    
Costs payable, beginning balance, gross $ 2,355 $ 2,180
Less: Reinsurance and other amounts recoverable 243 252
Balance at January 1, net 2,112 1,928
Incurred claims related to:    
Current year 9,621 18,564
Prior years (83) (210)
Total incurred 9,538 18,354
Paid claims related to:    
Current year 7,580 16,588
Prior years 1,701 1,582
Total paid 9,281 18,170
Ending balance, net 2,369 2,112
Add: Reinsurance and other amounts recoverable 208 243
Costs payable, ending balance, gross $ 2,577 $ 2,355