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Global Health Care Medical Costs Payable - Prior Year Development (Details) - Global Health Benefits Segment [Member] - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2017
Jun. 30, 2016
Jun. 30, 2017
Jun. 30, 2016
Causes of Increase (Decrease) in Liability for Unpaid Claims and Claims Adjustment Expense [Abstract]        
Variance (unfavorable) in incurred costs related to prior years' claims payable $ 62 $ 19 $ 238 $ 83
Variance (unfavorable) in incurred costs related to prior years' claims payable, percentage 0.30% 0.10% 1.20% 0.40%
Net impact (unfavorable) of prior development on shareholders' net income $ 36 $ 97
Completion Factors [Member]        
Causes of Increase (Decrease) in Liability for Unpaid Claims and Claims Adjustment Expense [Abstract]        
Variance (unfavorable) in incurred costs related to prior years' claims payable $ 30 $ 12 $ 108 $ 63
Variance (unfavorable) in incurred costs related to prior years' claims payable, percentage 0.20% 0.10% 0.60% 0.30%
Medical Cost Trend [Member]        
Causes of Increase (Decrease) in Liability for Unpaid Claims and Claims Adjustment Expense [Abstract]        
Variance (unfavorable) in incurred costs related to prior years' claims payable $ 23 $ 0 $ 121 $ 28
Variance (unfavorable) in incurred costs related to prior years' claims payable, percentage 0.10% 0.00% 0.60% 0.10%
Other [Member]        
Causes of Increase (Decrease) in Liability for Unpaid Claims and Claims Adjustment Expense [Abstract]        
Variance (unfavorable) in incurred costs related to prior years' claims payable $ 9 $ 7 $ 9 $ (8)
Variance (unfavorable) in incurred costs related to prior years' claims payable, percentage 0.00% 0.00% 0.00% 0.00%