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Health Care Medical Claims Payable (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended 12 Months Ended
Mar. 31, 2012
Mar. 31, 2011
Dec. 31, 2011
Dec. 31, 2010
Health Care Medical Claims Payable Text Details [Abstract]        
Difference in experience from assumptions, medical claims payable $ (135)   $ (126)  
Percent difference in experience from assumptions, medical claims payable 1.60%   1.50%  
Difference in completion factors, medical claims payable (60)   (87)  
Percent difference in completion factors, medical claims payable 0.70%   1.00%  
Difference in medical cost trend, medical claims payable (75)   (39)  
Percent difference in medical cost trend, medical claims payable 0.90%   0.50%  
After Tax Impact Of Prior Year Development On Shareholders Net Income 38 22    
Schedule Of Medical Claims Payable Activity Details [Abstract]        
Balance at January 1, 1,095 1,246 1,246  
Less: Reinsurance and other amounts recoverable 202   194 236
Balance at January 1, net 1,496   901 1,010
Acquired HealthSpring balances, net 510   0  
Incurred Claims Details [Abstract]        
Current year 3,172   8,308  
Prior years (135)   (126)  
Total incurred 3,037 2,077 8,182  
Paid Claims Details [Abstract]        
Current year 2,002   7,450  
Prior years 950   841  
Total paid 2,952   8,291  
Ending Balance, net 1,496   901 1,010
Add: Reinsurance and other amounts recoverable 202   194 236
Medical claims payable 1,698   1,095 1,246
Schedule Of Medical Claims Payable Details [Abstract]        
Incurred but not yet reported 1,416   952  
Reported claims in process 170   129  
Physician's Incentives and other medical expense payable 112   14  
Medical claims payable $ 1,698   $ 1,095 $ 1,246