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Segment Financial Information (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Statement [Line Items]        
Premiums, revenues - unaffiliated customers $ 47,164 $ 44,458 $ 94,677 $ 88,542
Products, revenues - unaffiliated customers 8,353 7,004 16,425 13,706
Services, revenues - unaffiliated customers 4,496 4,269 8,814 8,373
Investment and other income 582 355 987 653
Total revenues 60,595 56,086 120,903 111,274
Earnings from operations 4,744 4,204 9,576 8,257
Interest expense (418) (344) (818) (673)
Earnings before income taxes 4,326 3,860 8,758 7,584
Optum        
Statement [Line Items]        
Investment and other income 206 147 357 262
Total revenues 28,029 24,726 54,389 48,327
Earnings from operations 2,102 1,847 3,980 3,500
Interest expense 0 0 0 0
Earnings before income taxes 2,102 1,847 3,980 3,500
Unaffiliated Customers        
Statement [Line Items]        
Premiums, revenues - unaffiliated customers 47,164 44,458 94,677 88,542
Products, revenues - unaffiliated customers 8,353 7,004 16,425 13,706
Services, revenues - unaffiliated customers 4,496 4,269 8,814 8,373
Total revenues 60,013 55,731 119,916 110,621
Unaffiliated Customers | Optum        
Statement [Line Items]        
Premiums, revenues - unaffiliated customers 1,134 962 2,146 1,809
Products, revenues - unaffiliated customers 8,353 7,004 16,425 13,706
Services, revenues - unaffiliated customers 2,308 2,127 4,485 4,192
Total revenues 11,795 10,093 23,056 19,707
Affiliated Customers        
Statement [Line Items]        
Total revenues 0 0 0 0
Affiliated Customers | Optum        
Statement [Line Items]        
Total revenues 16,028 14,486 30,976 28,358
Operating Segments | UnitedHealthcare        
Statement [Line Items]        
Investment and other income 376 208 630 391
Total revenues 48,594 45,846 97,490 91,305
Earnings from operations 2,642 2,357 5,596 4,757
Interest expense 0 0 0 0
Earnings before income taxes 2,642 2,357 5,596 4,757
Operating Segments | OptumHealth        
Statement [Line Items]        
Investment and other income 186 124 318 230
Total revenues 7,148 5,941 13,861 11,700
Earnings from operations 688 570 1,314 1,058
Interest expense 0 0 0 0
Earnings before income taxes 688 570 1,314 1,058
Operating Segments | OptumInsight        
Statement [Line Items]        
Investment and other income 6 9 11 11
Total revenues 2,339 2,185 4,528 4,254
Earnings from operations 525 453 957 848
Interest expense 0 0 0 0
Earnings before income taxes 525 453 957 848
Operating Segments | OptumRx        
Statement [Line Items]        
Investment and other income 14 14 28 21
Total revenues 18,923 16,941 36,740 33,047
Earnings from operations 889 824 1,709 1,594
Interest expense 0 0 0 0
Earnings before income taxes 889 824 1,709 1,594
Operating Segments | Unaffiliated Customers | UnitedHealthcare        
Statement [Line Items]        
Premiums, revenues - unaffiliated customers 46,030 43,496 92,531 86,733
Products, revenues - unaffiliated customers 0 0 0 0
Services, revenues - unaffiliated customers 2,188 2,142 4,329 4,181
Total revenues 48,218 45,638 96,860 90,914
Operating Segments | Unaffiliated Customers | OptumHealth        
Statement [Line Items]        
Premiums, revenues - unaffiliated customers 1,134 962 2,146 1,809
Products, revenues - unaffiliated customers 9 12 17 24
Services, revenues - unaffiliated customers 1,370 1,203 2,644 2,391
Total revenues 2,513 2,177 4,807 4,224
Operating Segments | Unaffiliated Customers | OptumInsight        
Statement [Line Items]        
Premiums, revenues - unaffiliated customers 0 0 0 0
Products, revenues - unaffiliated customers 22 20 45 43
Services, revenues - unaffiliated customers 790 776 1,544 1,516
Total revenues 812 796 1,589 1,559
Operating Segments | Unaffiliated Customers | OptumRx        
Statement [Line Items]        
Premiums, revenues - unaffiliated customers 0 0 0 0
Products, revenues - unaffiliated customers 8,322 6,972 16,363 13,639
Services, revenues - unaffiliated customers 148 148 297 285
Total revenues 8,470 7,120 16,660 13,924
Operating Segments | Affiliated Customers | UnitedHealthcare        
Statement [Line Items]        
Total revenues 0 0 0 0
Operating Segments | Affiliated Customers | OptumHealth        
Statement [Line Items]        
Total revenues 4,449 3,640 8,736 7,246
Operating Segments | Affiliated Customers | OptumInsight        
Statement [Line Items]        
Total revenues 1,521 1,380 2,928 2,684
Operating Segments | Affiliated Customers | OptumRx        
Statement [Line Items]        
Total revenues 10,439 9,807 20,052 19,102
Optum Eliminations        
Statement [Line Items]        
Investment and other income 0 0 0 0
Total revenues (381) (341) (740) (674)
Earnings from operations 0 0 0 0
Interest expense 0 0 0 0
Earnings before income taxes 0 0 0 0
Optum Eliminations | Unaffiliated Customers        
Statement [Line Items]        
Premiums, revenues - unaffiliated customers 0 0 0 0
Products, revenues - unaffiliated customers 0 0 0 0
Services, revenues - unaffiliated customers 0 0 0 0
Total revenues 0 0 0 0
Optum Eliminations | Affiliated Customers        
Statement [Line Items]        
Total revenues (381) (341) (740) (674)
Corporate and Eliminations        
Statement [Line Items]        
Investment and other income 0 0 0 0
Total revenues (16,028) (14,486) (30,976) (28,358)
Earnings from operations 0 0 0 0
Interest expense (418) (344) (818) (673)
Earnings before income taxes (418) (344) (818) (673)
Corporate and Eliminations | Unaffiliated Customers        
Statement [Line Items]        
Premiums, revenues - unaffiliated customers 0 0 0 0
Products, revenues - unaffiliated customers 0 0 0 0
Services, revenues - unaffiliated customers 0 0 0 0
Total revenues 0 0 0 0
Corporate and Eliminations | Affiliated Customers        
Statement [Line Items]        
Total revenues $ (16,028) $ (14,486) $ (30,976) $ (28,358)