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v3.20.1

Segment Financial Information (Details) - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2020 | Mar. 31, 2019
Statement [Line Items] |  |
Premiums, revenues - unaffiliated customers | $ 50,640 | $ 47,513
Products | 8,431 | 8,072
Services | 4,985 | 4,318
Investment and other income | 365 | 405
Total revenues | 64,421 | 60,308
Earnings from operations | 4,996 | 4,832
Interest expense | (437) | (400)
Earnings before income taxes | 4,559 | 4,432
Optum |  |
Statement [Line Items] |  |
Investment and other income | 168 | 151
Total revenues | 32,839 | 26,360
Earnings from operations | 2,108 | 1,878
Interest expense | 0 | 0
Earnings before income taxes | 2,108 | 1,878
Unaffiliated Customers |  |
Statement [Line Items] |  |
Premiums, revenues - unaffiliated customers | 50,640 | 47,513
Products | 8,431 | 8,072
Services | 4,985 | 4,318
Total revenues | 64,056 | 59,903
Unaffiliated Customers | Optum |  |
Statement [Line Items] |  |
Premiums, revenues - unaffiliated customers | 2,047 | 1,012
Products | 8,431 | 8,072
Services | 2,707 | 2,177
Total revenues | 13,185 | 11,261
Affiliated Customers |  |
Statement [Line Items] |  |
Total revenues | 0 | 0
Affiliated Customers | Optum |  |
Statement [Line Items] |  |
Total revenues | 19,486 | 14,948
Operating Segments | UnitedHealthcare |  |
Statement [Line Items] |  |
Investment and other income | 197 | 254
Total revenues | 51,068 | 48,896
Earnings from operations | 2,888 | 2,954
Interest expense | 0 | 0
Earnings before income taxes | 2,888 | 2,954
Operating Segments | OptumHealth |  |
Statement [Line Items] |  |
Investment and other income | 136 | 132
Total revenues | 9,192 | 6,713
Earnings from operations | 712 | 626
Interest expense | 0 | 0
Earnings before income taxes | 712 | 626
Operating Segments | OptumInsight |  |
Statement [Line Items] |  |
Investment and other income | 12 | 5
Total revenues | 2,494 | 2,189
Earnings from operations | 536 | 432
Interest expense | 0 | 0
Earnings before income taxes | 536 | 432
Operating Segments | OptumRx |  |
Statement [Line Items] |  |
Investment and other income | 20 | 14
Total revenues | 21,557 | 17,817
Earnings from operations | 860 | 820
Interest expense | 0 | 0
Earnings before income taxes | 860 | 820
Operating Segments | Unaffiliated Customers | UnitedHealthcare |  |
Statement [Line Items] |  |
Premiums, revenues - unaffiliated customers | 48,593 | 46,501
Products | 0 | 0
Services | 2,278 | 2,141
Total revenues | 50,871 | 48,642
Operating Segments | Unaffiliated Customers | OptumHealth |  |
Statement [Line Items] |  |
Premiums, revenues - unaffiliated customers | 2,047 | 1,012
Products | 9 | 8
Services | 1,548 | 1,274
Total revenues | 3,604 | 2,294
Operating Segments | Unaffiliated Customers | OptumInsight |  |
Statement [Line Items] |  |
Premiums, revenues - unaffiliated customers | 0 | 0
Products | 29 | 23
Services | 891 | 754
Total revenues | 920 | 777
Operating Segments | Unaffiliated Customers | OptumRx |  |
Statement [Line Items] |  |
Premiums, revenues - unaffiliated customers | 0 | 0
Products | 8,393 | 8,041
Services | 268 | 149
Total revenues | 8,661 | 8,190
Operating Segments | Affiliated Customers | UnitedHealthcare |  |
Statement [Line Items] |  |
Total revenues | 0 | 0
Operating Segments | Affiliated Customers | OptumHealth |  |
Statement [Line Items] |  |
Total revenues | 5,452 | 4,287
Operating Segments | Affiliated Customers | OptumInsight |  |
Statement [Line Items] |  |
Total revenues | 1,562 | 1,407
Operating Segments | Affiliated Customers | OptumRx |  |
Statement [Line Items] |  |
Total revenues | 12,876 | 9,613
Optum Eliminations |  |
Statement [Line Items] |  |
Investment and other income | 0 | 0
Total revenues | (404) | (359)
Earnings from operations | 0 | 0
Interest expense | 0 | 0
Earnings before income taxes | 0 | 0
Optum Eliminations | Unaffiliated Customers |  |
Statement [Line Items] |  |
Premiums, revenues - unaffiliated customers | 0 | 0
Products | 0 | 0
Services | 0 | 0
Total revenues | 0 | 0
Optum Eliminations | Affiliated Customers |  |
Statement [Line Items] |  |
Total revenues | (404) | (359)
Corporate and Eliminations |  |
Statement [Line Items] |  |
Investment and other income | 0 | 0
Total revenues | (19,486) | (14,948)
Earnings from operations | 0 | 0
Interest expense | (437) | (400)
Earnings before income taxes | (437) | (400)
Corporate and Eliminations | Unaffiliated Customers |  |
Statement [Line Items] |  |
Premiums, revenues - unaffiliated customers | 0 | 0
Products | 0 | 0
Services | 0 | 0
Total revenues | 0 | 0
Corporate and Eliminations | Affiliated Customers |  |
Statement [Line Items] |  |
Total revenues | $ (19,486) | $ (14,948)

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