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Segment Financial Information (Notes)
 6 Months Ended
Jun. 30, 2021
Segment Reporting [Abstract]  
Segment Reporting Disclosure Segment Financial Information
The Company’s four reportable segments are UnitedHealthcare, OptumHealth, OptumInsight and OptumRx. For more information on the Company’s segments see Part I, Item I, “Business” and Note 14 of Notes to the Consolidated Financial Statements in Part II, Item 8, “Financial Statements” in the 2020 10-K.
The following tables present reportable segment financial information:
  Optum  
(in millions)UnitedHealthcareOptumHealthOptumInsightOptumRxOptum EliminationsOptumCorporate and
Eliminations		Consolidated
Three Months Ended June 30, 2021
Revenues - unaffiliated customers:
Premiums$52,858 $3,375 $— $— $— $3,375 $— $56,233 
Products— 9 33 8,391 — 8,433 — 8,433 
Services2,440 2,461 930 268 — 3,659 — 6,099 
Total revenues - unaffiliated customers
55,298 5,845 963 8,659 — 15,467 — 70,765 
Total revenues - affiliated customers
— 7,221 1,921 13,792 (478)22,456 (22,456)— 
Investment and other income
176 234 73 73 — 380 — 556 
Total revenues$55,474 $13,300 $2,957 $22,524 $(478)$38,303 $(22,456)$71,321 
Earnings from operations$3,095 $1,128 $762 $993 $— $2,883 $— $5,978 
Interest expense— — — — — — (410)(410)
Earnings before income taxes
$3,095 $1,128 $762 $993 $— $2,883 $(410)$5,568 
Three Months Ended June 30, 2020
Revenues - unaffiliated customers:
Premiums$47,039 $2,355 $— $— $— $2,355 $— $49,394 
Products— 7 27 8,213 — 8,247 — 8,247 
Services1,895 1,225 764 272 — 2,261 — 4,156 
Total revenues - unaffiliated customers
48,934 3,587 791 8,485 — 12,863 — 61,797 
Total revenues - affiliated customers
— 5,423 1,823 12,865 (447)19,664 (19,664)— 
Investment and other income
173 129 18 21 — 168 — 341 
Total revenues$49,107 $9,139 $2,632 $21,371 $(447)$32,695 $(19,664)$62,138 
Earnings from operations$7,007 $841 $561 $832 $— $2,234 $— $9,241 
Interest expense— — — — — — (430)(430)
Earnings before income taxes
$7,007 $841 $561 $832 $— $2,234 $(430)$8,811 
  Optum  
(in millions)UnitedHealthcareOptumHealthOptumInsightOptumRxOptum EliminationsOptumCorporate and
Eliminations		Consolidated
Six Months Ended June 30, 2021
Revenues - unaffiliated customers:
Premiums$105,416 $6,303 $— $— $— $6,303 $— $111,719 
Products— 17 70 16,686 — 16,773 — 16,773 
Services4,790 4,797 1,891 539 — 7,227 — 12,017 
Total revenues - unaffiliated customers
110,206 11,117 1,961 17,225 — 30,303 — 140,509 
Total revenues - affiliated customers
— 14,173 3,742 26,796 (953)43,758 (43,758)— 
Investment and other income
382 413 106 107 — 626 — 1,008 
Total revenues$110,588 $25,703 $5,809 $44,128 $(953)$74,687 $(43,758)$141,517 
Earnings from operations$7,203 $2,090 $1,541 $1,883 $— $5,514 $— $12,717 
Interest expense— — — — — — (807)(807)
Earnings before income taxes
$7,203 $2,090 $1,541 $1,883 $— $5,514 $(807)$11,910 
Six Months Ended June 30, 2020
Revenues - unaffiliated customers:
Premiums$95,632 $4,402 $— $— $— $4,402 $— $100,034 
Products— 16 56 16,606 — 16,678 — 16,678 
Services4,173 2,773 1,655 540 — 4,968 — 9,141 
Total revenues - unaffiliated customers
99,805 7,191 1,711 17,146 — 26,048 — 125,853 
Total revenues - affiliated customers
— 10,875 3,385 25,741 (851)39,150 (39,150)— 
Investment and other income
370 265 30 41 — 336 — 706 
Total revenues$100,175 $18,331 $5,126 $42,928 $(851)$65,534 $(39,150)$126,559 
Earnings from operations$9,895 $1,553 $1,097 $1,692 $— $4,342 $— $14,237 
Interest expense— — — — — — (867)(867)
Earnings before income taxes
$9,895 $1,553 $1,097 $1,692 $— $4,342 $(867)$13,370