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Medical Costs Payable (Details) - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Causes of Increase (Decrease) in Liability for Unpaid Claims and Claims Adjustment Expense [Line Items]    
Medical costs payable, beginning of period $ 32,395 $ 29,056
Acquisitions (dispositions), net (687) 1
Reported medical costs:    
Current year 131,583 120,773
Prior year (390) (660)
Total reported medical costs 131,193 120,113
Medical payments:    
Payments for current year (102,288) (91,621)
Payments for prior years (27,887) (25,602)
Total medical payments (130,175) (117,223)
Less: medical costs payable included within businesses held for sale (179) 0
Medical costs payable, end of period $ 32,547 $ 31,947