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Segment Financial Information (Notes)
 9 Months Ended
Sep. 30, 2024
Segment Reporting [Abstract]  
Segment Reporting Disclosure Segment Financial Information
The Company’s four reportable segments are UnitedHealthcare, Optum Health, Optum Insight and Optum Rx. For more information on the Company’s segments, see Part I, Item I, “Business” and Note 14 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” in the 2023 10-K.
The following tables present reportable segment financial information:
  Optum  
(in millions)UnitedHealthcareOptum HealthOptum InsightOptum RxOptum EliminationsOptumCorporate and
Eliminations		Consolidated
Three Months Ended September 30, 2024
Revenues - unaffiliated customers:
Premiums$71,624 $5,818 $— $— $— $5,818 $— $77,442 
Products— 84 41 12,506 — 12,631 — 12,631 
Services2,422 3,953 1,700 1,029 — 6,682 — 9,104 
Total revenues - unaffiliated customers
74,046 9,855 1,741 13,535 — 25,131 — 99,177 
Total revenues - affiliated customers
— 15,448 3,086 20,554 (1,130)37,958 (37,958)— 
Investment and other income
807 614 104 118 — 836 — 1,643 
Total revenues$74,853 $25,917 $4,931 $34,207 $(1,130)$63,925 $(37,958)$100,820 
Earnings from operations$4,212 $2,161 $791 $1,544 $— $4,496 $— $8,708 
Interest expense— — — — — — (1,074)(1,074)
Loss on sale of subsidiary and subsidiaries held for sale(20)— — — — — — (20)
Earnings before income taxes
$4,192 $2,161 $791 $1,544 $— $4,496 $(1,074)$7,614 
Three Months Ended September 30, 2023
Revenues - unaffiliated customers:
Premiums$66,709 $5,630 $— $— $— $5,630 $— $72,339 
Products— 61 40 10,253 — 10,354 — 10,354 
Services2,550 3,629 1,938 554 — 6,121 — 8,671 
Total revenues - unaffiliated customers
69,259 9,320 1,978 10,807 — 22,105 — 91,364 
Total revenues - affiliated customers
— 14,227 2,964 17,999 (961)34,229 (34,229)— 
Investment and other income
594 317 35 51 — 403 — 997 
Total revenues$69,853 $23,864 $4,977 $28,857 $(961)$56,737 $(34,229)$92,361 
Earnings from operations$4,592 $1,568 $1,109 $1,257 $— $3,934 $— $8,526 
Interest expense— — — — — — (834)(834)
Earnings before income taxes
$4,592 $1,568 $1,109 $1,257 $— $3,934 $(834)$7,692 
  Optum  
(in millions)UnitedHealthcareOptum HealthOptum InsightOptum RxOptum EliminationsOptumCorporate and
Eliminations		Consolidated
Nine Months Ended September 30, 2024
Revenues - unaffiliated customers:
Premiums$214,867 $17,460 $— $— $— $17,460 $— $232,327 
Products— 205 123 36,423 — 36,751 — 36,751 
Services7,339 12,006 4,807 2,590 — 19,403 — 26,742 
Total revenues - unaffiliated customers
222,206 29,671 4,930 39,013 — 73,614 — 295,820 
Total revenues - affiliated customers
— 48,641 8,887 58,208 (3,275)112,461 (112,461)— 
Investment and other income
1,870 1,386 159 236 — 1,781 — 3,651 
Total revenues$224,076 $79,698 $13,976 $97,457 $(3,275)$187,856 $(112,461)$299,471 
Earnings from operations$12,611 $5,979 $1,827 $4,097 $— $11,903 $— $24,514 
Interest expense— — — — — — (2,903)(2,903)
Loss on sale of subsidiary and subsidiaries held for sale(8,331)— — — — — — (8,331)
Earnings before income taxes
$4,280 $5,979 $1,827 $4,097 $— $11,903 $(2,903)$13,280 
Nine Months Ended September 30, 2023
Revenues - unaffiliated customers:
Premiums$201,214 $16,385 $— $— $— $16,385 $— $217,599 
Products— 156 119 30,997 — 31,272 — 31,272 
Services7,689 10,259 5,859 1,607 — 17,725 — 25,414 
Total revenues - unaffiliated customers
208,903 26,800 5,978 32,604 — 65,382 — 274,285 
Total revenues - affiliated customers
— 42,947 8,089 52,174 (2,713)100,497 (100,497)— 
Investment and other income
1,649 1,038 80 143 — 1,261 — 2,910 
Total revenues$210,552 $70,785 $14,147 $84,921 $(2,713)$167,140 $(100,497)$277,195 
Earnings from operations$13,293 $4,869 $2,984 $3,523 $— $11,376 $— $24,669 
Interest expense— — — — — — (2,416)(2,416)
Earnings before income taxes
$13,293 $4,869 $2,984 $3,523 $— $11,376 $(2,416)$22,253