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Medical Costs Payable (Details) - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2024
Sep. 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 (755) 1
Reported medical costs:    
Current year 197,750 180,423
Prior year (600) (760)
Total reported medical costs 197,150 179,663
Medical payments:    
Payments for current year (165,544) (149,671)
Payments for prior years (29,095) (26,257)
Total medical payments (194,639) (175,928)
Less: medical costs payable included within businesses held for sale (200) 0
Medical costs payable, end of period $ 33,951 $ 32,792