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Health Care Costs Payable - Narrative (Details) - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Health Care And Other Insurance Liabilities [Abstract]    
Decrease in prior years' healthcare costs payable $ 1,900 $ 662
Incurred but not reported (IBNR) claims liability, net $ 10,400