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Segment Information (Details)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2018
USD ($)
Sep. 30, 2018
USD ($)
Jun. 30, 2018
USD ($)
Mar. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Sep. 30, 2017
USD ($)
Jun. 30, 2017
USD ($)
Mar. 31, 2017
USD ($)
Dec. 31, 2018
USD ($)
segment
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Segment Reporting [Abstract]                      
Number of Operating Segments | segment                 2    
Revenues $ 16,559 $ 16,182 $ 14,181 $ 13,194 $ 12,806 $ 11,898 $ 11,954 $ 11,724 $ 60,116 $ 48,382 $ 40,607
Earnings from operations                 1,458 1,199 1,263
Total assets 30,901       21,855       30,901 21,855 20,197
Managed Care                      
Revenues                 57,099 45,842 38,182
Earnings from operations                 1,310 917 1,080
Total assets 27,627       19,959       27,627 19,959 18,423
Specialty Services                      
Revenues                 12,506 12,055 2,425
Earnings from operations                 148 282 183
Total assets $ 3,274       $ 1,896       3,274 1,896 1,774
Operating Segments | Managed Care                      
Revenues                 56,999 45,798 38,382
Operating Segments | Specialty Services                      
Revenues                 3,117 2,584 8,377
Intersegment Eliminations                      
Revenues                 (9,489) (9,515) (6,152)
Intersegment Eliminations | Managed Care                      
Revenues                 100 44 200
Intersegment Eliminations | Specialty Services                      
Revenues                 $ 9,389 $ 9,471 $ 5,952