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Medical Claims Liability - Narrative (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Insurance [Abstract]      
Amounts recorded as an adjustment to premium revenues related to minimum MLR and return of premium programs $ 243 $ 382 $ 198
Segment Reporting Information [Line Items]      
Premium deficiency reserve liability (158) 250  
Medicare      
Segment Reporting Information [Line Items]      
Premium deficiency reserve liability $ (158) $ 250