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Medical Claims Liability - Narrative (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Insurance [Abstract]      
Amounts recorded as an adjustment to premium revenues related to minimum MLR and return of premium programs $ 93 $ 243 $ 382
Segment Reporting Information [Line Items]      
Premium deficiency reserve liability (92) (158) 250
Medicare      
Segment Reporting Information [Line Items]      
Premium deficiency reserve liability (92) (158) 250
Medicare | Medicare Advantage 2024      
Segment Reporting Information [Line Items]      
Premium deficiency reserve liability     $ 250
Medicare | Medicare Advantage 2025      
Segment Reporting Information [Line Items]      
Premium deficiency reserve liability   $ 92  
Medicare | Medicare Advantage 2026      
Segment Reporting Information [Line Items]      
Premium deficiency reserve liability $ 0