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Medical Claims and Benefits Payable - Reconciliation of Claims Development (Details) - USD ($)
$ in Millions
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Insurance [Abstract]        
Incurred claims and allocated claims adjustment expenses $ 35,130      
Less: cumulative paid clams and allocated claims adjustment expenses (33,444)      
Non-risk provider payables and other 243      
Medical claims and benefits payable $ 1,929 $ 1,685 $ 1,201 $ 670