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Significant Accounting Policies (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended 24 Months Ended
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2015
Sep. 30, 2015
Jun. 30, 2015
Mar. 31, 2015
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2015
Property, Plant and Equipment [Line Items]                        
Final maturities of investments                 10 years      
Average maturity of investments                 3 years      
Amounts due government agencies $ 1,202       $ 729       $ 1,202 $ 729   $ 729
Premium revenue 4,177 $ 4,191 $ 4,029 $ 3,995 3,589 $ 3,377 $ 3,304 $ 2,971 16,392 13,241 $ 9,023  
Accounts payable 385       362       385 362   362
Revenues                 17,782 14,178 9,667  
Risk transfer payment above estimate                 40      
Unrecorded receivable for Marketplace risk corridor 142               142      
Unrecorded receivable for Marketplace risk corridor, prior year 52               52      
Unrecorded receivable for Marketplace risk corridor, current year 90               90      
Medical administrative costs                 488 398 263  
Premium deficiency recorded 30               30      
Health Plans                        
Property, Plant and Equipment [Line Items]                        
Premium revenue                 16,392 13,241 9,023  
Revenues                 17,234 13,917 9,449  
Medicaid Expansion                        
Property, Plant and Equipment [Line Items]                        
Amounts due government agencies 244       208       244 208   208
Florida | Health Plans                        
Property, Plant and Equipment [Line Items]                        
Premium revenue                 1,926 1,199 439  
New Mexico | Health Plans                        
Property, Plant and Equipment [Line Items]                        
Premium revenue                 1,304 1,237 1,076  
Texas | Health Plans                        
Property, Plant and Equipment [Line Items]                        
Premium revenue                 2,454 1,961 $ 1,318  
Texas | Quality Incentives                        
Property, Plant and Equipment [Line Items]                        
Deferred revenue recognized during period     $ 51                  
Deferred revenue for services provided                       44
California Department of Healthcare Services                        
Property, Plant and Equipment [Line Items]                        
Premium revenue                 68      
California Department of Healthcare Services | Claims for services prior to 2016                        
Property, Plant and Equipment [Line Items]                        
Premium revenue                 35      
New Mexico Human Services Department                        
Property, Plant and Equipment [Line Items]                        
Accounts payable 145               145      
Adjustment to Previously Recognized Revenue | Florida                        
Property, Plant and Equipment [Line Items]                        
Revenues       $ 18                
Adjustment to Previously Recognized Revenue | New Mexico Human Services Department                        
Property, Plant and Equipment [Line Items]                        
Premium revenue                 (45)      
Adjustment to Previously Recognized Revenue | New Mexico Human Services Department | Claims for services prior to 2016                        
Property, Plant and Equipment [Line Items]                        
Premium revenue                 (29)      
Medical Premium Liability Due to Agency                        
Property, Plant and Equipment [Line Items]                        
Medical premium liability based on medical costs threshold $ 272       $ 214       $ 272 $ 214   $ 214
Minimum | California, Illinois, New Mexico, Ohio, South Carolina, Texas, Washington, and Wisconsin                        
Property, Plant and Equipment [Line Items]                        
Percentage of additional incremental revenue earned                 1.00%      
Maximum                        
Property, Plant and Equipment [Line Items]                        
Final maturities of investments                 10 years      
Average maturity of investments                 3 years      
Maximum | California, Illinois, New Mexico, Ohio, South Carolina, Texas, Washington, and Wisconsin                        
Property, Plant and Equipment [Line Items]                        
Percentage of additional incremental revenue earned                 3.00%