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Supplemental Condensed Consolidating Financial Information - Statements of Operations (Details) - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2017
Jun. 30, 2016
Jun. 30, 2017
Jun. 30, 2016
Revenue:        
Total revenue $ 4,999 $ 4,359 $ 9,903 $ 8,702
Expenses:        
Medical care costs 4,491 3,594 8,602 7,182
Cost of service revenue 124 116 246 243
General and administrative expenses 405 351 844 691
Premium tax expenses 114 109 225 218
Health insurer fee expenses 0 50 0 108
Depreciation and amortization 37 34 76 66
Impairment losses 72 0 72 0
Restructuring and separation costs 43 0 43 0
Total operating expenses 5,286 4,254 10,108 8,508
Operating (loss) income (287) 105 (205) 194
Interest expense 27 25 53 50
Other income, net 0 0 (75) 0
(Loss) income before income tax (benefit) expense (314) 80 (183) 144
Income tax (benefit) expense (84) 47 (30) 87
Net (loss) income before equity in earnings of subsidiaries (230) 33 (153) 57
Equity in net earnings of subsidiaries 0 0 0 0
Net (loss) income (230) 33 (153) 57
Eliminations        
Revenue:        
Total revenue (293) (260) (635) (510)
Expenses:        
Medical care costs 0 0 0 0
Cost of service revenue 0 0 0 0
General and administrative expenses (293) (260) (635) (510)
Premium tax expenses 0 0 0 0
Health insurer fee expenses   0   0
Depreciation and amortization 0 0 0 0
Impairment losses 0   0  
Restructuring and separation costs 0   0  
Total operating expenses (293) (260) (635) (510)
Operating (loss) income 0 0 0 0
Interest expense 0 0 0 0
Other income, net     0  
(Loss) income before income tax (benefit) expense 0 0 0 0
Income tax (benefit) expense 0 0 0 0
Net (loss) income before equity in earnings of subsidiaries 0 0 0 0
Equity in net earnings of subsidiaries 241 (47) 197 (82)
Net (loss) income 241 (47) 197 (82)
Parent Guarantor | Reportable Legal Entities        
Revenue:        
Total revenue 289 261 630 512
Expenses:        
Medical care costs 3 19 7 31
Cost of service revenue 0 0 0 0
General and administrative expenses 258 219 555 436
Premium tax expenses 0 0 0 0
Health insurer fee expenses   0   0
Depreciation and amortization 25 23 52 45
Impairment losses 0   0  
Restructuring and separation costs 43   43  
Total operating expenses 329 261 657 512
Operating (loss) income (40) 0 (27) 0
Interest expense 27 25 53 50
Other income, net     (75)  
(Loss) income before income tax (benefit) expense (67) (25) (5) (50)
Income tax (benefit) expense (14) (12) 17 (28)
Net (loss) income before equity in earnings of subsidiaries (53) (13) (22) (22)
Equity in net earnings of subsidiaries (177) 46 (131) 79
Net (loss) income (230) 33 (153) 57
Other Guarantors | Reportable Legal Entities        
Revenue:        
Total revenue 51 47 99 99
Expenses:        
Medical care costs 0 0 0 0
Cost of service revenue 43 23 85 88
General and administrative expenses 7 24 14 9
Premium tax expenses 0 0 0 0
Health insurer fee expenses   0   0
Depreciation and amortization 0 1 0 3
Impairment losses 0   0  
Restructuring and separation costs 0   0  
Total operating expenses 50 48 99 100
Operating (loss) income 1 (1) 0 (1)
Interest expense 0 0 0 0
Other income, net     0  
(Loss) income before income tax (benefit) expense 1 (1) 0 (1)
Income tax (benefit) expense 0 (1) 0 (1)
Net (loss) income before equity in earnings of subsidiaries 1 0 0 0
Equity in net earnings of subsidiaries (64) 1 (66) 3
Net (loss) income (63) 1 (66) 3
Non-Guarantors | Reportable Legal Entities        
Revenue:        
Total revenue 4,952 4,311 9,809 8,601
Expenses:        
Medical care costs 4,488 3,575 8,595 7,151
Cost of service revenue 81 93 161 155
General and administrative expenses 433 368 910 756
Premium tax expenses 114 109 225 218
Health insurer fee expenses   50   108
Depreciation and amortization 12 10 24 18
Impairment losses 72   72  
Restructuring and separation costs 0   0  
Total operating expenses 5,200 4,205 9,987 8,406
Operating (loss) income (248) 106 (178) 195
Interest expense 0 0 0 0
Other income, net     0  
(Loss) income before income tax (benefit) expense (248) 106 (178) 195
Income tax (benefit) expense (70) 60 (47) 116
Net (loss) income before equity in earnings of subsidiaries (178) 46 (131) 79
Equity in net earnings of subsidiaries 0 0 0 0
Net (loss) income $ (178) $ 46 $ (131) $ 79