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Supplemental Condensed Consolidating Financial Information - Statements of Operations (Details) - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Sep. 30, 2017
Sep. 30, 2016
Revenue:        
Total revenue $ 5,031 $ 4,546 $ 14,934 $ 13,248
Expenses:        
Medical care costs 4,220 3,748 12,822 10,930
Cost of service revenue 123 119 369 362
General and administrative expenses 383 343 1,227 1,034
Premium tax expenses 106 127 331 345
Health insurer fee expenses 0 55 0 163
Depreciation and amortization 33 36 109 102
Impairment losses 129 0 201 0
Restructuring and separation costs 118 0 161 0
Total operating expenses 5,112 4,428 15,220 12,936
Operating (loss) income (81) 118 (286) 312
Interest expense 32 26 85 76
Other income, net 0 0 (75) 0
(Loss) income before income tax (benefit) expense (113) 92 (296) 236
Income tax (benefit) expense (16) 50 (46) 137
Net (loss) income before equity in earnings of subsidiaries (97) 42 (250) 99
Equity in net earnings of subsidiaries 0 0 0 0
Net (loss) income (97) 42 (250) 99
Eliminations        
Revenue:        
Total revenue (379) (274) (1,014) (784)
Expenses:        
Medical care costs 0 (1) 0 (1)
Cost of service revenue 0 0 0 0
General and administrative expenses (379) (273) (1,014) (783)
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 (379) (274) (1,014) (784)
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 166 (65) 363 (147)
Net (loss) income 166 (65) 363 (147)
Parent Guarantor | Reportable Legal Entities        
Revenue:        
Total revenue 380 274 1,010 786
Expenses:        
Medical care costs 3 19 10 50
Cost of service revenue 0 0 0 0
General and administrative expenses 244 223 799 659
Premium tax expenses 0 0 0 0
Health insurer fee expenses   0   0
Depreciation and amortization 23 25 75 70
Impairment losses 0   0  
Restructuring and separation costs 77   120  
Total operating expenses 347 267 1,004 779
Operating (loss) income 33 7 6 7
Interest expense 32 26 85 76
Other income, net     (75)  
(Loss) income before income tax (benefit) expense 1 (19) (4) (69)
Income tax (benefit) expense 9 4 26 (24)
Net (loss) income before equity in earnings of subsidiaries (8) (23) (30) (45)
Equity in net earnings of subsidiaries (89) 65 (220) 144
Net (loss) income (97) 42 (250) 99
Other Guarantors | Reportable Legal Entities        
Revenue:        
Total revenue 47 48 146 147
Expenses:        
Medical care costs 0 0 0 0
Cost of service revenue 42 42 127 130
General and administrative expenses (1) (4) 13 5
Premium tax expenses 0 0 0 0
Health insurer fee expenses   0   0
Depreciation and amortization 1 2 1 5
Impairment losses 28   28  
Restructuring and separation costs 8   8  
Total operating expenses 78 40 177 140
Operating (loss) income (31) 8 (31) 7
Interest expense 0 0 0 0
Other income, net     0  
(Loss) income before income tax (benefit) expense (31) 8 (31) 7
Income tax (benefit) expense (10) 0 (10) (1)
Net (loss) income before equity in earnings of subsidiaries (21) 8 (21) 8
Equity in net earnings of subsidiaries (77) 0 (143) 3
Net (loss) income (98) 8 (164) 11
Non-Guarantors | Reportable Legal Entities        
Revenue:        
Total revenue 4,983 4,498 14,792 13,099
Expenses:        
Medical care costs 4,217 3,730 12,812 10,881
Cost of service revenue 81 77 242 232
General and administrative expenses 519 397 1,429 1,153
Premium tax expenses 106 127 331 345
Health insurer fee expenses   55   163
Depreciation and amortization 9 9 33 27
Impairment losses 101   173  
Restructuring and separation costs 33   33  
Total operating expenses 5,066 4,395 15,053 12,801
Operating (loss) income (83) 103 (261) 298
Interest expense 0 0 0 0
Other income, net     0  
(Loss) income before income tax (benefit) expense (83) 103 (261) 298
Income tax (benefit) expense (15) 46 (62) 162
Net (loss) income before equity in earnings of subsidiaries (68) 57 (199) 136
Equity in net earnings of subsidiaries 0 0 0 0
Net (loss) income $ (68) $ 57 $ (199) $ 136