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Medical Claims and Benefits Payable - Cumulative Paid Claims and Allocated Claims Adjustment Expenses (Details) - USD ($)
$ in Millions
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Product Information [Line Items]      
Claims paid $ 42,014    
Benefit Year 2015      
Product Information [Line Items]      
Claims paid 11,932 $ 11,906 $ 10,615
Benefit Year 2016      
Product Information [Line Items]      
Claims paid 14,952 $ 13,403  
Benefit Year 2017      
Product Information [Line Items]      
Claims paid $ 15,130