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Segments - Reconciliation of Gross Margin to Consolidated Income (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Segment Reporting Information [Line Items]        
Add: other operating revenues $ 4,883 $ 4,999 $ 9,529 $ 9,903
Less: other operating expenses (4,541) (5,286) (8,965) (10,108)
Operating income (loss) 342 (287) 564 (205)
Other expenses (income), net 37 27 80 (22)
Income (loss) before income tax expense (benefit) 305 (314) 484 (183)
Health Plans        
Segment Reporting Information [Line Items]        
Add: other operating revenues 4,752 4,868 9,261 9,639
Molina Medicaid Solutions        
Segment Reporting Information [Line Items]        
Add: other operating revenues 48 47 99 93
Other        
Segment Reporting Information [Line Items]        
Add: other operating revenues 83 84 169 171
Operating Segments        
Segment Reporting Information [Line Items]        
Gross margin 673 254 1,288 800
Operating Segments | Health Plans        
Segment Reporting Information [Line Items]        
Gross margin 664 249 1,265 786
Operating Segments | Molina Medicaid Solutions        
Segment Reporting Information [Line Items]        
Gross margin 4 4 12 8
Operating Segments | Other        
Segment Reporting Information [Line Items]        
Gross margin 5 1 11 6
Other operating        
Segment Reporting Information [Line Items]        
Add: other operating revenues 242 130 431 255
Less: other operating expenses $ (573) $ (671) $ (1,155) $ (1,260)