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Goodwill and Intangible Assets, Net - Balances of Goodwill (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Goodwill [Line Items]    
Historical goodwill   $ 678
Accumulated impairment losses $ (492) (492)
Changes in the carrying amount of goodwill    
Beginning balance 186  
Sale of subsidiary (43)  
Ending balance 143  
Health Plans    
Goodwill [Line Items]    
Historical goodwill   445
Accumulated impairment losses (302) (302)
Changes in the carrying amount of goodwill    
Beginning balance 143  
Sale of subsidiary 0  
Ending balance 143  
Other    
Goodwill [Line Items]    
Historical goodwill   233
Accumulated impairment losses (190) $ (190)
Changes in the carrying amount of goodwill    
Beginning balance 43  
Sale of subsidiary (43)  
Ending balance $ 0