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Restricted Investments - Balances of Restricted Investments (Details) - USD ($)
$ in Millions
Dec. 31, 2018
Dec. 31, 2017
Summary of restricted investments by health plan    
Restricted investments by health plan $ 120 $ 119
Health Plans    
Summary of restricted investments by health plan    
Restricted investments by health plan 120 119
Health Plans | Florida    
Summary of restricted investments by health plan    
Restricted investments by health plan 32 31
Health Plans | New Mexico    
Summary of restricted investments by health plan    
Restricted investments by health plan 43 43
Health Plans | Ohio    
Summary of restricted investments by health plan    
Restricted investments by health plan 12 12
Health Plans | Puerto Rico    
Summary of restricted investments by health plan    
Restricted investments by health plan 10 10
Health Plans | Other    
Summary of restricted investments by health plan    
Restricted investments by health plan $ 23 $ 23