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Medical Claims and Benefits Payable - Cumulative Paid Claims and Allocated Claims Adjustment Expenses (Details) - USD ($)
$ in Millions
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2015
Product Information [Line Items]      
Claims paid $ 45,462    
Benefit Year 2016      
Product Information [Line Items]      
Claims paid 15,039 $ 14,952 $ 13,403
Benefit Year 2017      
Product Information [Line Items]      
Claims paid 16,752 $ 15,130  
Benefit Year 2018      
Product Information [Line Items]      
Claims paid $ 13,671