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Significant Accounting Policies - Additional Information (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Dec. 31, 2018
Jan. 01, 2018
Schedule of Premium Revenue by Health Plan Type [Line Items]        
Medical cost floors and corridors $ 98   $ 103  
Amounts due government agencies 932   967  
Risk adjustment payable 568   466  
Risk adjustment receivable $ 51   34  
Maturity period 10 years      
Restricted cash and cash equivalents $ 74 $ 95    
Medicaid Expansion        
Schedule of Premium Revenue by Health Plan Type [Line Items]        
Amounts due government agencies $ 87   $ 87  
CMS Subsidies        
Schedule of Premium Revenue by Health Plan Type [Line Items]        
Operating expense   $ 70    
ASU 2014-09        
Schedule of Premium Revenue by Health Plan Type [Line Items]        
Adoption of ASU       $ 6
ASU 2014-09 | Retained Earnings        
Schedule of Premium Revenue by Health Plan Type [Line Items]        
Adoption of ASU       $ 7