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Medical Claims and Benefits Payable - Cumulative Paid Claims and Allocated Claims Adjustment Expenses (Details) - USD ($)
$ in Millions
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Product Information [Line Items]      
Claims paid $ 43,149    
Benefit Year 2018      
Product Information [Line Items]      
Claims paid 15,222 $ 15,220 $ 13,752
Benefit Year 2019      
Product Information [Line Items]      
Claims paid 14,056 $ 12,554  
Benefit Year 2020      
Product Information [Line Items]      
Claims paid $ 13,871