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Medical Claims Payable (Reconciliation Of The Beginning And Ending Balances For Medical Claims Payable) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Reconciliation of beginning and ending balances for medical claims payable      
Gross medical claims payable, beginning of year $ 6,861.2 $ 6,127.2 $ 6,174.5
Ceded medical claims payable, beginning of year (767.4) (23.4) (27.2)
Net medical claims payable, beginning of year 6,093.8 6,103.8 6,147.3
Business combinations and purchase adjustments 121.8 0.0 0.0
Net incurred medical claims in current year 60,708.4 56,305.8 55,894.3
Net incurred medical claims in prior years redundancies (800.2) (541.9) (599.1)
Total net incurred medical claims 59,908.2 55,763.9 55,295.2
Net payments attributable to current year medical claims 54,067.7 50,353.9 49,887.2
Net payments attributable to prior years medical claims 5,131.9 5,420.0 5,451.5
Total net payments 59,199.6 55,773.9 55,338.7
Net medical claims payable, end of year 6,924.2 6,093.8 6,103.8
Ceded medical claims payable, end of year 645.6 767.4 23.4
Gross medical claims payable, end of year $ 7,569.8 $ 6,861.2 $ 6,127.2