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Medical Claims Payable (Reconciliation Of The Claims Development To The Claims Liability) (Details) - USD ($)
$ in Millions
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Short-duration Insurance Contracts, Reconciliation of Claims Development to Liability [Line Items]        
Cumulative incurred claims and allocated claim adjustment expenses, net of reinsurance $ 239,548      
Cumulative paid claims and allocated claim adjustment expenses, net of reinsurance 228,459      
Net medical claims payable, end of year 11,089      
Ceded medical claims payable, end of year 46 $ 33 $ 34 $ 105
Insurance lines other than short duration 224      
Total gross medical claims payable, end of year 11,359 8,842    
Commercial and Specialty Business Segment [Member]        
Short-duration Insurance Contracts, Reconciliation of Claims Development to Liability [Line Items]        
Cumulative incurred claims and allocated claim adjustment expenses, net of reinsurance 77,213      
Cumulative paid claims and allocated claim adjustment expenses, net of reinsurance 73,932      
Net medical claims payable, end of year 3,281      
Ceded medical claims payable, end of year 13 14 10 78
Total gross medical claims payable, end of year 3,294      
Government Business Segment [Member]        
Short-duration Insurance Contracts, Reconciliation of Claims Development to Liability [Line Items]        
Cumulative incurred claims and allocated claim adjustment expenses, net of reinsurance 160,849      
Cumulative paid claims and allocated claim adjustment expenses, net of reinsurance 153,236      
Net medical claims payable, end of year 7,613      
Ceded medical claims payable, end of year 33 19 $ 24 $ 27
Insurance lines other than short duration 224      
Total gross medical claims payable, end of year 7,870      
Other Segment [Member]        
Short-duration Insurance Contracts, Reconciliation of Claims Development to Liability [Line Items]        
Cumulative incurred claims and allocated claim adjustment expenses, net of reinsurance 1,486      
Cumulative paid claims and allocated claim adjustment expenses, net of reinsurance 1,291      
Net medical claims payable, end of year 195      
Ceded medical claims payable, end of year 0 $ 0    
Insurance lines other than short duration 0      
Total gross medical claims payable, end of year $ 195