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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, 2020
Dec. 31, 2019
Dec. 31, 2018
Medical Claims Payable [Line Items]      
Gross medical claims payable, beginning of year $ 8,647 $ 7,266 $ 7,814
Ceded medical claims payable, beginning of year (33) (34) (105)
Net medical claims payable, beginning of year 8,614 7,232 7,709
Business combinations and purchase adjustments 339   199
Current Year Claims and Claims Adjustment Expense 85,094 78,695 69,581
Net incurred medical claims in prior years redundancies (637) (500) (930)
Total net incurred medical claims 84,457 78,195 68,651
Net payments attributable to current year medical claims 74,629 70,294 62,748
Net payments attributable to prior years medical claims 7,692 6,519 6,579
Total net payments 82,321 76,813 69,327
Net medical claims payable, end of year 11,089 8,614 7,232
Ceded medical claims payable, end of year 46 33 34
Gross medical claims payable, end of year 11,135 8,647 7,266
Commercial and Specialty Business Segment [Member]      
Medical Claims Payable [Line Items]      
Gross medical claims payable, beginning of year 3,039 2,586 3,383
Ceded medical claims payable, beginning of year (14) (10) (78)
Net medical claims payable, beginning of year 3,025 2,576 3,305
Business combinations and purchase adjustments 0    
Current Year Claims and Claims Adjustment Expense 24,894 25,942 24,094
Net incurred medical claims in prior years redundancies (375) (190) (456)
Total net incurred medical claims 24,519 25,752 23,638
Net payments attributable to current year medical claims 21,736 23,026 21,633
Net payments attributable to prior years medical claims 2,527 2,277 2,734
Total net payments 24,263 25,303 24,367
Net medical claims payable, end of year 3,281 3,025 2,576
Ceded medical claims payable, end of year 13 14 10
Gross medical claims payable, end of year 3,294 3,039 2,586
Government Business Segment [Member]      
Medical Claims Payable [Line Items]      
Gross medical claims payable, beginning of year 5,608 4,680 4,431
Ceded medical claims payable, beginning of year (19) (24) (27)
Net medical claims payable, beginning of year 5,589 4,656 4,404
Business combinations and purchase adjustments 141   199
Current Year Claims and Claims Adjustment Expense 58,912 52,753 45,487
Net incurred medical claims in prior years redundancies (262) (310) (474)
Total net incurred medical claims 58,650 52,443 45,013
Net payments attributable to current year medical claims 51,602 47,268 41,115
Net payments attributable to prior years medical claims 5,165 4,242 3,845
Total net payments 56,767 51,510 44,960
Net medical claims payable, end of year 7,613 5,589 4,656
Ceded medical claims payable, end of year 33 19 24
Gross medical claims payable, end of year 7,646 5,608 4,680
Other Segment [Member]      
Medical Claims Payable [Line Items]      
Gross medical claims payable, beginning of year 0    
Ceded medical claims payable, beginning of year 0    
Net medical claims payable, beginning of year 0    
Business combinations and purchase adjustments 198    
Current Year Claims and Claims Adjustment Expense 1,288    
Net incurred medical claims in prior years redundancies 0    
Total net incurred medical claims 1,288 0 $ 0
Net payments attributable to current year medical claims 1,291    
Net payments attributable to prior years medical claims 0    
Total net payments 1,291    
Net medical claims payable, end of year 195 0  
Ceded medical claims payable, end of year 0 0  
Gross medical claims payable, end of year $ 195 $ 0