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Medical Claims Payables - Reconciliation of Short Duration Medical Claims Payable to the Consolidated Medical Claims Payable (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Insurance [Abstract]    
Cumulative Incurred Claims and Allocated Claim Adjustment Expenses, Net of Reinsurance $ 403,970  
Cumulative Paid Claims and Allocated Claim Adjustment Expenses, Net of Reinsurance 387,189  
Net medical claims payable, end of year 16,781  
Ceded medical claims payable, end of year 48  
Insurance lines other than short duration 255  
Gross medical claims payable, end of year $ 17,084 $ 15,746