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Significant Accounting Policies - Narrative (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2020
Dec. 31, 2019
Schedule of Premium Revenue by Health Plan Type [Line Items]    
Maturity period 10 years  
Average maturity period 10 years  
Interest receivable $ 11 $ 12
Medical cost floors and corridors 74 74
Amounts due government agencies 777 664
Risk adjustment payable 456 368
Risk adjustment receivable 76 63
Risk adjustment, net payable 380 305
Risk adjustment, net payable, current year 80  
Risk adjustment, net payable, prior year 300  
Receivables from state and federal government agencies 1,603 1,406
HIF liabilities 271  
Medicaid Expansion    
Schedule of Premium Revenue by Health Plan Type [Line Items]    
Amounts due government agencies $ 69 $ 69