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Goodwill, Other Intangibles and Property and Equipment - Narrative (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]      
Goodwill $ 44,648 $ 44,602 $ 44,505
Impairments of other intangible assets
Indefinite-lived intangible assets $ 8,500 $ 8,400  
Minimum      
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]      
Amortization period 3 years    
Maximum      
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]      
Amortization period 39 years    
Buildings and Improvements | Minimum      
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]      
Estimated useful life 10 years    
Buildings and Improvements | Maximum      
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]      
Estimated useful life 40 years    
Purchased Software | Minimum      
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]      
Estimated useful life 3 years    
Purchased Software | Maximum      
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]      
Estimated useful life 5 years    
Internally-Developed Software | Minimum      
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]      
Estimated useful life 3 years    
Internally-Developed Software | Maximum      
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]      
Estimated useful life 7 years    
Furniture and Equipment (including Computer Equipment) | Minimum      
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]      
Estimated useful life 3 years    
Furniture and Equipment (including Computer Equipment) | Maximum      
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]      
Estimated useful life 10 years    
Evernorth      
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]      
Goodwill $ 33,800    
U.S. Medical      
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]      
Goodwill 10,400    
International Markets      
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]      
Goodwill $ 400