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Summary of Significant Accounting Policies (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
New Accounting Pronouncements or Change in Accounting Principle [Line Items]        
Stockholders' equity $ 50,328 $ 45,344 $ 41,035 $ 13,711
Accounting Standards Update [Extensible List] us-gaap:AccountingStandardsUpdate201613Member [1] us-gaap:AccountingStandardsUpdate201602Member us-gaap:AccountingStandardsUpdate201712Member  
Amortization of deferred policy acquisition costs $ 502 $ 483 $ 406  
Pharmacy Benefits Management Services | Performance Guarantee        
New Accounting Pronouncements or Change in Accounting Principle [Line Items]        
Performance guarantee liability 1,100 1,000    
Administrative Services Only Health Care Services | Performance Guarantee        
New Accounting Pronouncements or Change in Accounting Principle [Line Items]        
Provision for loss contingency  
Amounts paid for loss contigency  
Retained Earnings        
New Accounting Pronouncements or Change in Accounting Principle [Line Items]        
Stockholders' equity $ 28,575 20,162 15,088 15,800
Adjustment upon Adoption        
New Accounting Pronouncements or Change in Accounting Principle [Line Items]        
Stockholders' equity   (30) [1] (15) 58
Adjustment upon Adoption | Retained Earnings        
New Accounting Pronouncements or Change in Accounting Principle [Line Items]        
Stockholders' equity   $ (30) [1] $ (15) $ 68
[1] See Note 3 for further information about the Company's adoption of new credit loss guidance (ASU 2016-13).