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Health Care Costs Payable - Narrative (Details) - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Liability for Claims and Claims Adjustment Expense [Line Items]    
Incurred but not reported (IBNR) claims liability, net $ 5,400  
Health Insurance Product Line    
Liability for Claims and Claims Adjustment Expense [Line Items]    
Decrease in prior years' healthcare costs payable $ (420) $ (489)