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Segment Information - Revenue by Product Type (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2015
Sep. 30, 2014
Sep. 30, 2015
Sep. 30, 2014
Revenue from External Customer [Line Items]        
Premiums and fees, mail order pharmacy revenues and other revenues $ 9,094 $ 8,442 $ 27,386 $ 24,993