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Segment Financial Information (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Statement [Line Items]    
Premiums, revenues - unaffiliated customers $ 50,640 $ 47,513
Products 8,431 8,072
Services 4,985 4,318
Investment and other income 365 405
Total revenues 64,421 60,308
Earnings from operations 4,996 4,832
Interest expense (437) (400)
Earnings before income taxes 4,559 4,432
Optum    
Statement [Line Items]    
Investment and other income 168 151
Total revenues 32,839 26,360
Earnings from operations 2,108 1,878
Interest expense 0 0
Earnings before income taxes 2,108 1,878
Unaffiliated Customers    
Statement [Line Items]    
Premiums, revenues - unaffiliated customers 50,640 47,513
Products 8,431 8,072
Services 4,985 4,318
Total revenues 64,056 59,903
Unaffiliated Customers | Optum    
Statement [Line Items]    
Premiums, revenues - unaffiliated customers 2,047 1,012
Products 8,431 8,072
Services 2,707 2,177
Total revenues 13,185 11,261
Affiliated Customers    
Statement [Line Items]    
Total revenues 0 0
Affiliated Customers | Optum    
Statement [Line Items]    
Total revenues 19,486 14,948
Operating Segments | UnitedHealthcare    
Statement [Line Items]    
Investment and other income 197 254
Total revenues 51,068 48,896
Earnings from operations 2,888 2,954
Interest expense 0 0
Earnings before income taxes 2,888 2,954
Operating Segments | OptumHealth    
Statement [Line Items]    
Investment and other income 136 132
Total revenues 9,192 6,713
Earnings from operations 712 626
Interest expense 0 0
Earnings before income taxes 712 626
Operating Segments | OptumInsight    
Statement [Line Items]    
Investment and other income 12 5
Total revenues 2,494 2,189
Earnings from operations 536 432
Interest expense 0 0
Earnings before income taxes 536 432
Operating Segments | OptumRx    
Statement [Line Items]    
Investment and other income 20 14
Total revenues 21,557 17,817
Earnings from operations 860 820
Interest expense 0 0
Earnings before income taxes 860 820
Operating Segments | Unaffiliated Customers | UnitedHealthcare    
Statement [Line Items]    
Premiums, revenues - unaffiliated customers 48,593 46,501
Products 0 0
Services 2,278 2,141
Total revenues 50,871 48,642
Operating Segments | Unaffiliated Customers | OptumHealth    
Statement [Line Items]    
Premiums, revenues - unaffiliated customers 2,047 1,012
Products 9 8
Services 1,548 1,274
Total revenues 3,604 2,294
Operating Segments | Unaffiliated Customers | OptumInsight    
Statement [Line Items]    
Premiums, revenues - unaffiliated customers 0 0
Products 29 23
Services 891 754
Total revenues 920 777
Operating Segments | Unaffiliated Customers | OptumRx    
Statement [Line Items]    
Premiums, revenues - unaffiliated customers 0 0
Products 8,393 8,041
Services 268 149
Total revenues 8,661 8,190
Operating Segments | Affiliated Customers | UnitedHealthcare    
Statement [Line Items]    
Total revenues 0 0
Operating Segments | Affiliated Customers | OptumHealth    
Statement [Line Items]    
Total revenues 5,452 4,287
Operating Segments | Affiliated Customers | OptumInsight    
Statement [Line Items]    
Total revenues 1,562 1,407
Operating Segments | Affiliated Customers | OptumRx    
Statement [Line Items]    
Total revenues 12,876 9,613
Optum Eliminations    
Statement [Line Items]    
Investment and other income 0 0
Total revenues (404) (359)
Earnings from operations 0 0
Interest expense 0 0
Earnings before income taxes 0 0
Optum Eliminations | Unaffiliated Customers    
Statement [Line Items]    
Premiums, revenues - unaffiliated customers 0 0
Products 0 0
Services 0 0
Total revenues 0 0
Optum Eliminations | Affiliated Customers    
Statement [Line Items]    
Total revenues (404) (359)
Corporate and Eliminations    
Statement [Line Items]    
Investment and other income 0 0
Total revenues (19,486) (14,948)
Earnings from operations 0 0
Interest expense (437) (400)
Earnings before income taxes (437) (400)
Corporate and Eliminations | Unaffiliated Customers    
Statement [Line Items]    
Premiums, revenues - unaffiliated customers 0 0
Products 0 0
Services 0 0
Total revenues 0 0
Corporate and Eliminations | Affiliated Customers    
Statement [Line Items]    
Total revenues $ (19,486) $ (14,948)