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Segment Financial Information (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Statement [Line Items]        
Premiums, revenues - unaffiliated customers $ 49,394 $ 47,164 $ 100,034 $ 94,677
Products 8,247 8,353 16,678 16,425
Services 4,156 4,496 9,141 8,814
Investment and other income 341 582 706 987
Total revenues 62,138 60,595 126,559 120,903
Earnings from operations 9,241 4,744 14,237 9,576
Interest expense (430) (418) (867) (818)
Earnings before income taxes 8,811 4,326 13,370 8,758
Optum        
Statement [Line Items]        
Investment and other income 168 206 336 357
Total revenues 32,695 28,029 65,534 54,389
Earnings from operations 2,234 2,102 4,342 3,980
Interest expense 0 0 0 0
Earnings before income taxes 2,234 2,102 4,342 3,980
Unaffiliated Customers        
Statement [Line Items]        
Premiums, revenues - unaffiliated customers 49,394 47,164 100,034 94,677
Products 8,247 8,353 16,678 16,425
Services 4,156 4,496 9,141 8,814
Total revenues 61,797 60,013 125,853 119,916
Unaffiliated Customers | Optum        
Statement [Line Items]        
Premiums, revenues - unaffiliated customers 2,355 1,134 4,402 2,146
Products 8,247 8,353 16,678 16,425
Services 2,261 2,308 4,968 4,485
Total revenues 12,863 11,795 26,048 23,056
Affiliated Customers        
Statement [Line Items]        
Total revenues 0 0 0 0
Affiliated Customers | Optum        
Statement [Line Items]        
Total revenues 19,664 16,028 39,150 30,976
Operating Segments | UnitedHealthcare        
Statement [Line Items]        
Investment and other income 173 376 370 630
Total revenues 49,107 48,594 100,175 97,490
Earnings from operations 7,007 2,642 9,895 5,596
Interest expense 0 0 0 0
Earnings before income taxes 7,007 2,642 9,895 5,596
Operating Segments | OptumHealth        
Statement [Line Items]        
Investment and other income 129 186 265 318
Total revenues 9,139 7,148 18,331 13,861
Earnings from operations 841 688 1,553 1,314
Interest expense 0 0 0 0
Earnings before income taxes 841 688 1,553 1,314
Operating Segments | OptumInsight        
Statement [Line Items]        
Investment and other income 18 6 30 11
Total revenues 2,632 2,339 5,126 4,528
Earnings from operations 561 525 1,097 957
Interest expense 0 0 0 0
Earnings before income taxes 561 525 1,097 957
Operating Segments | OptumRx        
Statement [Line Items]        
Investment and other income 21 14 41 28
Total revenues 21,371 18,923 42,928 36,740
Earnings from operations 832 889 1,692 1,709
Interest expense 0 0 0 0
Earnings before income taxes 832 889 1,692 1,709
Operating Segments | Unaffiliated Customers | UnitedHealthcare        
Statement [Line Items]        
Premiums, revenues - unaffiliated customers 47,039 46,030 95,632 92,531
Products 0 0 0 0
Services 1,895 2,188 4,173 4,329
Total revenues 48,934 48,218 99,805 96,860
Operating Segments | Unaffiliated Customers | OptumHealth        
Statement [Line Items]        
Premiums, revenues - unaffiliated customers 2,355 1,134 4,402 2,146
Products 7 9 16 17
Services 1,225 1,370 2,773 2,644
Total revenues 3,587 2,513 7,191 4,807
Operating Segments | Unaffiliated Customers | OptumInsight        
Statement [Line Items]        
Premiums, revenues - unaffiliated customers 0 0 0 0
Products 27 22 56 45
Services 764 790 1,655 1,544
Total revenues 791 812 1,711 1,589
Operating Segments | Unaffiliated Customers | OptumRx        
Statement [Line Items]        
Premiums, revenues - unaffiliated customers 0 0 0 0
Products 8,213 8,322 16,606 16,363
Services 272 148 540 297
Total revenues 8,485 8,470 17,146 16,660
Operating Segments | Affiliated Customers | UnitedHealthcare        
Statement [Line Items]        
Total revenues 0 0 0 0
Operating Segments | Affiliated Customers | OptumHealth        
Statement [Line Items]        
Total revenues 5,423 4,449 10,875 8,736
Operating Segments | Affiliated Customers | OptumInsight        
Statement [Line Items]        
Total revenues 1,823 1,521 3,385 2,928
Operating Segments | Affiliated Customers | OptumRx        
Statement [Line Items]        
Total revenues 12,865 10,439 25,741 20,052
Optum Eliminations        
Statement [Line Items]        
Investment and other income 0 0 0 0
Total revenues (447) (381) (851) (740)
Earnings from operations 0 0 0 0
Interest expense 0 0 0 0
Earnings before income taxes 0 0 0 0
Optum Eliminations | Unaffiliated Customers        
Statement [Line Items]        
Premiums, revenues - unaffiliated customers 0 0 0 0
Products 0 0 0 0
Services 0 0 0 0
Total revenues 0 0 0 0
Optum Eliminations | Affiliated Customers        
Statement [Line Items]        
Total revenues (447) (381) (851) (740)
Corporate and Eliminations        
Statement [Line Items]        
Investment and other income 0 0 0 0
Total revenues (19,664) (16,028) (39,150) (30,976)
Earnings from operations 0 0 0 0
Interest expense (430) (418) (867) (818)
Earnings before income taxes (430) (418) (867) (818)
Corporate and Eliminations | Unaffiliated Customers        
Statement [Line Items]        
Premiums, revenues - unaffiliated customers 0 0 0 0
Products 0 0 0 0
Services 0 0 0 0
Total revenues 0 0 0 0
Corporate and Eliminations | Affiliated Customers        
Statement [Line Items]        
Total revenues $ (19,664) $ (16,028) $ (39,150) $ (30,976)