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Health Care Costs Payable - Incurred and Paid Health Care Claims Development (Details) - Health Insurance Product Line - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Claims Development [Line Items]    
Incurred Health Care Claims, Net of Reinsurance $ 191,017  
Cumulative Paid Health Care Claims, Net of Reinsurance 178,199  
All outstanding liabilities for health care costs payable prior to 2023, net of reinsurance 128  
Total outstanding liabilities for health care costs payable, net of reinsurance 12,946  
2023    
Claims Development [Line Items]    
Incurred Health Care Claims, Net of Reinsurance 81,559 $ 82,362
Cumulative Paid Health Care Claims, Net of Reinsurance 81,044 $ 72,175
2024    
Claims Development [Line Items]    
Incurred Health Care Claims, Net of Reinsurance 109,458  
Cumulative Paid Health Care Claims, Net of Reinsurance $ 97,155