SEGMENT INFORMATION - Segment Information by Segment (Detail) - USD ($) $ in Millions |
3 Months Ended |
9 Months Ended |
Sep. 30, 2016 |
Sep. 30, 2015 |
Sep. 30, 2016 |
Sep. 30, 2015 |
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
$ 13,371
|
$ 12,987
|
$ 40,461
|
$ 39,447
|
| Services |
227
|
246
|
749
|
1,143
|
| Total revenues - external customers |
13,598
|
13,233
|
41,210
|
40,590
|
| Investment income |
96
|
130
|
291
|
338
|
| Total revenues |
13,694
|
13,363
|
41,501
|
40,928
|
| Benefits |
10,900
|
10,896
|
33,806
|
33,153
|
| Operating costs |
1,759
|
1,688
|
5,253
|
5,450
|
| Depreciation and amortization |
86
|
84
|
263
|
267
|
| Total operating expenses |
12,745
|
12,668
|
39,322
|
38,870
|
| Income from operations |
949
|
695
|
2,179
|
2,058
|
| Gain on sale of business |
0
|
0
|
0
|
267
|
| Interest expense |
47
|
47
|
141
|
140
|
| Income before income taxes |
902
|
648
|
2,038
|
2,185
|
| Individual Medicare Advantage |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
7,977
|
7,316
|
24,054
|
22,183
|
| Group Medicare Advantage |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
1,067
|
1,396
|
3,229
|
4,188
|
| Medicare stand-alone PDP |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
1,004
|
927
|
3,058
|
2,915
|
| Total Medicare |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
10,048
|
9,639
|
30,341
|
29,286
|
| Fully-insured |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
2,341
|
2,418
|
7,162
|
7,388
|
| Specialty |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
318
|
326
|
957
|
990
|
| Medicaid and other |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
664
|
604
|
2,001
|
1,783
|
| Provider |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Services |
69
|
70
|
214
|
619
|
| ASO and other |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Services |
150
|
168
|
513
|
502
|
| Pharmacy |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Services |
8
|
8
|
22
|
22
|
| Intersegment revenues |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Total revenues |
(6,311)
|
(5,853)
|
(18,638)
|
(17,079)
|
| Intersegment revenues | Retail |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Total revenues |
0
|
0
|
0
|
0
|
| Intersegment revenues | Group |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Total revenues |
23
|
24
|
67
|
68
|
| Intersegment revenues | Healthcare Services |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Total revenues |
6,288
|
5,829
|
18,571
|
17,011
|
| Intersegment revenues | Services |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Total revenues |
(4,731)
|
(4,582)
|
(14,265)
|
(13,425)
|
| Intersegment revenues | Services | Retail |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Total revenues |
0
|
0
|
0
|
0
|
| Intersegment revenues | Services | Group |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Total revenues |
23
|
24
|
67
|
68
|
| Intersegment revenues | Services | Healthcare Services |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Total revenues |
4,708
|
4,558
|
14,198
|
13,357
|
| Intersegment revenues | Products |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Total revenues |
(1,580)
|
(1,271)
|
(4,373)
|
(3,654)
|
| Intersegment revenues | Products | Retail |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Total revenues |
0
|
0
|
0
|
0
|
| Intersegment revenues | Products | Group |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Total revenues |
0
|
0
|
0
|
0
|
| Intersegment revenues | Products | Healthcare Services |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Total revenues |
1,580
|
1,271
|
4,373
|
3,654
|
| Operating Segments | Retail |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
11,756
|
11,353
|
35,615
|
34,486
|
| Services |
3
|
1
|
7
|
7
|
| Total revenues - external customers |
11,759
|
11,354
|
35,622
|
34,493
|
| Investment income |
25
|
38
|
77
|
96
|
| Total revenues |
11,784
|
11,392
|
35,699
|
34,589
|
| Benefits |
9,771
|
9,777
|
30,581
|
29,781
|
| Operating costs |
1,308
|
1,241
|
3,825
|
3,708
|
| Depreciation and amortization |
61
|
49
|
175
|
140
|
| Total operating expenses |
11,140
|
11,067
|
34,581
|
33,629
|
| Income from operations |
644
|
325
|
1,118
|
960
|
| Gain on sale of business |
|
|
|
0
|
| Interest expense |
0
|
0
|
0
|
0
|
| Income before income taxes |
644
|
325
|
1,118
|
960
|
| Operating Segments | Group |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
1,605
|
1,628
|
4,817
|
4,936
|
| Services |
158
|
171
|
537
|
514
|
| Total revenues - external customers |
1,763
|
1,799
|
5,354
|
5,450
|
| Investment income |
4
|
7
|
13
|
18
|
| Total revenues |
1,790
|
1,830
|
5,434
|
5,536
|
| Benefits |
1,327
|
1,341
|
3,794
|
3,908
|
| Operating costs |
430
|
426
|
1,300
|
1,323
|
| Depreciation and amortization |
21
|
24
|
69
|
69
|
| Total operating expenses |
1,778
|
1,791
|
5,163
|
5,300
|
| Income from operations |
12
|
39
|
271
|
236
|
| Gain on sale of business |
|
|
|
0
|
| Interest expense |
0
|
0
|
0
|
0
|
| Income before income taxes |
12
|
39
|
271
|
236
|
| Operating Segments | Healthcare Services |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Services |
65
|
69
|
198
|
612
|
| Total revenues - external customers |
65
|
69
|
198
|
612
|
| Investment income |
8
|
0
|
22
|
0
|
| Total revenues |
6,361
|
5,898
|
18,791
|
17,623
|
| Benefits |
0
|
0
|
0
|
0
|
| Operating costs |
6,040
|
5,584
|
17,894
|
16,774
|
| Depreciation and amortization |
33
|
30
|
97
|
112
|
| Total operating expenses |
6,073
|
5,614
|
17,991
|
16,886
|
| Income from operations |
288
|
284
|
800
|
737
|
| Gain on sale of business |
|
|
|
0
|
| Interest expense |
0
|
0
|
0
|
0
|
| Income before income taxes |
288
|
284
|
800
|
737
|
| Operating Segments | Individual Medicare Advantage | Retail |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
7,977
|
7,316
|
24,054
|
22,183
|
| Operating Segments | Individual Medicare Advantage | Group |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Operating Segments | Individual Medicare Advantage | Healthcare Services |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Operating Segments | Group Medicare Advantage | Retail |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
1,067
|
1,396
|
3,229
|
4,188
|
| Operating Segments | Group Medicare Advantage | Group |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Operating Segments | Group Medicare Advantage | Healthcare Services |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Operating Segments | Medicare stand-alone PDP | Retail |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
1,004
|
927
|
3,058
|
2,915
|
| Operating Segments | Medicare stand-alone PDP | Group |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Operating Segments | Medicare stand-alone PDP | Healthcare Services |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Operating Segments | Total Medicare | Retail |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
10,048
|
9,639
|
30,341
|
29,286
|
| Operating Segments | Total Medicare | Group |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Operating Segments | Total Medicare | Healthcare Services |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Operating Segments | Fully-insured | Retail |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
991
|
1,056
|
3,118
|
3,263
|
| Operating Segments | Fully-insured | Group |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
1,350
|
1,362
|
4,044
|
4,125
|
| Operating Segments | Fully-insured | Healthcare Services |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Operating Segments | Specialty | Retail |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
65
|
66
|
196
|
195
|
| Operating Segments | Specialty | Group |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
253
|
260
|
761
|
795
|
| Operating Segments | Specialty | Healthcare Services |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Operating Segments | Medicaid and other | Retail |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
652
|
592
|
1,960
|
1,742
|
| Operating Segments | Medicaid and other | Group |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
2
|
6
|
12
|
16
|
| Operating Segments | Medicaid and other | Healthcare Services |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Operating Segments | Provider | Retail |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Services |
0
|
0
|
0
|
0
|
| Operating Segments | Provider | Group |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Services |
12
|
9
|
38
|
29
|
| Operating Segments | Provider | Healthcare Services |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Services |
57
|
61
|
176
|
590
|
| Operating Segments | ASO and other | Retail |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Services |
3
|
1
|
7
|
7
|
| Operating Segments | ASO and other | Group |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Services |
146
|
162
|
499
|
485
|
| Operating Segments | ASO and other | Healthcare Services |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Services |
0
|
0
|
0
|
0
|
| Operating Segments | Pharmacy | Retail |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Services |
0
|
0
|
0
|
0
|
| Operating Segments | Pharmacy | Group |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Services |
0
|
0
|
0
|
0
|
| Operating Segments | Pharmacy | Healthcare Services |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Services |
8
|
8
|
22
|
22
|
| Other Businesses |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
10
|
6
|
29
|
25
|
| Services |
1
|
5
|
7
|
10
|
| Total revenues - external customers |
11
|
11
|
36
|
35
|
| Investment income |
17
|
16
|
48
|
53
|
| Total revenues |
28
|
27
|
84
|
88
|
| Benefits |
26
|
22
|
82
|
66
|
| Operating costs |
4
|
3
|
12
|
10
|
| Depreciation and amortization |
0
|
0
|
0
|
0
|
| Total operating expenses |
30
|
25
|
94
|
76
|
| Income from operations |
(2)
|
2
|
(10)
|
12
|
| Gain on sale of business |
|
|
|
0
|
| Interest expense |
0
|
0
|
0
|
0
|
| Income before income taxes |
(2)
|
2
|
(10)
|
12
|
| Other Businesses | Individual Medicare Advantage |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Other Businesses | Group Medicare Advantage |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Other Businesses | Medicare stand-alone PDP |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Other Businesses | Total Medicare |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Other Businesses | Fully-insured |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Other Businesses | Specialty |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Other Businesses | Medicaid and other |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
10
|
6
|
29
|
25
|
| Other Businesses | Provider |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Services |
0
|
0
|
0
|
0
|
| Other Businesses | ASO and other |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Services |
1
|
5
|
7
|
10
|
| Other Businesses | Pharmacy |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Services |
0
|
0
|
0
|
0
|
| Eliminations/ Corporate |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Services |
0
|
0
|
0
|
0
|
| Total revenues - external customers |
0
|
0
|
0
|
0
|
| Investment income |
42
|
69
|
131
|
171
|
| Total revenues |
(6,269)
|
(5,784)
|
(18,507)
|
(16,908)
|
| Benefits |
(224)
|
(244)
|
(651)
|
(602)
|
| Operating costs |
(6,023)
|
(5,566)
|
(17,778)
|
(16,365)
|
| Depreciation and amortization |
(29)
|
(19)
|
(78)
|
(54)
|
| Total operating expenses |
(6,276)
|
(5,829)
|
(18,507)
|
(17,021)
|
| Income from operations |
7
|
45
|
0
|
113
|
| Gain on sale of business |
|
|
|
267
|
| Interest expense |
47
|
47
|
141
|
140
|
| Income before income taxes |
(40)
|
(2)
|
(141)
|
240
|
| Eliminations/ Corporate | Individual Medicare Advantage |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Eliminations/ Corporate | Group Medicare Advantage |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Eliminations/ Corporate | Medicare stand-alone PDP |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Eliminations/ Corporate | Total Medicare |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Eliminations/ Corporate | Fully-insured |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Eliminations/ Corporate | Specialty |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Eliminations/ Corporate | Medicaid and other |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Premiums |
0
|
0
|
0
|
0
|
| Eliminations/ Corporate | Provider |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Services |
0
|
0
|
0
|
0
|
| Eliminations/ Corporate | ASO and other |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Services |
0
|
0
|
0
|
0
|
| Eliminations/ Corporate | Pharmacy |
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
| Services |
$ 0
|
$ 0
|
$ 0
|
$ 0
|