SEGMENT INFORMATION - Reconciliation (Detail) - USD ($) $ in Millions | 3 Months Ended |
Mar. 31, 2017 | Mar. 31, 2016 |
Segment Reporting Information [Line Items] | | |
Premiums | $ 13,398 | $ 13,440 |
Services | 253 | 260 |
Revenues | 13,651 | 13,700 |
Investment income | 111 | 100 |
Total revenues | 13,762 | 13,800 |
Benefits | 11,326 | 11,397 |
Operating costs | 1,553 | 1,734 |
Merger termination fee and related costs, net | (947) | 34 |
Depreciation and amortization | 92 | 88 |
Total operating expenses | 12,024 | 13,253 |
Interest expense | 1,738 | 547 |
Interest expense | 49 | 47 |
Income (loss) before income taxes | 1,689 | 500 |
Individual Medicare Advantage | | |
Segment Reporting Information [Line Items] | | |
Premiums | 8,376 | 8,027 |
Group Medicare Advantage | | |
Segment Reporting Information [Line Items] | | |
Premiums | 1,318 | 1,077 |
Medicare stand-alone PDP | | |
Segment Reporting Information [Line Items] | | |
Premiums | 941 | 1,039 |
Total Medicare | | |
Segment Reporting Information [Line Items] | | |
Premiums | 10,635 | 10,143 |
Fully-insured | | |
Segment Reporting Information [Line Items] | | |
Premiums | 1,779 | 2,334 |
Specialty | | |
Segment Reporting Information [Line Items] | | |
Premiums | 322 | 318 |
Medicaid and other | | |
Segment Reporting Information [Line Items] | | |
Premiums | 662 | 645 |
Provider | | |
Segment Reporting Information [Line Items] | | |
Services | 70 | 71 |
ASO and other | | |
Segment Reporting Information [Line Items] | | |
Services | 165 | 182 |
Pharmacy | | |
Segment Reporting Information [Line Items] | | |
Services | 18 | 7 |
Intersegment revenues | | |
Segment Reporting Information [Line Items] | | |
Revenues | (5,867) | (6,150) |
Intersegment revenues | Retail | | |
Segment Reporting Information [Line Items] | | |
Revenues | 0 | 0 |
Intersegment revenues | Group and Specialty | | |
Segment Reporting Information [Line Items] | | |
Revenues | 5 | 6 |
Intersegment revenues | Healthcare Services | | |
Segment Reporting Information [Line Items] | | |
Revenues | 5,862 | 6,144 |
Intersegment revenues | Individual Commercial | | |
Segment Reporting Information [Line Items] | | |
Revenues | 0 | 0 |
Intersegment revenues | Services | | |
Segment Reporting Information [Line Items] | | |
Revenues | (4,315) | (4,790) |
Intersegment revenues | Services | Retail | | |
Segment Reporting Information [Line Items] | | |
Revenues | 0 | 0 |
Intersegment revenues | Services | Group and Specialty | | |
Segment Reporting Information [Line Items] | | |
Revenues | 5 | 6 |
Intersegment revenues | Services | Healthcare Services | | |
Segment Reporting Information [Line Items] | | |
Revenues | 4,310 | 4,784 |
Intersegment revenues | Services | Individual Commercial | | |
Segment Reporting Information [Line Items] | | |
Revenues | 0 | 0 |
Intersegment revenues | Products | | |
Segment Reporting Information [Line Items] | | |
Revenues | (1,552) | (1,360) |
Intersegment revenues | Products | Retail | | |
Segment Reporting Information [Line Items] | | |
Revenues | 0 | 0 |
Intersegment revenues | Products | Group and Specialty | | |
Segment Reporting Information [Line Items] | | |
Revenues | 0 | 0 |
Intersegment revenues | Products | Healthcare Services | | |
Segment Reporting Information [Line Items] | | |
Revenues | 1,552 | 1,360 |
Intersegment revenues | Products | Individual Commercial | | |
Segment Reporting Information [Line Items] | | |
Revenues | 0 | 0 |
Operating Segments | Retail | | |
Segment Reporting Information [Line Items] | | |
Premiums | 11,406 | 10,877 |
Services | 2 | 1 |
Revenues | 11,408 | 10,878 |
Investment income | 25 | 24 |
Total revenues | 11,433 | 10,902 |
Benefits | 10,051 | 9,633 |
Operating costs | 954 | 1,082 |
Depreciation and amortization | 58 | 46 |
Total operating expenses | 11,063 | 10,761 |
Interest expense | 370 | 141 |
Interest expense | 0 | 0 |
Income (loss) before income taxes | 370 | 141 |
Operating Segments | Group and Specialty | | |
Segment Reporting Information [Line Items] | | |
Premiums | 1,700 | 1,660 |
Services | 161 | 177 |
Revenues | 1,861 | 1,837 |
Investment income | 11 | 6 |
Total revenues | 1,877 | 1,849 |
Benefits | 1,286 | 1,222 |
Operating costs | 399 | 434 |
Depreciation and amortization | 21 | 21 |
Total operating expenses | 1,706 | 1,677 |
Interest expense | 171 | 172 |
Interest expense | 0 | 0 |
Income (loss) before income taxes | 171 | 172 |
Operating Segments | Healthcare Services | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Services | 88 | 79 |
Revenues | 88 | 79 |
Investment income | 8 | 7 |
Total revenues | 5,958 | 6,230 |
Benefits | 0 | 0 |
Operating costs | 5,680 | 5,942 |
Depreciation and amortization | 34 | 36 |
Total operating expenses | 5,714 | 5,978 |
Interest expense | 244 | 252 |
Interest expense | 0 | 0 |
Income (loss) before income taxes | 244 | 252 |
Operating Segments | Individual Commercial | | |
Segment Reporting Information [Line Items] | | |
Premiums | 283 | 893 |
Services | 0 | 0 |
Revenues | 283 | 893 |
Investment income | 1 | 2 |
Total revenues | 284 | 895 |
Benefits | 156 | 729 |
Operating costs | 62 | 169 |
Depreciation and amortization | 3 | 9 |
Total operating expenses | 221 | 907 |
Interest expense | 63 | (12) |
Interest expense | 0 | 0 |
Income (loss) before income taxes | 63 | (12) |
Operating Segments | Individual Medicare Advantage | Retail | | |
Segment Reporting Information [Line Items] | | |
Premiums | 8,376 | 8,027 |
Operating Segments | Individual Medicare Advantage | Group and Specialty | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Operating Segments | Individual Medicare Advantage | Healthcare Services | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Operating Segments | Individual Medicare Advantage | Individual Commercial | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Operating Segments | Group Medicare Advantage | Retail | | |
Segment Reporting Information [Line Items] | | |
Premiums | 1,318 | 1,077 |
Operating Segments | Group Medicare Advantage | Group and Specialty | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Operating Segments | Group Medicare Advantage | Healthcare Services | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Operating Segments | Group Medicare Advantage | Individual Commercial | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Operating Segments | Medicare stand-alone PDP | Retail | | |
Segment Reporting Information [Line Items] | | |
Premiums | 941 | 1,039 |
Operating Segments | Medicare stand-alone PDP | Group and Specialty | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Operating Segments | Medicare stand-alone PDP | Healthcare Services | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Operating Segments | Medicare stand-alone PDP | Individual Commercial | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Operating Segments | Total Medicare | Retail | | |
Segment Reporting Information [Line Items] | | |
Premiums | 10,635 | 10,143 |
Operating Segments | Total Medicare | Group and Specialty | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Operating Segments | Total Medicare | Healthcare Services | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Operating Segments | Total Medicare | Individual Commercial | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Operating Segments | Fully-insured | Retail | | |
Segment Reporting Information [Line Items] | | |
Premiums | 118 | 104 |
Operating Segments | Fully-insured | Group and Specialty | | |
Segment Reporting Information [Line Items] | | |
Premiums | 1,378 | 1,337 |
Operating Segments | Fully-insured | Healthcare Services | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Operating Segments | Fully-insured | Individual Commercial | | |
Segment Reporting Information [Line Items] | | |
Premiums | 283 | 893 |
Operating Segments | Specialty | Retail | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Operating Segments | Specialty | Group and Specialty | | |
Segment Reporting Information [Line Items] | | |
Premiums | 322 | 318 |
Operating Segments | Specialty | Healthcare Services | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Operating Segments | Specialty | Individual Commercial | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Operating Segments | Medicaid and other | Retail | | |
Segment Reporting Information [Line Items] | | |
Premiums | 653 | 630 |
Operating Segments | Medicaid and other | Group and Specialty | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 5 |
Operating Segments | Medicaid and other | Healthcare Services | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Operating Segments | Medicaid and other | Individual Commercial | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Operating Segments | Provider | Retail | | |
Segment Reporting Information [Line Items] | | |
Services | 0 | 0 |
Operating Segments | Provider | Group and Specialty | | |
Segment Reporting Information [Line Items] | | |
Services | 0 | 0 |
Operating Segments | Provider | Healthcare Services | | |
Segment Reporting Information [Line Items] | | |
Services | 70 | 71 |
Operating Segments | Provider | Individual Commercial | | |
Segment Reporting Information [Line Items] | | |
Services | 0 | 0 |
Operating Segments | ASO and other | Retail | | |
Segment Reporting Information [Line Items] | | |
Services | 2 | 1 |
Operating Segments | ASO and other | Group and Specialty | | |
Segment Reporting Information [Line Items] | | |
Services | 161 | 177 |
Operating Segments | ASO and other | Healthcare Services | | |
Segment Reporting Information [Line Items] | | |
Services | 0 | 1 |
Operating Segments | ASO and other | Individual Commercial | | |
Segment Reporting Information [Line Items] | | |
Services | 0 | 0 |
Operating Segments | Pharmacy | Retail | | |
Segment Reporting Information [Line Items] | | |
Services | 0 | 0 |
Operating Segments | Pharmacy | Group and Specialty | | |
Segment Reporting Information [Line Items] | | |
Services | 0 | 0 |
Operating Segments | Pharmacy | Healthcare Services | | |
Segment Reporting Information [Line Items] | | |
Services | 18 | 7 |
Operating Segments | Pharmacy | Individual Commercial | | |
Segment Reporting Information [Line Items] | | |
Services | 0 | 0 |
Other Businesses | | |
Segment Reporting Information [Line Items] | | |
Premiums | 9 | 10 |
Services | 2 | 3 |
Revenues | 11 | 13 |
Investment income | 21 | 15 |
Total revenues | 32 | 28 |
Benefits | 29 | 25 |
Operating costs | 4 | 4 |
Depreciation and amortization | 0 | 0 |
Total operating expenses | 33 | 29 |
Interest expense | (1) | (1) |
Interest expense | 0 | 0 |
Income (loss) before income taxes | (1) | (1) |
Other Businesses | Individual Medicare Advantage | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Other Businesses | Group Medicare Advantage | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Other Businesses | Medicare stand-alone PDP | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Other Businesses | Total Medicare | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Other Businesses | Fully-insured | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Other Businesses | Specialty | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Other Businesses | Medicaid and other | | |
Segment Reporting Information [Line Items] | | |
Premiums | 9 | 10 |
Other Businesses | Provider | | |
Segment Reporting Information [Line Items] | | |
Services | 0 | 0 |
Other Businesses | ASO and other | | |
Segment Reporting Information [Line Items] | | |
Services | 2 | 3 |
Other Businesses | Pharmacy | | |
Segment Reporting Information [Line Items] | | |
Services | 0 | 0 |
Eliminations/ Corporate | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Services | 0 | 0 |
Revenues | 0 | 0 |
Investment income | 45 | 46 |
Total revenues | (5,822) | (6,104) |
Benefits | (196) | (212) |
Operating costs | (5,546) | (5,897) |
Merger termination fee and related costs, net | (947) | 34 |
Depreciation and amortization | (24) | (24) |
Total operating expenses | (6,713) | (6,099) |
Interest expense | 891 | (5) |
Interest expense | 49 | 47 |
Income (loss) before income taxes | 842 | (52) |
Eliminations/ Corporate | Individual Medicare Advantage | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Eliminations/ Corporate | Group Medicare Advantage | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Eliminations/ Corporate | Medicare stand-alone PDP | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Eliminations/ Corporate | Total Medicare | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Eliminations/ Corporate | Fully-insured | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Eliminations/ Corporate | Specialty | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Eliminations/ Corporate | Medicaid and other | | |
Segment Reporting Information [Line Items] | | |
Premiums | 0 | 0 |
Eliminations/ Corporate | Provider | | |
Segment Reporting Information [Line Items] | | |
Services | 0 | 0 |
Eliminations/ Corporate | ASO and other | | |
Segment Reporting Information [Line Items] | | |
Services | 0 | 0 |
Eliminations/ Corporate | Pharmacy | | |
Segment Reporting Information [Line Items] | | |
Services | $ 0 | $ 0 |