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ELV Unusual Options: $5.8M Healthcare Volatility (Aug 18)

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🚨 ELV Explodes with $5.8M Option Bomb! Unusual Score: 5.4/10 ⚑

πŸ“… August 18, 2025 | πŸ”₯ VERY HIGH Unusual Activity Detected


🎯 The Quick Take

Holy moly! Someone just dropped $5.8 MILLION on ELV options in a single morning session! πŸ‹ We're talking about a massive mixed bag of puts and calls all expiring September 19th - that's institutional money making a BIG volatility play ahead of Q3 earnings. With the stock down -15.3% YTD and sitting near $310, this whale is betting on fireworks coming soon!


πŸ“ˆ YTD Performance Check

ELV YTD Chart

Current Price: $309.84 | YTD: -15.30% πŸ“‰

Real talk: ELV has been on a rough ride in 2025! After hitting highs around $440 in April, we've seen a brutal summer selloff that's wiped out over $130 per share. The stock found some support around $280 in early August but is still struggling to reclaim the $320 level. This option activity could signal a major turning point ahead!


πŸ’° The Options Tape Breakdown

πŸ“Š What Just Happened (10:51:32 AM)

Let me break down this institutional feeding frenzy:

Time Symbol Buy/Sell Call/Put Expiration Premium Strike Volume OI Size Spot Option Price Side
10:51:32 ELV BUY PUT 2025-09-19 $1.7M 330 1.5K 1.3K 772 $315.78 $21.9 ASK
10:51:32 ELV SELL CALL 2025-09-19 $1.2M 310 1.6K 847 772 $315.78 $15.4 BID
10:51:32 ELV BUY PUT 2025-09-19 $1.2M 320 1.5K 1.5K 772 $315.78 $15.4 ASK
10:51:32 ELV BUY CALL 2025-09-19 $1.7M 300 1.5K 1.7K 772 $315.78 $22.4 MID

Total Premium: $5.8 MILLION πŸ’Έ

πŸ€“ What This Actually Means

Translation for us regular folks: This isn't a simple directional bet - it's a sophisticated volatility play! The whale is:

  1. Loading up on BOTH puts and calls = Expecting a BIG move either way
  2. Selling the $310 calls = Collecting premium to offset costs
  3. All September 19 expiry = Positioned for Q3 earnings catalyst
  4. Mix of ITM and OTM strikes = Classic straddle/strangle setup

This looks like a fund preparing for major volatility around the Q3 earnings release projected for October 14 or capturing the dividend detachment on September 9.


🎰 The Unusual Score Meter

Unusualness: 5.4/10 ⚑ VERY HIGH

[🟩🟩🟩🟨🟨🟨⬜⬜⬜⬜]

The Numbers Don't Lie: - This trade is 51x larger than ELV's average option trade! 🀯 - In the 99.6th percentile of all ELV trades - Activity this big only happens once or twice a year - Institutional size: πŸ’Ό Large fund allocation territory

Real talk: When you see a 5.4 unusual score, you PAY ATTENTION. This isn't your neighbor Bob - this is serious institutional money positioning for something big!


πŸŽͺ Catalyst Calendar

Mark your calendars! Here's what's driving this unusual activity:

πŸ“… Near-Term Events

Date Event Why It Matters
Sept 9, 2025 Dividend Detachment Options pricing adjustment
Sept 19, 2025 OPTIONS EXPIRY 🎯 All today's trades expire!
Oct 14, 2025 Q3 Earnings (Projected) πŸ“Š Major volatility catalyst

πŸ₯ Business Catalysts Heating Up

According to recent developments, ELV is juggling multiple game-changers:

  1. Medicaid Headwinds: Ongoing member attrition (~200K in Q2) creating uncertainty
  2. Acquisition Integration: CareBridge and Paragon Healthcare driving 50% YoY growth in Carelon
  3. AI Revolution: Major investments in AI-driven operations for cost containment
  4. Regulatory Uncertainty: ACA and Medicaid cost pressures forcing 22% consensus EPS reduction

🎲 Price Targets & Probabilities

Based on the option positioning and catalyst timeline:

πŸš€ Bull Case (30% chance): $350-360

  • Medicaid stabilization by year-end
  • Successful Carelon integration beats expectations
  • Q2 revenue of $49.4B (+14.3% YoY) momentum continues
  • AI initiatives drive margin expansion

😐 Base Case (50% chance): $310-325

😰 Bear Case (20% chance): $280-295

  • Medicaid pressures worsen
  • Integration costs exceed expectations
  • Analyst target cuts continue (already down to $450 from $500)
  • Regulatory headwinds intensify

πŸ’‘ Trading Ideas for Every Risk Level

πŸ›‘οΈ Conservative: "The Premium Collector"

Sell Cash-Secured Puts at $300 (Sept 19) - Collect ~$8-10 premium - Get paid to potentially own at support - 5% cushion from current price - Win if stock stays above $290

βš–οΈ Balanced: "The Copycat Strangle"

Buy $305 Put + $325 Call (Sept 19) - Total cost: ~$15-18 - Profit if stock moves beyond $290 or $340 - Playing the same volatility game as the whale - Lower risk than copying exact strikes

πŸš€ Aggressive: "YOLO with Training Wheels"

Buy $330 Calls (Sept 19) - Cost: ~$3-4 per contract - Lottery ticket on earnings surprise - Same strike the whale is protecting - Max loss limited to premium paid


⚠️ Risk Factors

Let's keep it real - here's what could go wrong:

  1. Theta Decay Monster: These September options lose value FAST as expiry approaches
  2. Medicaid Nightmare: 200K member loss in Q2 could accelerate
  3. Integration Hiccups: Home health acquisitions might not deliver promised synergies
  4. Regulatory Curveballs: Healthcare policy changes are always lurking
  5. Technical Breakdown: Stock sitting near YTD lows - could crack support

🧠 The Trader's Corner

Pattern Recognition: This mixed flow (puts + calls + sold calls) screams "volatility play" not directional bet. When institutions spend $5.8M on a complex options structure, they're not gambling - they're positioning for an expected catalyst.

Historical Context: With ELV down -15% YTD but showing revenue growth of 14.3%, we have a classic disconnect between fundamentals and price action. The P/E of ~13 vs peer average suggests value, but the market's worried about margins.

The Smart Money Angle: This whale is essentially buying volatility while selling some upside to reduce cost. They expect a move of 10%+ in either direction by September 19th. Given the catalyst calendar, that's not crazy!


🎯 The Bottom Line

Real talk: When someone drops $5.8 MILLION on a volatility play with a 5.4 unusual score, you don't ignore it. This whale is positioning for a major move in ELV by mid-September, likely tied to the dividend date or pre-positioning for Q3 earnings.

Action Plan: - If you own ELV: Consider hedging or taking some profits - If you're watching: Set alerts at $300 (support) and $325 (resistance) - If you're bearish: The $330 put activity validates your thesis - If you're bullish: Wait for confirmation above $320 before jumping in

Mark September 9th and 19th on your calendar - this stock is about to get spicy! 🌢️

Remember: Options can expire worthless faster than ice cream melts in August. Never bet more than you can afford to lose, and when the big money makes moves this unusual, there's usually a good reason. Trade smart, not hard! πŸ’ͺ


⚠️ Options trading involves substantial risk and is not suitable for all investors. This analysis is for educational purposes only and not financial advice. Always do your own research and consult with a qualified financial advisor.

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