Aetna (AET) is up $1.46 to $33.97 after a healthcare bill that appears set to clear the Senate with 60 votes doesn’t include a public healthcare plan option. While the House version of the bill does include one, reports are that a final bill is more likely to look like the Senate version. Consequently, some of the private insurers are trading higher and, in AET options, one player sold 5000 Jan 33 calls to buy 10K Jan 35 calls and this 1X2 call spread might be rolling up in strikes — doubling up on a winning trade. Separately, another investor bought 5,000 Jan $40 calls at a dime on ISE, which is an opening buyer, according to ISEE. 36K calls and 2,330 puts traded total, or about 4X the average daily.