Anthem Blue Cross Connecticut MED.00145 Digital Therapy Devices for Treatment of Amblyopia Form

Effective Date

09/27/2023

Last Reviewed

05/11/2023

Original Document

  Reference



This document addresses digital therapy devices for the treatment of amblyopia. These devices incorporate dichoptic (viewing a separate and independent field through each eye) presentations to improve visual acuity of individuals with amblyopia.

Position Statement

Investigational and Not Medically Necessary:

Digital therapy devices for treatment of amblyopia are considered investigational and not medically necessary.