Your Plan Might Cover Luminopia — And Your Employer Can Help

Blue Cross Blue Shield Illinois (BCBS IL) hasn’t added Luminopia to its standard pharmacy formulary, but if your insurance is provided through a self-funded employer, your employer can choose to opt in to cover Luminopia.

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What “Might Cover” means for your family

Many large employers self-fund their health plans, which means they have the authority to add or remove medications from their plan’s pharmacy formulary. If your employer opts in to Luminopia coverage, Blue Cross Blue Shield Illinois (BCBS IL) will administer the benefit just like any other covered prescription.

How to Pursue Coverage

Step 1 — Talk to Your Doctor About Luminopia

Ask your child’s eye doctor if Luminopia is right for them. If your doctor is unfamiliar with prescribing Luminopia, they can visit the Healthcare Professional tab on our website for additional information.
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If you are looking for a provider near you already familiar with Luminopia:

FIND A PRESCRIBER NEAR YOU

Step 2 — Send Your Employer Our HR Letter Template

We’ve created an easy-to-use letter template you can personalize and send directly to your HR or Benefits team. The letter explains what Luminopia is, why it matters for your child, and what your employer needs to do to add Luminopia to the plan’s pharmacy formulary.

Download HR Letter Template

What if my employer doesn’t opt in?

If your employer chooses not to add Luminopia to the formulary, the Luminopia Patient Access Program can help your family access therapy regardless of insurance. Our partner pharmacy will walk you through your options.

Supporting Every Patient, Every Step of the Way

Prescription Status Assistance

If you haven’t received a text from CoAssist confirming your prescription, or a request for additional information, within 3 business days, you can contact CoAssist directly to check on your prescription status at (855) 382-2533.

Concerned About Cost?

We’ve got you covered, whether your plan covers Luminopia (for your child) or not. We’re committed to ensuring every patient prescribed Luminopia can access therapy. If you’re concerned about cost, Luminopia access programs may be able to help.

Additional Questions? More Info Here

Luminopia: Directions For Use, LBL-0001 Rev E. Luminopia, Inc; 2025.
Xiao, S., Angjeli, E., Wu, H. C., Gaier, E. D., Gomez, S., Travers, D. A., Binenbaum, G., Langer, R., Hunter, D. G., Repka, M. X., & Luminopia Pivotal Trial Group (2022). Randomized Controlled Trial of a Dichoptic Digital Therapeutic for Amblyopia. Ophthalmology, 129(1), 77–85. https://doi.org/10.1016/j.ophtha.2021.09.001.
Data on file, 2023. Luminopia, Inc.
Li, J., Thompson, B., Lam, C. S., Deng, D., Chan, L. Y., Maehara, G., Woo, G. C., Yu, M., & Hess, R. F. (2011). The role of suppression in amblyopia. Investigative ophthalmology & visual science, 52(7), 4169–4176. https://doi.org/10.1167/iovs.11-7233
Birch, E. E., Jost, R. M., Wang, Y. Z., Kelly, K. R., & Giaschi, D. E. (2019). Impaired Fellow Eye Motion Perception and Abnormal Binocular Function. Investigative ophthalmology & visual science, 60(10), 3374–3380. https://doi.org/10.1167/iovs.19-26885
Wallace, M. P., Stewart, C. E., Moseley, M. J., Stephens, D. A., Fielder, A. R., Monitored Occlusion Treatment Amblyopia Study (MOTAS) Cooperatives, & Randomized Occlusion Treatment Amblyopia Study (ROTAS) Cooperatives (2013). Compliance with occlusion therapy for childhood amblyopia. Investigative ophthalmology & visual science, 54(9), 6158–6166. https://doi.org/10.1167/iovs.13-11861

Link to Healthcare Professionals Site

The information contained in this section is intended for U.S. healthcare professionals only.