Ah! It's Cigna. Ours too. I know with our plan, T has to talk to someone at Cigna every so often so visits can continue. I think it is a lot less frequent than every 10 visits though. More like around twice a year. It is really never an issue. Just a hoop T has to jump through with them. One of the pleasures of being an in-network provider. Otherwise, they've been very good about coverage for mental health.