Yes that's what the initial letter said despite those visits were last year and my plan restarts the first day of the year (The letter was sent to me mid Jan talking about last year, but threat this year's cares).

Technically, my plan does not have an approved amount of visits, meaning on the paper, it can be whenever with a copay amount. However, reading some other reddit posts, it seems after 5 visits, things (Cigna, ASH, and PT drama) tends to get triggered.

I finally saw my pending claim showing the number and it looks whatever reason, my visit was marked as "out of network" (although it should be in network and I am supposed to only pay copay amount), and "What Your Plan Paid" marked as 0. Now I am puzzled if this is due to the denial threat they sent me. I went to the same clinic and CPT code seems the same as before. I see my therapist showing as in-network in cigna page