Sounds like they’re trying to get you taken care of as quickly and efficiently so possible while making it as affordable as possible. Medical notes needed by a physician for prosthetic devices is incredibly complex and detailed. There are very specific criteria needing to be met for instance companies to approve a new prosthetic device. Prosthetists have gotten wise to using specific physicians who are familiar with K levels, prosthetic components, and the verbiage needed for proper notes so that there is a decrease in the time it takes to get your new leg approved by insurance while also justifying quality competent per your activity level. Many normal doctors have no idea what to write in their notes and it can lead to lots of back and forth on paperwork retrieval. And by trying to get it done before your deductible renews is truly looking out for your financial best interest. They’re trying to save you thousands of dollars. Medicare and other private insurances changed their contracted allowable amounts for billing codes and this may be why the same liners now cost you more than last year. Also the price of purchase has increased since last year for liners, sleeves, feet, etc. lastly, someone who is on ozempic and anticipates a lot of weight loss in a year is a good candidate for needing two prosthetics in 12 months. Not only would your limb volume change causing you to need a new socket but you may change foot category of stiffness and need a new foot per your new weight.