[Direct answer]In the Beijing area, whether the nutritional products purchased during the recovery period can be reimbursed depends on whether they fall within the scope of statutory nutritional fees. According to Article 11 of the Interpretation of the Supreme People's Court on Several Issues Concerning the Application of Law in the Trials of Personal Injury Compensation Cases, the nutritional fees shall be determined in accordance with the opinions of medical institutions based on the victim's disability situation. If the medical institution explicitly recommends supplementary nutrition and the purchased nutritional products are reasonable and necessary, the claimant can claim the reimbursement with formal receipts; however, self-purchased products without medical prescriptions or unrelated to the injury situation are usually difficult to obtain support. It is recommended to first obtain medical opinions on nutritional supplementation. For more details, please refer to the following link:Personal injury and medical dispute services.
1. Problem background and typical scenarios
After the patient's condition stabilizes and enters the recovery phase, family members often purchase protein powders, vitamins, and tonics for the injured, hoping to speed up their recovery. Typical scenarios include: family members purchasing nutritional products on their own for post-operative patients or bedridden patients; treating daily health supplements as necessary expenses for recovery; and being denied compensation by the other party or insurance companies on the grounds that they are "non-medical receipts". Many people mistakenly believe that "all expenses spent on treating illness should be compensated", but they ignore the fact that nutritional expenses must have medical basis and reasonable limits. In cases involving disability appraisal, it can be combined with other evidence to determine the compensation amount.Special services and other case servicesCoordination.
II. Key points of contention
The focus of the dispute lies in three aspects. Firstly, medical basis: whether the medical institution has provided an opinion on supplementary nutrition, which is the key to establishing the right to nutritional compensation. Secondly, necessity and rationality: whether the purchased types and quantities of nutritional products match the needs of disability and rehabilitation, and whether they are high-priced tonics rather than basic nutrition. Thirdly, form of receipts: whether there are formal receipts and whether they can be traced back to specific injured individuals. When handling similar cases in the Beijing area, the court tends to be more cautious in determining the right to nutritional compensation, emphasizing the correspondence with medical prescriptions and the disability situation. It is difficult to support generalized nutritional expenses unrelated to the patient's condition. For cases involving subsequent compensation payments, reference can be made to the relevant provisions.Creditor-debtor relations and enforcement case services.
III. Professional analysis by Hengluo Lawyers
Based on the practical experience of handling personal injury cases in our firm, the failure of reimbursement for nutritional products is often due to the "three noes": no medical prescription, no corresponding products, and no supporting evidence. A common misunderstanding is that family members claim reimbursement based on shopping receipts or purchasing records, but fail to explain the medical connection between the nutritional products and the injured person's disability recovery. Hengluo Lawyers usually recommend the following: Have the medical institution specify the nutritional supplementation recommendations in the rehabilitation plan, then purchase the products based on these recommendations and obtain formal invoices, ensuring that the types and quantities are within reasonable limits. Be cautious about claiming reimbursement for high-priced tonics to avoid being classified as living expenses rather than treatment and rehabilitation expenses. By clarifying the basis, it will be easier to have the nutritional expenses recognized. For cases involving work-related injuries, relevant information can be provided for reference.Labor arbitration and work-related injury compensation servicesJudge them separately.
IV. Practical suggestions and legal basis
The core basis is Article 1179 of the Civil Code of the People's Republic of China (effective January 1, 2021) (compensation for reasonable expenses of treatment and rehabilitation); and Article 11 of the Interpretation of the Supreme People's Court on Several Issues Concerning the Application of Law in the Trials of Personal Injury Compensation Cases (amended on April 24, 2022) (the amount of nutritional expenses shall be determined in accordance with the opinions of medical institutions based on the victim's disability status). Practical suggestions: Please ask medical institutions to state the opinions on nutritional supplementation in the medical records or diagnoses; when purchasing, request formal receipts and specify the victim's information; claim the amount within reasonable and necessary limits; and be cautious about including high-priced tonics without medical prescriptions. For cases involving disability grades, relevant information can be combined with the above provisions for consideration.Personal injury and medical dispute servicesCoordinate and plan everything in an organized and efficient way to ensure that all tasks are completed on time and according to plan.
5. Hengluo Law Firm's Advice
The nutrition fee is not a "buy-and-reimburse" scheme, but rather a "reimbursement based on necessity and backed by evidence" model. It is recommended that medical institutions clarify the scope of nutritional supplementation from the start of rehabilitation to avoid retroactive proof collection or being classified as ordinary expenses. Additionally, attention should be paid to the three-year statute of limitations, which begins from the date when the insured party knows or should have known that their rights have been infringed and the liable party has been identified. If the insurance company disputes the nutrition fee, the insured party may hire a lawyer to assist in verifying the medical orders and invoices. Welcome to visit our website for more information.The official website of Beijing Hengluo Law FirmUnderstand the approach to handling similar cases.
VI. Frequently Asked Questions
Q1: Can the nutritional supplements purchased during the recovery period ultimately be successfully reimbursed?
It's possible, but it depends on whether there are medical grounds and reasonable necessity. If the medical institution clearly recommends nutritional supplementation, and the purchased products correspond to the disability rehabilitation, and there are formal receipts, they can usually be claimed as nutrition expenses. However, if it's just supplements purchased by the family without a doctor's prescription and unrelated to the injury, it's harder to support the claim. The outcome depends on the evidence rather than the purchase itself. Lawyers can help link the nutrition expenses to the doctor's prescription and the disability situation.
Q2: If I want to claim nutritional compensation, what evidence do I need to prepare?
The core materials include: opinions from medical institutions on the need for nutritional supplementation (medical records, diagnoses, or medical orders); purchase receipts and formal invoices for nutritional products, with the victim's information noted as much as possible; materials demonstrating the connection between the purchased products and the needs of rehabilitation; and certificates of the injury and disability status. The evidence should be organized around the three key elements of "medical orders + necessity + receipts", to avoid submitting only scattered purchase records.
Q3: How much does it cost to hire a lawyer to handle a dispute over nutrition fees?
The attorney's fees are negotiated between the law firm and the client. They are usually charged on a contingency basis or based on a percentage of the litigation amount, with the specific fees subject to the contractual agreement. There is no nationwide standard pricing for these fees. The amount of compensation for nutrition is usually not high. It is recommended to first evaluate the overall compensation scale before deciding whether to hire a lawyer, and to request a detailed fee breakdown, clarifying the stages of representation and whether it includes litigation fees, appraisal fees, and other third-party expenses. It is important to rationally weigh the costs involved.
Q4: How long does it typically take to determine rehabilitation and nutrition expenses?
If both parties agree with the medical instructions and invoices, they can settle the matter relatively quickly. For cases that proceed to litigation, the first-instance ordinary procedure will be concluded within six months and the simplified procedure within three months. However, cases involving disability appraisals may take longer. It is recommended to fix the medical instructions for nutritional supplementation in the early stage of rehabilitation to avoid delays leading to missing records. Overall, it often takes several months from preparing evidence to making a determination, so it is more beneficial to preserve the medical instructions and invoices as early as possible.
Q5: I want to claim rehabilitation nutrition expenses. What should I do specifically in the first step?
It is recommended to proceed in four steps: First, in the early stage of rehabilitation, medical institutions should specify nutritional supplementation recommendations in the medical records or diagnoses; Second, purchase necessary nutritional products according to the doctor's instructions, and request and keep formal invoices; Third, organize the injury and disability certificates, and explain the relationship between nutritional expenses and rehabilitation; Fourth, claim based on the doctor's instructions and invoices in the negotiation or litigation, and, if necessary, entrust a lawyer to distinguish between necessary nutritional expenses and daily consumption. Throughout the process, avoid purchasing products without proof and then providing certificates retroactively.
The above Q&A is mainly based on the judicial practice in Beijing. There may be differences in the adjudication opinions in different regions. It is recommended to consult a professional lawyer based on the specific circumstances of the case.
If you are currently facing similar problems, it is recommended that you consult a professional lawyer as soon as possible with the necessary evidence, to avoid missing the statutory time limits.Personal injury legal services·Beijing Henglu Law Firm
Disclaimer: This article is compiled based on the current effective laws and regulations and public adjudication rules, and is for general reference only. It does not constitute a formal legal opinion on specific cases. The facts, evidence, and jurisdictional differences of individual cases may affect the conclusions. If you encounter disputes, please consult a practicing lawyer in time.