Attachment 6 - Medical Statement.pdf

PDF 80 KB Posted

Attached to
Dorm Furniture Refresh Federal contract opportunity
Solicitation number
FA448425Q0010
Issued by
Department of the Air Force Air Mobility Command

About this file

This document is a medical services statement for contractor employees performing work at Joint Base McGuire-Dix-Lakehurst (JBMDL). The statement outlines urgent healthcare procedures for contractor employees or agents injured while on duty, specifying that the 87th Medical Treatment Facility (MTF) may provide life-saving or limb-preservation medical care. Contractor employees are responsible for the full cost of treatment, which will be processed through an Air Force Form 552, with potential billing via a statement of charges and letter of indebtedness if immediate payment cannot be made. The document emphasizes that contractors must notify their medical insurance and provide necessary documentation for reimbursement.

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Text version

The following statement will be placed in all solicitations/awards/TOs/DOs/calls with performance on JBMDL:

“The 87th Medical Treatment Facility (MTF) may provide urgent health care to any contractor employees or agents for injuries occurring while on duty. Urgent health care is defined as medical care authorized to the extent necessary to save life or limb and prevent undue pain and suffering. Contractor employees will be transferred to a civilian medical facility as soon as they are appropriately stabilized. The cost of such treatment will be paid for, in full, within a reasonable period of time (as determined with/by the Base Legal Office's assistance), by the contractor or the contractor's employee and will not be borne by the 87th MTF, the United States

Air Force or the government. Billing/accounts receivable is processed based on services provided, which is captured on an Air Force FORM 552 (Pre-Hospital Evaluation Patient Care

Report). If a contractor employee or agent cannot pay for the treatment at the time the bill is rendered, a statement of charges and a letter of indebtedness will be completed and billed to such contractor employee for medical services rendered. Contractor employee or agents shall ensure they provide timely notice to their medical insurance company and to the extent an insurance company is to make payment, provide the insurance company with adequate information and documentation necessary to make payment."

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