J_03 Medical Statement.docx

DOCX document 23 KB Posted

Attached to
ManliftS MX
Solicitation number
FA448426R0003
Issued by

About this file

This is a Medical Statement document that establishes healthcare liability protocols for contractor employees and agents performing work at Joint Base McGuire-Dix-Lakehurst (JBMDL). The statement, which will be incorporated into all solicitations, awards, task orders, delivery orders, and calls with performance on JBMDL, outlines that the 87th Medical Treatment Facility (MTF) may provide urgent health care—defined as medical care necessary to save life or limb and prevent undue pain and suffering—to contractor personnel injured while on duty. Contractor employees will be transferred to civilian medical facilities once appropriately stabilized.

The contractor or contractor employee bears full financial responsibility for all medical treatment costs, which will not be absorbed by the 87th MTF, United States Air Force, or the government. Billing is processed based on services documented on Air Force Form 552 (Pre-Hospital Evaluation Patient Care Report). If payment cannot be made at the time of billing, the contractor employee will receive a statement of charges and letter of indebtedness. Contractor employees and agents are required to notify their medical insurance companies promptly and provide necessary documentation to facilitate insurance payment processing.

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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."

File details come from the government source that posted it. Updated .