J-10 Medical Statement.pdf
PDF 80 KB Posted
- Solicitation number
- FA448425R0015
About this file
This document is a standard medical treatment statement to be included in solicitations and contracts performed at Joint Base McGuire-Dix-Lakehurst (JBMDL). The statement outlines the 87th Medical Treatment Facility's (MTF) protocol for providing urgent health care to contractor employees who are injured while on duty. Key provisions include that the MTF may provide emergency medical care necessary to save life or limb, with contractor employees to be transferred to a civilian medical facility once stabilized. The contractor or its employees are responsible for fully paying all medical treatment costs within a reasonable timeframe, as determined with assistance from the Base Legal Office. If a contractor employee cannot immediately pay, a statement of charges and letter of indebtedness will be issued, and they are required to promptly notify their medical insurance company and provide necessary documentation for insurance 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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