J-2 Medical Statement..pdf
PDF 80 KB Posted
- Attached to
- FA448426R0009 - Washer and Dryer Services
- Solicitation number
- FA448426R0009
About this file
This document is a mandatory clause for inclusion in all solicitations, awards, task orders, delivery orders, and calls with performance at Joint Base McGuire-Dix-Lakehurst (JBMDL). The clause establishes the 87th Medical Treatment Facility's (MTF) policy regarding emergency medical care provision to contractor employees and agents who sustain work-related injuries.
The 87th MTF may provide urgent health care—defined as medical care necessary to save life or limb and prevent undue pain and suffering—to injured contractor personnel. Following stabilization, patients will be transferred to civilian medical facilities. The contractor or contractor employee is responsible for all treatment costs, which will be billed based on services documented on Air Force Form 552 (Pre-Hospital Evaluation Patient Care Report). Costs will not be borne by the 87th MTF, United States Air Force, or the government. If immediate payment is not possible, a statement of charges and letter of indebtedness will be issued to the contractor employee. Contractors must ensure their employees provide timely notice to their medical insurance providers and furnish insurers with complete documentation necessary for 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."
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