Medical Statement 1AUG22.docx

DOCX document 13 KB Posted

Attached to
FA4484_Classroom Audio / Visual Maintenance for Hurlburt Field, FL Federal contract opportunity
Solicitation number
FA4484-23-Q-0065
Issued by
Department of the Air Force Air Mobility Command

About this file

This document contains a medical statement to be included in solicitations, awards, task orders, delivery orders, and calls for performance at Joint Base McGuire-Dix-Lakehurst. The 87th Medical Treatment Facility may provide urgent medical care to contractor employees for injuries occurring on duty, defined as care necessary to save life or limb and prevent undue pain and suffering. Contractor employees will be transferred to civilian care as soon as stabilized, and the contractor or employee, not the government, will pay all costs in full within a reasonable timeframe as determined by the Base Legal Office. The 87th MTF will process billing based on services using an Air Force form, and contractors must ensure employees provide insurance information and documentation to facilitate payment.

The related federal contract opportunity is a solicitation from the Department of the Air Force Air Mobility Command for classroom audio/visual maintenance at Hurlburt Field, Florida. Responses are due by the date specified in the solicitation.

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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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