Medical Statement..pdf

PDF 80 KB Posted

Attached to
4 Work Assist Vehicles
Solicitation number
FA448426Q0032
Issued by

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This is a mandatory statement for inclusion in all solicitations, awards, task orders, delivery orders, and calls with performance at Joint Base McGuire-Dix-Lakehurst (JBMDL). The statement establishes the terms and conditions for emergency medical care provided by the 87th Medical Treatment Facility to contractor employees and agents who sustain work-related injuries while on the installation.

The 87th MTF may provide urgent health care limited to life-saving or limb-saving treatment and pain prevention, with contractor employees transferred to civilian medical facilities once stabilized. All treatment costs are the financial responsibility of the contractor or contractor employee and are not borne by the MTF, United States Air Force, or government. Billing is processed based on services documented on Air Force Form 552 (Pre-Hospital Evaluation Patient Care Report). If immediate payment is unavailable, the Base Legal Office will prepare a statement of charges and letter of indebtedness for collection. Contractor employees and agents are required to provide timely notice to their medical insurance companies and furnish necessary documentation to enable insurance payment.

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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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