Medical Statement.pdf

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Solicitation number
FA448425Q0014
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About this file

This document is a medical treatment facility statement for contractor employees performing work at Joint Base McGuire-Dix-Lakehurst (JBMDL). The statement outlines urgent healthcare provisions for contractor personnel injured while on duty, specifying that the 87th Medical Treatment Facility (MTF) may provide emergency medical care necessary to save life or limb and prevent undue suffering. Contractor employees will be transferred to a civilian medical facility once stabilized, with the understanding that all treatment costs must be paid in full by the contractor or individual employee, not by the government.

The document details the billing process, which involves using Air Force Form 552 to document medical services, and establishes procedures for payment, including potential statement of charges and letters of indebtedness if an employee cannot immediately pay. Contractors are required to notify their medical insurance company and provide necessary documentation for potential insurance reimbursement. This statement is intended to be included in all solicitations, awards, task orders, delivery orders, and calls with performance at JBMDL.

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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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