Medical Statement.pdf
PDF 78 KB Posted
- Attached to
- Fitness Basketball Court Cover & Storage System
- Solicitation number
- FA448425Q0051
About this file
This document is a standard contract clause for medical treatment of contractor employees at Joint Base McGuire-Dix-Lakehurst (JBMDL). The clause outlines that the 87th Medical Treatment Facility (MTF) may provide urgent health care to contractors for on-duty injuries, defined as medical care necessary to save life or limb and prevent suffering. Contractor employees will be transferred to a civilian medical facility once stabilized, with all treatment costs to be paid by the contractor or individual employee, not the government.
The clause specifies that billing will be processed using Air Force Form 552 (Pre-Hospital Evaluation Patient Care Report), and if an employee cannot pay immediately, a statement of charges and letter of indebtedness will be issued. Contractors are required to notify their medical insurance company and provide necessary documentation for potential insurance coverage. This statement will be included in all solicitations, awards, task orders, delivery orders, and calls involving 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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