Medical Statement.pdf

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Gym Floor Resurfacing
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This document contains a standardized statement to be included in solicitations and contracts performed at Joint Base McGuire-Dix-Lakehurst (JBMDL) regarding urgent medical care for contractor employees. The statement outlines that the 87th Medical Treatment Facility (MTF) may provide emergency medical treatment for contractors injured while on duty, with care limited to life-saving interventions and stabilization before transfer to a civilian medical facility. Contractors are explicitly responsible for all medical costs, which will be processed through an Air Force Form 552 and must be paid within a reasonable timeframe as determined by the Base Legal Office. If a contractor employee cannot immediately pay, they will receive a statement of charges and a letter of indebtedness, and are required to notify their medical insurance and provide necessary documentation for potential reimbursement.

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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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