Medical Statement.pdf
PDF 80 KB Posted
- Attached to
- EOS Custodial Service
- Solicitation number
- FA448427Q0002
About this file
This document is a mandatory statement to be included in all solicitations, awards, task orders, delivery orders, and calls with performance on Joint Base McDill-Dix-Lake Hurst (JBMDL).
The statement establishes terms for emergency medical care provided by the 87th Medical Treatment Facility (MTF) to contractor employees or agents who sustain injuries while on duty. Urgent health care is limited to life-saving or limb-saving interventions and pain prevention, with contractor employees transferred to civilian medical facilities once stabilized. The contractor or employee is financially responsible for all treatment costs, paid within a reasonable timeframe as determined by the Base Legal Office. Billing is processed based on services documented on Air Force Form 552 (Pre-Hospital Evaluation Patient Care Report). If immediate payment is unavailable, a statement of charges and letter of indebtedness is issued to the contractor employee. Contractors must ensure employees provide timely notice to their medical insurance carriers and supply insurers with necessary documentation to facilitate 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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