4.__Delivery of services.__Covered health care services must be provided to plan members by participating providers.__The delivery of covered health care services to plan members is subject to the provisions of this subsection.__The board shall adopt rules regarding benefit delivery by the plan that include but are not limited to the following provisions.

A.__An eligible person may choose to receive services under the plan from any participating provider.

B.__An eligible person may not be required to meet a deductible or copayment as a condition for receiving health care services covered by the plan that are provided by a participating provider, except that the eligible person may be required to make a copayment in an amount not to exceed $5 for each generic prescription drug and $10 for each nongeneric prescription drug.

C.__The plan must cover health care services provided to plan members while they are out of the State.__The plan member must have been out of the State temporarily for reasons other than to obtain health care services, or the member must have obtained the health care services out of the State for compelling reasons related to the suitability of the services, the nature of the condition and personal circumstances.__The board shall establish and operate a plan to pay for health care services provided to plan members while they are outside the State.__The payments must be made at the rates established by the board for comparable services provided by the plan in the State.__Charges in excess of the payment rates established in accordance with this paragraph are the responsibility of the plan member.__ The board may establish rules governing out-of-state referrals, including, but not limited to, requirements for preauthorization.