Hawaii hurricane season Medicare prep checklist
Hawaii's Central Pacific hurricane season runs June 1 through November 30. For Medicare beneficiaries — especially kupuna with chronic conditions, mobility needs, or who depend on regular medications — preparation done now can prevent serious problems later.
If a major storm is imminent right now: Contact your county Office on Aging immediately to register for evacuation assistance. Statewide ADRC line: 643-ADRC (643-2372). For emergency information, call 211 or visit dod.hawaii.gov/hiema.
Why this checklist matters
Hurricanes, tropical storms, and severe weather affect Hawaii Medicare beneficiaries in specific ways:
- Power outages disrupt CPAP, oxygen, refrigerated medications (insulin, biologics)
- Pharmacy access can be cut off for days
- Inter-island air travel may halt, affecting specialty care appointments
- Dialysis facilities may close temporarily
- Roads may become impassable for ground ambulances
- Communication networks can fail
- Federal disaster declarations can trigger Special Enrollment Periods worth using
The good news: a few hours of preparation before hurricane season — or before a specific storm — can address most of these risks.
Pre-season preparation (do once, before June 1)
Medication and medical supplies
- Build a 14-day medication supply — talk to your doctor about a small extra prescription you can keep aside as backup
- Know your medication list — keep a current printed list (drug name, dose, schedule, prescriber) in your wallet AND a copy in your supply kit
- Plan for refrigerated medications — insulin and some biologics need to stay cool; have a cooler and ice plan
- Confirm your Part D mail-order setup — mail-order is more reliable than retail in disaster scenarios; consider switching for chronic medications
- Learn your Part D plan's vacation override process — useful both for travel and for stocking up before a storm
Powered medical equipment
- If you use CPAP, oxygen, or other powered equipment, register with your county's special needs registry
- Talk to your equipment provider about backup batteries, manual alternatives, or generator options
- Hawaiian Electric and KIUC programs — register as a medical needs customer for priority restoration when power returns
- Have a backup plan — identify the closest facility (hospital, evacuation shelter with medical needs accommodations) where powered equipment is available
Documents and identification
- Photocopy or photograph your Medicare card, Med-QUEST card (if applicable), and supplement/MA card
- Keep digital copies in cloud storage (email, Google Drive, iCloud) — accessible from any device if your home is destroyed
- Make a list of phone numbers — Medicare (1-800-MEDICARE), your plan, your doctor, your pharmacy, family members
- Keep advance directives and POLST forms in your supply kit and with a trusted family member
- Store insurance information with a mainland family member if possible
Register with the right programs
- County Office on Aging — many counties maintain registries of high-needs kupuna for evacuation prioritization
- Hawaiian Electric medical needs program — priority power restoration
- Your Medicare Advantage plan — some plans have member emergency response programs
- Sage PLUS — has resources and can help you navigate disaster SEPs if needed later
When a storm is forecast (3-5 days out)
- Refill prescriptions — call your pharmacy and ask for early refills due to incoming weather; most plans approve this routinely
- Charge all medical equipment batteries — CPAP, mobility devices, hearing aid chargers, monitoring devices
- Confirm your evacuation plan — where you'll go, how you'll get there, who's checking on you
- Check in with family — communicate your plan; designate a family contact off-island as a communication relay
- Stock supplies — water (1 gallon per person per day for 7 days), shelf-stable food, flashlights, batteries, a battery-powered radio
- Fuel up — fill your car if you'll evacuate; have cash on hand
- Confirm communication tools — backup chargers, a written list of phone numbers in case you lose your phone
When a storm hits (24 hours out)
- Stay informed via NOAA Weather Radio, local news, or HI-EMA alerts
- Move to your safe room or evacuate per official guidance
- Keep medications, documents, and key items with you — not in the car or another room
- Charge phones and medical equipment batteries to maximum
- Fill bathtubs with water for non-drinking use
- Stay off roads once severe weather begins
After the storm — Medicare-specific recovery
If you've lost medications
Call your pharmacy or Part D plan immediately. CMS directs Part D plans to facilitate emergency refills during declared disasters:
- Refill-too-soon limits are typically waived
- Out-of-network pharmacies may be authorized when your usual one is closed
- Emergency supplies can usually be approved by phone
If you've evacuated to another island or to the mainland, your Part D plan can authorize fills wherever you are.
If you've lost your Medicare card
Replacements are free from Medicare:
- 1-800-MEDICARE — 1-800-633-4227
- Online at SSA.gov — fastest if you have a my Social Security account
- Med-QUEST replacement — 1-877-628-5076
You can usually get care without the physical card by providing your Medicare number. Don't let lost cards delay needed care.
If you need to use a different provider
Medicare and Medicare Advantage plans must cover emergency and urgent care at any participating Medicare provider, regardless of network. If your usual hospital or clinic is closed:
- Original Medicare — go to any Medicare-participating provider
- Medicare Advantage — emergency and urgent care covered out-of-network
- Document everything in case of billing issues later
Disaster Special Enrollment Period
Federal disaster declarations can trigger Medicare Special Enrollment Periods that let affected beneficiaries change Medicare Advantage and Part D plans outside of normal windows. See our disaster SEP guide for current eligibility.
Hurricane prep for kupuna with specific conditions
| Condition | Specific prep |
|---|---|
| Diabetes | Insulin cooler/ice plan; extra glucose tabs; backup glucose monitor batteries; understand how to manage if you can't refrigerate insulin temporarily |
| ESRD/dialysis | Coordinate alternate dialysis location; know your access plan if your usual facility closes; talk to nephrologist about emergency strategies |
| COPD/oxygen | Backup oxygen tanks; manual alternatives; medical needs power registration |
| Heart conditions | Refilled medications; copy of cardiologist's contact info; awareness of nearest emergency room |
| Mobility limitations | Pre-arranged evacuation help; accessible transportation plan; mobility device charged |
| Cognitive issues / dementia | Medical ID bracelet; family contact information clearly visible; calmer caregivers; familiar comfort items |
| Mental health conditions | Adequate medication supply; therapist's emergency contact; 988 Suicide & Crisis Lifeline if needed |
Resources and contacts
| Resource | Contact |
|---|---|
| Hawaii Emergency Management Agency | dod.hawaii.gov/hiema |
| FEMA disaster assistance | DisasterAssistance.gov · 1-800-621-3362 |
| Hawaii ADRC | 643-ADRC (643-2372) |
| Honolulu County Elderly Affairs Division | (808) 768-7700 |
| Hawaii County Office of Aging | (808) 961-8626 |
| Maui County Office on Aging | (808) 270-7774 |
| Kauai Agency on Elderly Affairs | (808) 241-4470 |
| Hawaiian Electric (Oahu, Maui, Big Island) | 1-855-469-4357 |
| KIUC (Kauai) | (808) 246-1400 |
| 211 Hawaii (general help) | Dial 211 |
| Sage PLUS Hawaii | 1-888-875-9229 |
| 1-800-MEDICARE | 1-800-633-4227 |
One more thing — check on your neighbors
Hawaii's communities have always relied on each other in disasters. If you have neighbor kupuna — especially those living alone, on neighbor islands, or with mobility limitations — check in before, during, and after storms. Help with prescription pickup, weather updates, evacuation plans, or just companionship can save lives.
Frequently asked questions
By June 1 — the start of Central Pacific hurricane season. Pre-season prep (medication stockpile, document copies, registry signups) should happen once and last all season. Storm-specific prep starts when a storm is 3-5 days out.
Yes — call your plan or pharmacy. CMS directs Part D plans to facilitate emergency refills during declared emergencies, and most plans approve early refills routinely when severe weather is forecast even before a formal disaster declaration.
Most major Part D plans have national pharmacy networks. Call your plan's pharmacy line and explain your situation; they can authorize fills at out-of-area pharmacies. Mail-order pharmacy can also typically ship to a temporary mainland address.
Generally no — emergency kit items like water, flashlights, and batteries aren't medical and aren't covered. Some Medicare Advantage plans include OTC allowances that could be used for some prep supplies. Medical equipment (like backup CPAP batteries) may be partially covered through DME benefits.
Call your county Office on Aging or 211 immediately. Many Hawaii counties maintain registries of high-needs kupuna and can coordinate transportation. Don't wait until the last minute — evacuation help is most reliable when arranged in advance.