As you get older, physical fragility and visual impairment can make ordinary tasks like driving a little more difficult. The rate of fatal crashes per mile is higher in drivers aged 70 and above. Even if you drive carefully, you may have trouble driving as steadily as you used to.
North Carolina has no upper age limit for drivers. The state also does not require older drivers to go through extra medical evaluations or drivers’ exams, beyond ones provided in the renewal process. Senior drivers have the same rights as younger people.
As an older driver in North Carolina, self-limitations help you decrease driving risks while on the road. The state will also restrict and evaluate your driving capabilities in other ways. Here are some ways you can keep safe on the road.
Shortened license renewal timelines
Though there are no absolute restrictions of driving, the state does take precautions. Under North Carolina law, drivers who are 18 to 65 years old renew driver’s licenses every eight years. For drivers who are 66 years of age and older, they must renew every five years.
Senior drivers may renew their licenses online like younger drivers. However, drivers who are 66 years old or older need to follow extra instructions. Seniors have to renew their driver’s license in person every other renewal. For example, if you renew via myNCDMV.gov at 68 years, visit a North Carolina DMV for the next renewal.
Heightened medical restrictions
Elderly drivers may be restricted from driving not based on age, but on medical condition. The North Carolina Division of Motor Vehicles may place you under a program if you are a senior driver. The Medical Review Program reviews drivers for conditions that can affect driving ability.
Examples of medical conditions that the Medical Review Program evaluates are:
- Dementia and Alzheimer’s
- Serious heart conditions
- Vision disorders and impairments
- Sleep Disorders
- Diabetes
As you age, you become more vulnerable to medical conditions that impact your driving. Those referred to the program may have their license restricted, suspended or even revoked.
Preserving your safety
Avoiding driving accidents is not just a matter of following rules. When state laws do not use age as a factor in restriction, you have more freedom—but also more responsibility. North Carolina assesses elderly drivers under the same legal framework as younger drivers, including liability for accidents.
The state’s fault-based liability system makes it crucial to know the law. For cases related to driving, age does not make you exempt from legal consequences. Seek legal guidance if you find yourself navigating disputes or cases related to violations or auto accidents.

